Higher Education Support Grant Application Form

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Mayflower Higher Education Support Grant Scheme is open to people who live in East Dorset or Hampshire only.

This scheme is open throughout the year and assessed monthly.

If you have any queries, please contact Sarah Rushmere via sarah.rushmere@mayflower.org.uk or on 02380 711815.

Details of Applicant

Have you previously been awarded a Higher Education Support Grant from Mayflower Theatre?(Required)

We're sorry, but we are not accepting applications from people who have previously been awarded a grant from this scheme.

However, you are able to apply for our Higher Education Tuition Fee Grant, should that be relevant.

Thank you for your interest in our Higher Education Bursary Scheme.

Application Form

Agreement

If your application is successful, your bursary award payment will only be made once, and when we have received your invoice and accompanying receipts.

Details of Applicant

Name:(Required)

First Last

Home Address: (Not term time address)(Required)

Street Address Address Line 2 City County / State / Region Postal Code

Mayflower Higher Education Support Grant Scheme is open to people who live in East Dorset or Hampshire only

Personal Email Address: (not school or university address)(Required)

example@example.com

Telephone Number:(Required)

Please include area code if a land line

Current place of Education:(Required)

Equality, Diversity and Inclusion

Data will remain confidential and only anonymised data will be shared in reports.

Age:(Required)

Date of Birth:(Required)

Day

Month

Year

Gender Identity:(Required)

Female (including trans women)

Male (including trans men)

Non-Binary

Prefer not to say

Is your gender identity different to that which it was assumed to be at birth?(Required)

Yes, it is different from my gender at birth

No, it is the same as my gender at birth

Prefer not to say

Sexual Orientation:(Required)

Bisexual

Gay Man

Gay Woman / Lesbian

Heterosexual

Queer

Prefer not to say

Disability, Neurodiversity and Long Term Health Conditions Monitoring: (tick all that apply)

Do you identify as a D/deaf or disabled person?

Do you identify as a person with a long term health condition?

Do you identify as someone who is neurodiverse?

Prefer not to say

Details of Parent/Guardian (if financially supporting the applicant)

Parent/Guardian 1:

Name:

First Last

Address:

Street Address Address Line 2 City County Postal Code

Email Address:

example@example.com

Telephone Number:

Please tick the box that best represents your annual household income:(Required)

£0.00 - £20,000

£20,001 - £26,000

£26,001 - £40,000

£40,001 - £66,000

£66,000+

What funding are you applying for?(Required)

Short Course

Audition Fees / Travel

Course Materials

Equipment

Other (please give details below)

If you answered Other to the question above please give details here:

We are unable to accept applications for Foundation courses – applicants can only receive a bursary once and we feel they are better served by being supported on a longer, 2-3 year degree course and/or Masters.

Are you (the applicant):

In receipt of free school meals?

In receipt of a college bursary?

A Young Carer?

From a single parent/guardian household?

Are either one or both parents/guardians in receipt of any of the following benefits? (tick all relevant boxes)

Universal Credit

Housing Benefit

Working and Child Tax Credits

Jobseeker's Allowance

Disability Living Allowance

Income Support

Carer's Allowance

From a single person household

Housing Benefit

Other (please give details below)

If you answered Other to the question above please give details here:

How do you plan to use the funding: (Please indicate the estimated cost of each item you would like us to fund e.g. train travel £56 etc.)

How will the funding benefit you?

Are there any other financial circumstances that we should be made aware of?(Required)

Yes (please give details below)

If you answered Yes to the question above please give details here:

Proof of Income

Examples of documents that can be submittted for proof of income:

Earned Income

Last payslip of the tax year/self-assessment tax return P60 Unearned Income
Statements showing interest of investments, benefit verification or tax credit letter, pension statements, income details from an accountant, self-assessment tax return

Upload Documents:

Max. file size: 10 MB.

Date:(Required)

Day

Month

Year

(Required)

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