Information about the student’s ability

Please tell us if you are in contact with any relevant clubs or organisations, for example: MENSA, GIFT, Iggy, NAGC etc. Or
I will ask the student’s school to provide a letter confirming that he or she has exceptional abilities and would benefit from the course.

If you cannot provide any of these, please tell us as much as you can about your child’s exceptional abilities. For example, does he/she display high levels of curiosity, persistence, motivation or boredom at school?

Information about the need for a grant

The student receives free school meals
I receive income support.
Please confirm either of the above by sending us a photocopy of any official documentation or a letter from your Local Authority.

Student's details

Student's Name

Student's Date of Birth

Gender:

Male
Female

Special health, educational considerations or diets (halal, kosher, vegetarian etc.):

School attended now

Name of the School

School Address and Postcode

School Telephone

School Email

Parent's/Guardian's details

Title:

Mr.
Mrs.
Miss
Ms.
Dr.

Parent's/Guardian's full name and surname

Parent's/Guardian Address and Postcode

Parent's/Guardian Email

Parent's/Guardian Contact Telephone/Mobile Number

Course Booking

Date of the workshop requested

Grant request details

How much are you applying for from Creative Mash Grant to help the course fees? (£):

I can make a contribution of (£):

How did you hear about Creative Mash Grant?:

Please confirm that you wish to submit this enquiry:

yes
no