THIRD FORM
SCHOLARSHIPS & AWARDS APPLICATION FORM
This form should be completed by the parents of the candidate, and be supported by, and signed by, the Head Teacher of the applicant’s current school. It should also be accompanied by a one page reference from the relevant Head of Department, or in the case of an Academic Scholarship, by the Director of Studies or Head Teacher. It is the responsibility of the applicant to request the reference/s. Please send to: Gilly Bunday, Registrar, King's Bruton, The Plox, Bruton, Somerset, BA10 0ED. Name of candidate: Date of birth: Tel. No: Name of parents: Address:
Email: Present school: Since: Please indicate which scholarship or award you are entering for: Academic:
Optional Papers:
RS
Latin
Sport:
Chosen sport(s): (please name your two main sports) 1.
Music:
1st Instrument: Latest Grade: Mark:
2.
2nd Instrument: Latest Grade: Mark: 3rd Instrument: (if applicable)
Latest Grade:
Mark:
Art: Design & Technology: Drama: All Rounder Award:
Please name which two elements for the All Rounder you will show. 1.
2.
Please use the space below for any information you think might be relevant to this application.
Please note: 1 It is a condition of every scholarship/award given that its value remains confidential between the successful applicant’s parents and the School. 2 All candidates applying for a scholarship/award must already have been offered and accepted a place to King's Bruton. 3 Candidates may enter for a maximum of two scholarships/awards. 4 The maximum financial value of any non means-tested scholarship or award, or combination thereof, is 20% of fees. Should you not need a reduction in the fees, and would, therefore, be willing to donate any financial award towards the School’s bursary awards, please tick this box. This will, in no way, affect your child’s chance of being awarded a scholarship. Further details may be obtained from: Gilly Bunday, Registrar, King's Bruton, Somerset, BA10 0ED. Tel: 01749 814251 Email: registrar@kingsbruton.com Parent Signature: Date: Head Teacher Signature: Date: (Must be signed by Head Teacher of current school to endorse application).
@KingsBruton /KingsBruton @KingsBruton /KingsBruton1519
w w w. k i n g s b r u t o n . c o m
King's Bruton The Plox Bruton Somerset BA10 0ED