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Bursary Online Application Form

Required

Details of Pupil

Surnamerequired
First Namesrequired
Preferred Namerequired
Please enter the name your child prefers to use here​​​​
Date of Birthrequired
Must contain a date in D/M/YYYY format
Male/Femalerequired
Nationalityrequired
Religionrequired
Ethnic Grouprequired
First Languagerequired
Type of Placerequired
Proposed age at Entryrequired
Proposed Year of Entryrequired
Has your child undergone an assessment by an Educational Psychologist or Specialist Teacher?requiredIf yes, please email a copy of the report​ to w.ethelston@dauntseys.org​​
If yes, please email a copy of the report​ to w.ethelston@dauntseys.org​​

Pupil's Address

House/Streetrequired
Village/Area
Town/Cityrequired
County/Regionrequired
Post Coderequired
Countryrequired

Details of Father

Titlerequired
Surnamerequired
First Namesrequired
Occupationrequired
Marital Statusrequired
Mobile Numberrequired
Daytime Telephone Numberrequired
Evening Telephone Numberrequired
Emailrequired
Is Father's Address different to Pupil's Address above?required

Father's Address if different from above

Father's Address - House/Street
Village/Area
Town/City
County/Region
Post Code
Country

Details of Mother

Titlerequired
Surnamerequired
First Namesrequired
Occupationrequired
Marital Statusrequired
Mobile Numberrequired
Daytime Telephone Numberrequired
Evening Telephone Numberrequired
Emailrequired
Is Mother's Address different to Pupil's Address above?required

Mother's Address if different from above

House/Street
Village/Area
Town/City
County/Region
Post Code
Country

Details of Present School

Name of Schoolrequired
Name of Headrequired
School Addressrequired
Telephone Number
Email
Dates of attendancerequired
Please enter date of joining and expected leaving date​​

Additional Information

Please give a brief outline of your current circumstancesrequired
Why do you feel that your child should be considered for a 100% bursary place at Dauntsey's?
How did you first hear about Dauntsey's 100% Bursary Place?required
Other - please specify

Financial Information

Father's Gross Annual Incomerequired
Mother's Gross Annual Incomerequired
Home Ownerrequired
Approximate Value of Houserequired
Mortgage Outstandingrequired
Total Value of Savings and/or Investmentsrequired
Any other significant financial information or circumstances

Declaration and Consent

I/We understand that the School’s Terms and Conditions will undergo reasonable changes from time to time as circumstances
require and will apply in all our dealings with the School.

I/We understand also that the School (through the Head, as the person responsible) may obtain, process and hold personal
information about our child, including sensitive information such as medical details, and I/we consent to this for the purposes of
assessment and, if a place is later offered, in order to safeguard and promote the welfare of our child. For further information please
refer to our Privacy Notice​​

Consentrequired
Has every person with parental responsibility for the child approved this form?required
Providing details for all adults with parental responsibility.
We are legally obliged to have the full details of all adults who have parental responsibility for a child and ask that you provide this information in the Parent / Legal Guardian boxes above. If only one person is mentioned, please provide a brief explanation.
Your namerequired
Form completed by?
Email Address
Relationship to Child?required