Please Email Your Application Forms To

APPLICATION TO THE NYT BURSARY FUND

The NYT Bursary Fund is reserved for those in most need of financial support. Please note that the Fund is limited and depends on our success in raising funds each year. We cannot guarantee that every application to the fund will be successful or the full amount applied for can be granted.

Please email your application forms to

NAME
COURSE APPLIED FOR
EMAIL ADDRESS
TELEPHONE
HOME ADDRESS
NAME ON BANK ACCOUNT
ACCOUNT NUMBER
SORT CODE
How much are you requesting as a bursary
£
What will this cover? Please include the workings of the total you’ve given above / £
TOTAL

*NB – please include proof of accommodation expense and any other documentation which you feel relevant to the confirm the above figures

Please outline the fundraising you have done so far or plan to do and how much you have raised
Why do you need to be supported by the NYT Bursary Fund?

1.Are you currently in care or a care leaver? Yes/No

If yes, you will need to provide a copy of a Social Services letter stating that this is the case

2.Are you in receipt of

a)Income Support? Yes/No

b)Jobseekers Allowance? Yes/No

c)Personal Independence Payment (PIP) or Disability Living Allowance (DLA)? Yes/No

If yes, please provide a copy of a Benefits letter (no more than 6 months old) stating that this is the case

Your Family Situation

3.Is one of your parents, guardian or carer in receipt of one of the following benefits?

d)Income Support? Yes/No

e)Jobseekers Allowance? Yes/No

f)Employment and Support Allowance (ESA)? Yes/No

g)Working Tax Credit? Yes/No

If yes, please provide a copy of a Benefits letter (no more than 6 months old) stating that this is the case

I declare that the information I have provided on this form is true and correct to the best of my knowledge. I understand that purposely giving false information will automatically disqualify me for any financial assistance from National Youth Theatre. I also understand that completion of this application does not guarantee that I will receive the financial support that I have applied for and that any delays in providing evidence will delay my application. I understand that all applications are processed subject to availability of funds and eligibility criteria.

Your signature: ………………………………………………………………………………………………………………………………………………

If you are emailing your completed application to us, you do not need to sign the form

NB:Please email your scanned completed formand all supporting documentation as listed above within sections 1-3toor post the information to NYT Bursary Fund, National Youth Theatre, 101Bayham Street, London, NW1 0AG

OFFICE ONLY
DATE RECEIVED
DATE REVIEW
APPROVED BY

Page 1 of 3