PRESIDENT’S AWARD SCHEME REGISTERED CHARITY NO. 219279
SCHOLARSHIP CONTINUATION APPLICATION
1. Personal Details
Full Name:Date of Birth:Age:
Marital Status:NI Number:
Telephone:Mobile No:Email:
Full Address & Post Code:
2. FINANCIAL DETAILS
ALL THE INFORMATION REQUESTED IN THIS SECTION IS A LEGAL REQUIREMENT. Please include all household income, benefits and expenses:
APPLICANTMonthly Income / Monthly Expenditure / Comments
Earnings: / £ / Rent/Mortgage / £
Student loan, grant, bursary / £ / Council Tax / £
Any other income / £ / Housekeeping / £
Utility bills: gas, electric, water rates, insurances / £
Television packages/mobile phones, internet / £
Transport Costs / £
Other / £
Total Income / £ / Total Expenditure / £
TOTALHOUSEHOLD INCOME/EXPENITURE (REQUIRED)
Monthly Income / Monthly Expenditure / Comments
Salary / £ / Rent/Mortgage / £
Maintenance/CSA / £ / Council Tax / £
Service Pension / £ / Housekeeping / £
Service Invalidity Pension / £ / Utility Bills: gas, electric, oil, water / £
War Disability Pension / £ / Television packages, mobiles, internet, landline / £
Widows Pension (Bereavement allowance) / £ / Insurance Premiums / £
Occupational and or State Pension / £ / Loan Payments / £
JSA, IS, ESA / £ / Credit Cards / £
Disability Related Benefits / £ / Car/Transport costs / £
Family/Child Related Benefits / £ / Other / £
Other / £ / Other / £
Total Income / £ / Total Expenditure / £
Parents/Guardians Income vs Expenditure:
Father/Guardian’s Name / OccupationMother/Guardian’s Name / Occupation
Please list all savings and investments:
Applicant / Parents/GuardiansBank Account / £ / £
Building Society / £ / £
Premium/Investment Bonds/ISA / £ / £
Military pension lump sum, resettlement, redundancy payments
(please specify) / £n/a / £
Investment Income / £ / £
Total / £ / £
3. EDUCATIONAL INFORMATION
Name of University:Course Title:
Start Date: / End Date:
Please provide details of exams taken since starting this course and grades obtained:
4. PERSONAL STATEMENT
Please state in the box below, how if successful, the funds awarded would assist you:
- How has the scholarship assisted you in during your time at university?
- What grades have you achieved and what topics have you accomplished?
- Any other accomplishments, i.e. Sports Clubs or other Union activities?
8. Checklist
APPLICATION CHECKLISTTask / Check
Have you completed all sections of this application form? / ☐ /
Have you fully and correctly completed the income/expenditure informationin section 6(page 3-5)? / ☐ /
Have you written a comprehensive personal statement in section 7 (page 6)? / ☐ /
EVIDENCE CHECKLIST
Requirement / Example / Check
Confirmation of Educational Outcomes / Results letter or e-mail / ☐ /
Household Income / Evidence of any change in household income / ☐ /
Student Income / Evidence of any change in your income / ☐ /
Evidence of Cost / Quotes for requested assistance and evidence of the cost, e.g. tenancy or license agreement / ☐ /
9. DECLARATION
- I declare that the information I have given on this form is, to the best of my knowledge, correct.
- I understand the information I have provided will be used to process this application for assistance.
- By signing this declaration you also give The Royal British Legion permission to share all correspondence and records we gather as part of your application, as well as the content of this application, with other agencies, including other charitiesand relevant statutory agencies for the purpose of furthering your application for assistance.
- I agree that information collected as part of the application process may be stored in accordance with the Data Protection Act 1998 and relevant legislation. This is so that any future applications may be speedily processed, and that data generated may be used for follow up assistance,statistical and research purposes.
I, THE APPLICANT, AGREE WITH THE ABOVE STATEMENT
SIGN:DATE:
I/WE THE PARENT(S)/GUARDIAN(S), AGREE WITH THE ABOVE STATEMENTS
SIGN:DATE:
SIGN:DATE:
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Version 2 PAS-S-Cont–19 September 2017 1
