APPLICATION FOR AN INDIVIDUAL AWARD

By submitting this form, I wish to apply for a grant for the above mentioned project. If my application is successful, I agree to prepare a report on my project for The Trustees within one year of completion.

Year for which the award is requested

Name in full

Date of birth

Address

Postcode

Telephone contact(s)

Address of parent or guardian (if different from above)

Postcode

Previous schools attended (with dates please)

Present school, college or university (if a student) or place and nature of employment

Academic qualifications from GCSE level onwards with dates

Please give the trustees a clear description of the project for which a grant is requested:

Please outline ways in which you expect this project to further your educational development:

Please provide your budget for the project. This should include an estimate of both itemised costs and sources of income.

Please give names and addresses of TWO referees. These should preferably be from professional people, one of whom should be familiar with your proposed project.

Date of Application

Norton Educational Foundation

70 The Green, Norton, Stockton-on-Tees

TS20 1DT

Telephone: 07484 611201

Mobile: 07983 710559

Email: [email protected]