Page 15 - St Andrews Prep Scholarships 2021
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                  Scholarship Application Form
Closing date for entries is 5pm on Wednesday 20 January 2021.
Assessments will take place between Saturday 30 January and Friday 5 February 2021.
     Candidate's full name
Date of birth
Boy/girl
Current year group
Full name of mother
Title: Mrs/Ms/Miss/Dr/Other
Full name of father
Title: Mr/Dr/Other
Full postal address
Postcode
Full postal address (if different)
Postcode
Email address
Email address
Daytime telephone number
Daytime telephone number
Mobile number
Mobile number
 In the case of different addresses, please indicate to which address correspondence should be sent (if both, write both)
       Candidate’s current school
  School address
Name of Head
 Do you wish to apply for a means-tested bursary?
Yes / No
 Signature of parent
Date
 This form, together with a recent photograph of the candidate, must be returned to the Registrar,
St Andrew’s Prep, Meads, Eastbourne, BN20 7RP. Please note that this application must be supported by a confidential reference form which should be completed, for external candidates, by your child’s teacher and/or Head and sent separately to St Andrew’s Prep.
Please say how you heard about the St Andrew’s Prep Scholarship days. ..........................................................................................................................................................................................
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