APPLICANT’S NAME(child)…………………………………………..………………………………… Age…………..
Address: ………………………………………………………………..………………… Postcode: …………………
Email ……………………………….…………...... …… Phone: …………..….…………………….………...……
Class(es) currently taking or applying for……………………………………………………………………………….
Have you ever taken classes at Theatre Peckham?......
Would you be willing to accept a partial bursary? YES/NO
Thanks to the fantastic fundraising of the parents group We have a very limited number of bursaries for those whose financial constraints could see them losing their place with us at Theatre Peckham. Bursaries are awarded to those who have great tutor or teacher feedback from either Theatre Peckham or from School and who could not otherwise afford to come. ANYONE can apply for a bursary, but not all applicants can be granted one.
Please fill out this form in detail If you think you/your child are eligible for a bursary.
APPLICANT’S (childs) STATEMENT: I would like to continue my workshops at Theatre Peckham because…o I understand that any bursary awarded to my child is from September 2014 to July 2015 only.
o I agree to attend all my classes on time and be co-operative and enthusiastic in class
o I understand that if Theatre Peckham tutors are not satisfied with my child’s attendance levels,
timekeeping, commitment and overall performance, they will lose their bursary.
o I understand that any report of Mis-behaviour or non-co-operation in class will result in the immediate retraction of the awarded bursary
Please note, if a half bursary is offered, any fees must be paid by the start of term or the place will be withdrawn.
Signed: …………………………………………….. (Parent / guardian) Date: …………………..
Please hand this in to a member of staff at workshops or post into our office at Theatre Peckham, 2nd Floor Peckham Library, 122 Peckham Hill Street, SE15 55JR
OFFICE USE ONLY -
Decision of bursary application: …………………………………………………………………………………………