Application for a short course residential bursary 2007/8 - Coleg Harlech, Adult Residential College, North Wales

Ready for a Change?

Application for a short course residential bursary 2009/10

Please ensure you answer every question

Application Form

1a. Title

1b. Surname

1b. First names

2a. Address of normal residence

2b. Postcode

2c. Email

2d. Home tel

2e. Mobile tel

3a. Date of Birth

3b. Town of birth:

4. Title of course to be studied:

5a. Do you have the right to live or settle in the UK indefinately ?Yes No

5b. Have you been ordinarily resident in the UK for the last 3 years?Yes No

5c. Are you currently living in England or Wales?Yes No

6a. Have you previously received a grant?Yes No

6b. If yes, state school/college/university attended:

6c. From:

6d. To:

6e. Please enter details of the course studied, and any qualifications and levels gained

7. Have you previously attended a Short residential course at Coleg Harlech?Yes No

By sending in this form you are agreeing to the following:

I hereby undertake in the event of my being awarded a grant under The Education (Mandatory Awards) Regulations 1991 to follow the approved course of study for which my application for an award has been made and to complete this study.

If for any reason whatsoever, I discontinue my work as a student on the approved course of study, I undertake to refund such sum as may be determined by WAG to have been paid to me or on my behalf.

Ready for a Change?

General Enquiries

Application for a short course residential bursary 2009/10