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Prep Bursary Application

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Prep Bursary Application Form

APPLICATIONS FOR A MEANS TESTED BURSARY
Please choose your age of entry :*
- 7+
- 11+
- 16+
Child's First Name*
Child's Surname*
Date of Birth*

Day
Month
Year
Expected Date of Entry*

Day
Month
Year
If, following the entrance exam, your child is being considered for an award, the Bursary Advisor will be in touch with you. The amount awarded will be decided having taken into account all relevant information and may be either higher or lower than the amount indicated here.

Upper School Tuition fees £6,945 per term (£20,835 per annum).
Prep School Tuition fees £6,325 per term (£18,975 per annum)
Hidden
Please calculate how much you will be able to afford to pay each year in school fees and then select one of the boxes below. The remainder would be paid by Latymer Upper School. Please tick only one box.
- 100% Bursary - Zero fees paid by parents
- 76% - 95% Bursary between - Approximately £1,000 to £5,000 per annum paid by parents
- 51% - 75% Bursary – Approximately £5,000 to £10,000 per annum paid by parents
- 50% or less Bursary - Approximately £10,000 per annum paid by parents
Please calculate how much you will be able to afford to pay each year in school fees and then select one of the boxes below. The remainder would be paid by Latymer Upper School.
- 100% Bursary - Zero fees paid by parents
- 76% - 95% Bursary between - Approximately £1,000 to £5,000 per annum paid by parents
- 51% - 75% Bursary – Approximately £5,000 to £10,000 per annum paid by parents
- 50% or less Bursary - Approximately £10,000 per annum paid by parents
If you require further information about the process please telephone the Registrar on 020 7993 0061

APPLICATION FOR A GRANT

CONFIDENTIAL STATEMENT OF FINANCIAL CIRCUMSTANCES

The purpose of this form is to support an application for a means tested bursary.
Please read the notes below carefully and then complete the online form, please press SUBMIT when you have completed all sections

Do not hesitate to contact us if you need any help in completing the form.

Father / Guardian / Stepfather

Name

Address

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

Day Tel No

Mobile

Email*

Mother / Guardian / Stepmother

Name

Address

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

Day Tel No

Mobile

Email*

1. Parent's / Applicant's Details

(see Note 3)

Father's / Guardian's / Stepfather's name

Mother's / Guardian's / Stepmother's name

Unemployed
Employed
Self Employed
Retired

Unemployed
Employed
Self Employed
Retired

Profession, business or trade

Name & Address of Employer or Address of Business

Name Street Address City County / State / Region ZIP / Postal Code Country

Name & Address of Employer or Address of Business

Name Street Address City County / State / Region ZIP / Postal Code Country

Are you a director, shareholder or proprietor of this company?

If YES, please state proportion of company or business you own

2. Court order / separation agreement

(see Note 4)

Is there a court order or separation agreement?

If YES, please state annual amount payable for school fees (£)

3. Insurance policy

Do you have any insurance policy specifically to pay school fees?

If YES, please provide details

4. Scholarship / Bursary

Do you receive any other scholarship or bursary to pay school fees?

If YES, please state amount to be paid in respect of the current and/or next year (£)

5. Parents / Applicants Income and Outgoings

Please enter below your current earnings and expected income from all sources for this tax year. Enter amounts in whole pounds (ignore pence) or NIL in all places where applicable. Please indicate if figures are estimated by putting an E alongside.

Income

(see Note 4)

Father / Stepfather

Mother / Stepmother

Gross salary and other similar earnings

(Including all taxable benefits and emoluments)

Gross salary and other similar earnings

(Including all taxable benefits and emoluments)

Taxable profits of business or profession

Gross Pension received

Gross income from property

Benefits in kind

(Provided free by reason of employment, not already included in "Gross salary and other similar earnings" above)

Benefits in kind

(Provided free by reason of employment, not already included in "Gross salary and other similar earnings" above)

Separation or maintenance income

Contribution to household income from other parties

Social Security benefit

(Including child benefit and child tax credits)

Social Security benefit

(Including child benefit and child tax credits)

Investment income

i. Building Societies / Banks (gross)
ii. Dividends and interests (gross)

Investment income

i. Building Societies / Banks (gross)
ii. Dividends and interests (gross)

Any other income

TOTAL INCOME

Remarks

Outgoings

Father / Stepfather

Mother / Stepmother

Tax payable on incomes declared above

(Including tax deducted at source)

Tax payable on incomes declared above

(Including tax deducted at source)

National insurance contributions

Pension or Superannuation contributions

Mortgage payments - interest

Mortgage payments - capital

Any other interest payable

(Please specify)

Any other interest payable

(Please specify)

Annual rent payable on home

TOTAL OUTGOINGS

Remarks

Total

Father / Stepfather

Mother / Stepmother

TOTAL INCOME

LESS TOTAL OUTGOINGS

TOTAL NET INCOME

Remarks

6. Parents / Applicants Assets and Liabilities

Capital Assets

(see Note 5)

Father / Stepfather

Mother / Stepmother

Market value of principal residence

Approximate market value of your interest in any other properties either at home or abroad

Approximate market value of all investments

(Including equity and bond investments, deposit accounts and National Savings accounts)

Approximate market value of all investments

(Including equity and bond investments, deposit accounts and National Savings accounts)

Approximate market value of other possessions

(Including house contents, cars, paintings, jewellery, etc.)

Approximate market value of other possessions

(Including house contents, cars, paintings, jewellery, etc.)

Cash at banks or elsewhere

(Current a/cs only)

Cash at banks or elsewhere

(Current a/cs only)

Value of any business owned by you

Approximate market value of any other assets

(Please specify and include the market value of any Insurance Policies maturing in this tax year or the next 5 years and any other assets likely to be received in the next 5 years)

Approximate market value of any other assets

(Please specify and include the market value of any Insurance Policies maturing in this tax year or the next 5 years and any other assets likely to be received in the next 5 years)

Redundancy or other termination payments

Other assets not listed

(Share options, trust interests, assets held on your behalf by a third party, assets likely to be received in the foreseeable future etc.)

Other assets not listed

(Share options, trust interests, assets held on your behalf by a third party, assets likely to be received in the foreseeable future etc.)

TOTAL CAPITAL ASSETS

Remarks

Capital Liabilities

(Please give details of any capital charges against the assets declared in Section 5)

Father / Stepfather

Mother / Stepmother

Mortgage - amount outstanding on home

Other loans and liabilities

(Please specify)

Other loans and liabilities

(Please specify)

TOTAL CAPITAL LIABILITIES

Remarks

Total

Father / Stepfather

Mother / Stepmother

CAPITAL ASSETS

LESS CAPITAL LIABILITIES

NET CAPITAL ASSETS

Remarks

Please indicate if there are any reasons why net assets cannot be converted or utilised to pay or fund school fees.

7. Dependent Children

(see Note 6)
(To include the child to whom this application refers.)

Dependent Child 1

(a) Forename	(d) Name of current school or college	(f) Current annual school or other educational fees	Actions

There are no Entries.

Dependent Child 2

(a) Forename	(d) Name of current school or college	(f) Current annual school or other educational fees	Actions

There are no Entries.

Dependent Child 3

(a) Forename	(d) Name of current school or college	(f) Current annual school or other educational fees	Actions

There are no Entries.

Dependent Child 4

(a) Forename	(d) Name of current school or college	(f) Current annual school or other educational fees	Actions

There are no Entries.

The details requested with regard to the fees payable and grants on behalf of your other children are for information only and will not normally be taken into account in the assessment of the level of grant awarded.
In order to help the greatest number of parents who seek financial assistance, all those who apply for a grant from the School are asked first to enquire if they are eligible for assistance from any other source.

Please state whether you have applied to trusts or foundations for a grant

If so, which trusts and foundations and what were the results?

8. Other dependents

(see Note 7)

Please give details

9. Verification of income

Please upload all applicable documents in support of the figures in Section 5 and 6.

Please tick those you are enclosing.

P60
Current pay slip
Benefits letter for all Social Security payments (this letter is essential and a copy must be provided)
Mortgage statement
Property Valuation
Copy of HMRC tax calculation issued under Self-Assessment
Business Report and Accounts including Balance Sheet

Upload your files here.

Drop files here or

Max. file size: 8 MB.

Any other information

(see Note 8)

10. Declaration

After having read the notes below, the following declaration should be e-signed by both parents/applicants :

We/I have read the notes and have made a complete and accurate declaration of our/my income and assets.

We/I understand that if we/I are/am offered a Grant for our/my child and accept a place for him/her at the School, the following terms and conditions will apply:

Our/my child’s fees account with Latymer Upper School will be credited termly with the amount of the Grant, for so long as the award remains in effect;

An award of a grant is subject to annual review, and we/I must complete an annual declaration of our/my financial circumstances on the form sent to us/me by Latymer Upper School and supply all relevant supporting evidence by the return date indicated;

We/I report immediately any material change in the financial position declared;

The Grant may be withdrawn or reduced if:
1. We/I act or our/my child acts in breach of the School’s Terms and Conditions attached to the acceptance of a place for our/my child at the School;
2. We/I have failed to return the annual declaration of our/my financial circumstances by the return date indicated;
3. We/I have failed to produce any additional information required by the School to evidence our/my financial circumstances;
4. In the opinion of the Head, our/my child’s attendance, progress or behaviour no longer merits the continuation of the award; of the Head, our/my child’s attendance, progress or behaviour no longer merits the continuation of the award;
5. We/I are more than 30 days in arrears in respect of any amount due and owing to the School;
6. There is a material change in our/my financial circumstances;
7. The School’s resources are insufficient to maintain the level of award.
The Grant will be withdrawn and the value of any amount of the Grant previously credited against our/my child’s fee account will become repayable to the School forthwith if we have fraudulently, knowingly or recklessly provided false information in relation to the award of the Grant.

Signature(s) :

Father/Guardian's signature

Date

Mother/Guardian's signature

Date

If the above declaration is signed by only one parent, please tick as necessary below.

Divorced
Separated
Widowed
Other

Please state reason

Your details will be used only by Latymer Upper School and Latymer Prep School and will not be made available to any third party except when acting as an agent of the School.

All data is held in accordance with the Data Protection Act 1998 and subsequent date protected legislation (including the General Data Protection Regulation from 25 May 2018). For information about how we use your data, please see the School’s Privacy Notice which is available on the School’s website.

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Partnerships
& Community

Partnerships & community

Term dates

Bursaries

(a) Forename
(b) Date of birth

Day
Month
Year
(c) Sex
- Male
- Female
- Prefer Not to Answer
(d) Name of current school or college
(e) Boarding or Day?
- Boarding
- Day
(f) Current annual school or other educational fees
(excluding extras and sundry disbursements)
(g) Compulsory additional school charges
(h) Annual gross income of child (if any)
Amount of fees shown in (f) covered by :
I. Scholarships, bursaries or allowances given by the School
II. Annual sum arising from capital repayment scheme
III. Services/Company/Diplomatic allowances (gross)
(State whether the sum has been included in gross salary at 5.)
IV. Annual sum arising from Educational Insurance Policies
V. Assistance from other sources
(e.g. grandparents, trusts, charities etc. Please specify.)

(a) Forename
(b) Date of birth

Day
Month
Year
(c) Sex
- Male
- Female
- Prefer Not to Answer
(d) Name of current school or college
(e) Boarding or Day?
- Boarding
- Day
(f) Current annual school or other educational fees
(excluding extras and sundry disbursements)
(g) Compulsory additional school charges
(h) Annual gross income of child (if any)
Amount of fees shown in (f) covered by :
I. Scholarships, bursaries or allowances given by the School
II. Annual sum arising from capital repayment scheme
III. Services/Company/Diplomatic allowances (gross)
(State whether the sum has been included in gross salary at 5.)
IV. Annual sum arising from Educational Insurance Policies
V. Assistance from other sources
(e.g. grandparents, trusts, charities etc. Please specify.)

(a) Forename
(b) Date of birth

Day
Month
Year
(c) Sex
- Male
- Female
- Prefer Not to Answer
(d) Name of current school or college
(e) Boarding or Day?
- Boarding
- Day
(f) Current annual school or other educational fees
(excluding extras and sundry disbursements)
(g) Compulsory additional school charges
(h) Annual gross income of child (if any)
Amount of fees shown in (f) covered by :
I. Scholarships, bursaries or allowances given by the School
II. Annual sum arising from capital repayment scheme
III. Services/Company/Diplomatic allowances (gross)
(State whether the sum has been included in gross salary at 5.)
IV. Annual sum arising from Educational Insurance Policies
V. Assistance from other sources
(e.g. grandparents, trusts, charities etc. Please specify.)

(a) Forename
(b) Date of birth

Day
Month
Year
(c) Sex
- Male
- Female
- Prefer Not to Answer
(d) Name of current school or college
(e) Boarding or Day?
- Boarding
- Day
(f) Current annual school or other educational fees
(excluding extras and sundry disbursements)
(g) Compulsory additional school charges
(h) Annual gross income of child (if any)
Amount of fees shown in (f) covered by :
I. Scholarships, bursaries or allowances given by the School
II. Annual sum arising from capital repayment scheme
III. Services/Company/Diplomatic allowances (gross)
(State whether the sum has been included in gross salary at 5.)
IV. Annual sum arising from Educational Insurance Policies
V. Assistance from other sources
(e.g. grandparents, trusts, charities etc. Please specify.)

Prep Bursary Application

Prep Bursary Application Form

APPLICATIONS FOR A MEANS TESTED BURSARY

Father / Guardian / Stepfather

Mother / Guardian / Stepmother

1. Parent's / Applicant's Details

2. Court order / separation agreement

3. Insurance policy

4. Scholarship / Bursary

5. Parents / Applicants Income and Outgoings

Income

Outgoings

Total

6. Parents / Applicants Assets and Liabilities

Capital Assets

Capital Liabilities

Total

7. Dependent Children

8. Other dependents

9. Verification of income

10. Declaration

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