AS-ET Bursary Application

Please complete the form below and submit your application to AS-ET.
Please ensure you read the application Terms and Conditions

Name Name First Last
Job Title
Employer
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Telephone
Email
You should attach supporting evidence for your application. This should be in the form of a short statement of not more than 300 words and should include why you wish to attend/present at the course/meeting, whether you have attended similar courses previously, how your attendance will further the aims of AS-ET and any other relevant information.
Upload a File

Attach Files
Meeting / Course Details
Title of Meeting / Course
Location / Venue
Date of attendance - from: Date of attendance - from: / DD / MM YYYY
Date of attendance - To: Date of attendance - To: / DD / MM YYYY
Bursary amount requested £ Pounds . Pence
Make sure you confirm the amount you put in this box with the course provider. The amount you ask for will be the maximum amount AS-ET will contribute
To whom payable and payment method
Additional Funding Requests

Have you received, or are you intending to approach any other parties for funding?
Select Yes or No

Select Yes or No Yes No
Please provide details
If applicable, your employer should confirm availability of funding prior to an AS-ET Bursary being awarded.
Please provide an email address for your employer for confirmation of funding available.
Name Name First Last
Email
Bursary Award Terms & Conditions

Please read the Terms and Conditions of the Bursary Award.
I have read and understood the Terms & Conditions

I have read and understood the Terms & Conditions Yes
Privacy Statement

If your bursary application is successful, AS-ET reserves the right to pass on your information to the relevant educational or training provider.
AS-ET would like to keep you informed of our events and the ways in which you can support us. We are committed to keeping your information secure and we will never share it with other organisations for marketing purposes. Please indicate below that you agree to receiving information via your email address.
You can change your contact details of withdraw your consent by contacting us at contact@as-et.org.uk
Please see our full privacy statement on the AS-ET website.
I agree to receive information via my email address

I agree to receive information via my email address Yes No

AS-ET Bursary Application

AS-ET Bursary Application

Meeting / Course Details

Additional Funding Requests

Bursary Award Terms & Conditions

Privacy Statement