Learning Bursary Application

Submitted by lct29 on 10 November, 2008 - 12:23

Bursaries

Note that this form cannot be saved before you submit it. You may find it useful to, for example, answer the questions in a separate text editor offline before copying and pasting your answers into this form for submitting.

This form will be used by EWB-UK to assess the potential learning opportunity and the suitability of the applicant. Upon the information provided in this application form, EWB-UK Bursaries will make a decision on whether the learning opportunity is in line with EWB-UK’s charitable objectives and worthy of a funding opportunity. Please include all information you feel is relevant.

Applications can be submitted at throughout the year and will be reviewed periodically. The date of the next review can be found here. EWB-UK will make a decision within 4 weeks of this date. EWB-UK may contact you to request more information on the proposed project.

Please ensure you have read and understood the terms and conditions before submitting your application.

Gender: *

Name: *

Email (personal): *

This will be used if your university/work email does not work.

Email (university/work): *

Phone: *

If working, year of graduation, job title and organisation:

Occupation: *

If student, area and level of study:

e.g. Civil Engineering 3rd Year Undergraduate (BEng)

Others, please provide a brief description of your work:

Conflict of interest:

Please disclose if you know or are related to any members of the bursary team (name and branch).

Have previously signed up for a learning opportunity:

Yes

Have you received an EWB-UK bursary before?:

Yes

Title of learning opportunity: *

Type of learning opportunity: *

conference

workshop

residential

non-residential

Aims and objectives: *

Describe briefly the main aims and objectives of the learning opportunity, and how they are consistent with EWB-UK’s mission statement. (Word limit: 200)

Proof of participation:

If you have already booked please provide proof of your participation in the learning opportunity.

Location of learning opportunity: *

About the organiser: *

Please name the organiser and describe its goals. (word limit: 50)

Contact details of organiser: *

Please provide the address, e-mail, telephone number and website of the organiser.

End date: *

Start date: *

Activities: *

Please describe the activities you will participate in during the learning opportunity e.g. simulation exercise, trekking. (word limit: 200)

Health and safety: *

Describe any security issues in the country or region that EWB-UK should be aware of, and please give thought to your personal welfare in terms of security, health and safety, and the precautions you are taking (word limit: 200)

Amount requested: *

Please state an amount, 'maximum' will not be accepted.

Budget details: *

Please a breakdown your total budget for personal costs. Include: description, amount, and source.

Other sources of funding:

Please list the amount and sources of other funding, including pending applications.

Why are you participating in the learning opportunity, and what will this enable you to do in relation to development work?: *

(word limit: 150)

Is there anything else you feel EWB-UK should be aware of?:

Disclaimer: *

I confirm that the information submitted is given in good faith and is accurate to the best of my knowledge. I also agree to the Terms and Conditions herein.

Groups:

Bursaries

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Learning Bursary Application

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