How To Apply to QMC Foundation in Basingstoke

Step 1 of 5

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Part One - Personal Details

Please provide your own details and then that of your parent/guardian. A parent/guardian signature is required towards the end of the form.

Your Name

Date Of Birth

DD slash MM slash YYYY

Address

Street Address Address Line 2 Town / City Post Code

Telephone

Please provide Parent or guardian details.

Parent / Guardian Name

Parent / Guardian email address

Parent / Guardian Telephone

Parent / Guardian Work Number

Parent / Guardian Address (if different from above)

Street Address Address Line 2 Town / City Post Code

2. What would you like financial assistance for?

Please give us a brief description.

Please provide the total cost and the specific amount of funding you require from the Foundation (if different, please explain, in the brief description area above, how the difference between the funding required and the total cost will be met).

Total Cost

Amount Of Funding Required

Please provide evidence/ paperwork regarding any funding cost you are looking for. You can either attached a scanned document or PDF, or take a clear photo of the document(s) and upload them.

Supporting Files For Funding

Drop files here or

Accepted file types: pdf, png, jpg, jpeg, doc, docx, Max. file size: 64 MB.

(If on a phone, you can also use your camera. Click the "Select Files" button.)

Relevant information for Uploads

3. Supporting Financial Documentation

If you receive Government allocated Schools or Colleges bursary, your School or College must provide the Foundation with proof of your bursary eligibility as an assessment of your income.

If not, you will need to provide documentation to evidence all household, and any personal income (this must include income from paid employment, any form of benefits or pension and any other source e.g. from child support, savings or investments).

Supporting Files For Income

Drop files here or

Accepted file types: pdf, png, jpg, jpeg, doc, docx, Max. file size: 64 MB.

(If on a phone, you can also use your camera. Click the "Select Files" button.)

4. About You

Please tell us how the award you are seeking will benefit your current education, higher education goals or future career prospects. Provide details of; the qualifications you have, where and what qualification/s you are currently studying for, things you do outside of education that benefit these goals or the wider community and any extenuating circumstances that you feel are relevant to your application. A parent/guardian or teacher may help you complete this and provide a reference or evidence to support this statement.

About You

Supporting Files - EG. References, letters from school/college or any other organisations, etc.

Drop files here or

Accepted file types: pdf, png, jpg, jpeg, doc, docx, Max. file size: 64 MB.

(If on a phone, you can also use your camera. Click the "Select Files" button.)

5. Declarations

To be completed by person applying (17 or under)

Form Information

I confirm that, to the best of my knowledge, the information on this form is correct and complete.

I accept that false information may result in my application being disqualified.

Residence / QMC Study

Confirm Third-Party Knowledge

You are confirming that any information or documentation relating to a third party and supplied, by me, to the Foundation in support of the application has been provided with their full knowledge and consent and will be used only for the sole purpose of assessing this application.

Residence / QMC Study

I confirm I live in Basingstoke or have studied at Queen Mary's 6th Form College, Basingstoke, for at least one year.

You are confirming that you live in the borough of Basingstoke and Deane and/or that you have been a student of Queen Mary’s College Basingstoke for at least one year (either now or in the past).

I agree to photographic images and/or any subsequent award detail being made public on the Foundation website and/or social media pages

Yes

Your Signature

Please draw your signature clearly. We may require a proper signature further into the process.

Date

DD slash MM slash YYYY

To be completed by Parent or Guardian

Form Information Parent

I confirm that, to the best of my knowledge, the information on this form is correct and complete.

I accept that false information may result in
my application being disqualified.

Part Confirms Completion

As Parent/Guardian of the applicant (and as the person with parental consent for the applicant) I confirm the application has been completed by/with the applicant, or on their behalf.

This application is for students of 17 years and under (parental consent required) or for those who are unable to complete the application form themselves, or are cared for, or under guardianship. Please ask the Clerk for advice if you, the applicant, lives independently of a parent/guardian.

I agree (if the applicant above has agreed) to photographic images and/or any subsequent award detail being made public on the Foundation website and/or social media pages

Yes

I agree to the School/College providing any relevant documentation in support of the application, to the QMC Foundation, as required.

If you receive Government allocated Schools or Colleges bursary you must obtain and provide us with current evidence of this eligibility, as an assessment of your income. Alternatively ensure the school/college has been given permission (a copy of the Application & Declaration should suffice) to disclose and provide this information directly to the Foundation. Please note if the information is not received from the School/College we may need additional financial household information from you, or the applicant, to assess the application.

Yes

Not Relevant (we do not receive bursary)

Parent Signature

Please draw your signature clearly. We may require a proper signature further into the process.

Date

DD slash MM slash YYYY

Application - 17 & Under

Complete the following form

Part One - Personal Details

Please provide Parent or guardian details.

2. What would you like financial assistance for?

3. Supporting Financial Documentation

4. About You

5. Declarations

To be completed by person applying (17 or under)

To be completed by Parent or Guardian

Contact Us

Phone

Email Us

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