Application Form for Scholarship Grant Name * First Name Last Name Personal email address * Educational establishment email address * Mobile Phone * (###) ### #### Social Media handles * (###) ### #### Home Phone * (###) ### #### National Insurance number * Current address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent/Guardian address (if different from the above) Please describe your ethnic origin * Your current income in £ * Under 5,000 5,000 - 10.000 10,000 - 15,000 15,000 - 20,000 Over 20,000 Parent/Guardian household income in £ * Under 20,000 20,000-30,000 30,000-40,000 40,000-50,000 50,000-60,000 60,000-70,000 70,000-80,000 over 80,000 Have you applied for any other grants/scholarships? * Yes No If yes, which grants and for how much? Have your parents/guardians had a university level education? * Yes No Have you applied or been accepted onto a UK full time university level programme of study? * Yes No Name of university/educational establishment * Full name of course (including qualification) (e.g. BA (Hons) Spanish and French) * Start and completion dates of your course * 3 key dates in the academic year for which you are seeking a grant: Start of academic year, end of first semester, completion of academic year How much are the tuition fees per year? Set out your reasons why you think you deserve to be awarded a scholarship grant from WEST? (minimum 200 words) * How will receiving a scholarship grant benefit you and others from the British African Caribbean community? (minimum 200 words) * Terms and Conditions * Please confirm that you have read the Terms and Conditions on the Scholarships page of the website Yes Thank you!
