Young Company Bursary Application Form

Phone

This field is for validation purposes and should be left unchanged.

Please read through the terms and conditions carefully and complete the form below to help us respond to your request for a bursary placement. All bursary applications will be reviewed at the same time 2 weeks before the start of each term. There are two kinds of bursaries - 50% discount or a free place on a Young Company course over the course of a 10 week term.

If you require any assistance in filling out this form please contact a member of the Creative Communities team by emailing youngcompany@theatreroyal.com

Terms and Conditions • There are a limited number of bursary available which will be allocated on a case by case basis before the start of each term. • Bursaries are either at a 50% discount (half bursary) for those who are able to meet some of the cost but not the full cost of a course, or a free place for the term (full bursary) for those who are not able to meet any of the cost of the course. • Both are valid for the one term- email the team at the end of the term if you wish to continue receiving a bursary and the team will let you know if this is possible for another term. This means every term you’ll need to check in with the team/ complete the booking process. • Bursaries are offered on the condition that the participant does not miss more than 3 sessions a term. Further absences will result in us reviewing your place.

Section One: Name*

First Last

Email*

Enter Email Confirm Email

Mobile/Telephone Number*

Address

Address Line 1 Address Line 2 City County Postcode

Gender:*

Male
Female
Non-Binary
Prefer not to say

Primary emergency contact name*

First Last

Primary emergency contact relationship*

Primary emergency contact number*

Primary emergency second contact number*

Secondary emergency contact name*

First Last

Secondary emergency contact relationship*

Secondary emergency contact number*

Secondary emergency contacts second number*

Medical treatment consent*

Yes

Does the attendee have Asthma?*

Yes
No

Does the attendee have Epilepsy?*

Yes
No

Does the attendee have any allergies?*

Yes
No

Please provide details of any allergies:

Please provide any other medical information:*

Does the attendee have any access requirements?*

Is there anything else that we can do to enhance your engagement within the sessions? For example: larger font or coloured paper?*

Please indicated if you consent to photos of the attendee being used for promotional activity:*

Yes
No

Section Two: Which Group?*

Please tick the group that you would like to join Please see the up-to-date workshop timetable for correct group ages, days and times.

Section Three: About You and your Request for Funding*

Please tell us why you would like to join Young/ People’s Company.

Please describe your current financial situation. (For example, are you in receipt of any benefits, e.g ESA?) Why are you applying for a half bursary or a full bursary and how this would help the individual?

Any other information that you feel would help the individual’s application:

Please tick which bursary you are applying for:*

Full Bursary (You don’t have to pay anything)
Half Bursary (50% off your place)

Have you received a Young Company bursary or assisted place before?*

Yes
No

If so, when?

Parent/Guardian/Your signature (If aged 18+)*

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