The deadline for the submission of applications is 31 January 2008. If you have not already done so, please click here to read about the details of the scheme and determine your eligibility.

You may 'cut and paste' information into the form (for example from your CV) if you like.

Personal Details

Forename:
Surname:
Date of Birth:	[dd/mm/yyyy]
Address:
Email:
Telephone:
Academic Qualifications:

Education / Employment status

If you are a student:

What is your status?	Full time Part time

Please provide the name and address of your institution:

If you are employed:

Please provide the name and address of your employer:
Date started:
What is your position/role?

Additional information & your case for the award

Please use the space below to supply any further information pertinent to your application, and explain why you qualify for this award within the terms decribed on the Bursary Web page.



I am a paid-up member of the ALLC

The deadline for the submission of applications is 31 January 2008.