Section 1: Choosing Which Trust

Application for the Pocklington Trust or Thomas Huggett Aid fund. If completed electronically, the boxes will expand automatically if needed.

Section 1: Choosing which Trust

Please mark the box stating which Trust you are applying for. Please make sure you have read the guidance and ONLY tick one box. If you do not mark a box or mark both, this will slow down your application.

Select one
Pocklington Trust
Thomas Huggett Aid Fund

Section 2: Details of Applicant

1.  Full name of applicant:

2.  Date of birth:

3.  Applicants full address and previous addresses covering the last 10 years (if applicable):

Current address
Previous address(es)

4.  If applicant is under 18, state names of parents/carers/guardians and relationship to applicant: Please include an address if different from above.

5.  Applicant or parent/carer/guardian phone number(s):

6.  Applicant or parent/carer/guardian email:

Section 3: Residency

7.  Place of birth/where was your birth certificate issued:

If the applicant was not born in the Royal Borough, have the parent/carer/guardian been resident in the Royal Borough for 10 years or longer? (please mark one below)

Yes / No

Section 4: Education

8.  Please state where the applicant is attending an education setting (school/college/university/other training).

9.  Please detail what is currently being (or has been) studied (e.g. GCSEs, A-Levels, Baccalaureate, Degree etc, NVQs etc) with subjects (Maths, Sciences etc)

Section 5: Current financial position

10.  Please state any present income (if any):

If a grant is being sought for apprenticing, please complete question 11. If the grant is for any other reason, please skip question 11 and complete questions 12 and 13.

11.  If the applicant is applying for financial assistance for apprenticing, please state:

(a)  Which trade or occupation

(b)  Name of and address of firm with whom apprenticeship will be served. Please include a contact name.

(c)  Will any allowance be paid, if so how much?

(d)  Will a salary be paid, if so how much?

(e)  Is there any equipment that needs purchasing to aide in completing the apprenticeship, if so what and how much?

12.  Please state why funding is needed. Ensure that you give as much detail as possible about the child or young person. You can include additional information about the applicants’ family.

13.  Please state how much funding is being requested and list what it will be used for.

14.  Please list any other information that might support the application, such as the child or young person’s interests or aspirations.

15.  Has the applicant received a grant from this fund in the past? If yes, when and for what purpose?

16.  Is the applicant applying for grants or student loans from other sources? If so please list them here, and provide proof.

Section 6: Referee details

17.  Please provide the name of a non-family member who is a teacher, doctor or other professional, who has known you or your family for at least five years. We might contact this person for a reference.

Referee Name:
Referee Address:
Referee email address:
Referee Telephone:
Relationship to applicant:

Section 7: Declaration

I declare that I have understood the questions and that the information I have given is correct to the best of my knowledge.

I agree to notify the Royal Borough of Kensington and Chelsea Council of any changes in my circumstances that may affect my application for a grant.

I understand that it is an offence to knowingly provide false information in support of an application, and that the Council may verify the details of my application to prevent and detect fraud as allowed by law.

You agree that if we require additional information to support your application after submission, we will either contact you directly or go through an appropriate channel (such as a key worker) to collate additional information.

PRINT NAME

SIGN (if completing electronically, please print the name again)

DATE

Please send the completed form to Debra Cole, or post it to Debra Cole, Malton Road Hub, 2-4 Malton Road London W10 5UP.

Disclaimer: Your details will not be shared with anyone outside of administration of both Trusts without your consent.