HAMPSHIRE SCHOOL 50TH ANNIVERSARY EDUCATIONAL TRUST
Registered Charity No : 280556

65 Pelham Court, 145 Fulham Road, London, SW3 6SH

APPLICATION FOR AN AWARD

Question 1. to be completed by all applicants, please give the following details

a)   Name:________________________________________ b)   Address : ____________________________________       _____________________________________________       _____________________________________________       _____________________________________________      Post/Zip Code: ________________________________ c)   Telephone Number: ____________________________ d)   Date of Birth Day________ Month__________ Year____________

Question 2. Are you: please tick the appropriate box

	a)   a current pupil of the Hampshire Schools?       proceed to question 5
	b)   a former pupil of the Hampshire Schools?       proceed to question 4
	c)   the child of a former pupil of the Hampshire Schools?       proceed to question 3

Question 3: for children of former pupils of the Hampshire Schools only.

a)   What was your parent's name when he/she attended the Hampshire Schools?      ________________________________________________________ b)   When did your parent attend the Hampshire Schools? _____________ to ____________       proceed to question 5

a)   What was your name when you were a pupil of the Hampshire Schools?      ________________________________________________________ b)   When did you attend the Hampshire Schools? _____________ to ____________

The remaining questions are to be completed by all applicants

Question 5: In your own words tell us how you propose to use the money, if you receive an award.





Question 6: Why are you seeking an award from this Trust?





Question 7: Please give details of any relevant awards you have already won, examination successes and what competitions have you won.





Question 8: Please attach a written recommendation from a teacher or a referee.

a)   What is the name of your teacher or referee?      ________________________________________________________ b)   How does this person know you?      ________________________________________________________

Please send this form, together with the written recommendation to:

The Hampshire School 50th Anniversary Educational Trust,
65 Pelham Court,
145 Fulham Road,
London,
SW3 6SH