Dollar Academy Students Application

Applicant Details

Applicant's Full Name
Applicant's Full Address (Including Postcode)
Applicant's Telephone Number
Applicant's Email
Applicant's Date of Birth
Has the applicant always lived in Scotland? YesNo

Is the applicant still a student at Dollar Academy? YesNo

Travel Details

Which countries do you plan to visit?
Are you travelling as part of an organised group (please state which one) or travelling independently?
What is the total cost of the project?
Detail how this is made up.
Any other grants or awards applied for (the value of these should be deducted from your request amount below)
Deduct the amount of your own contribution (refer to Dollar Academy guidelines)
Amount requested from the Trust
Has an application been made to this Trust before? (one application only per person) YesNo

Reference Details

Please provide details of two independent referees who can be contacted by Trustees in the event that your application is shortlisted.

Referee 1

Name
Address
Telephone Number
Email
How do they know you?

Referee 2

Name
Address
Telephone Number
Email
How do they know you?

The Application

What will you be doing when you are abroad? How will the local community benefit from your involvement? What personal benefits do you expect as a result of your trip?

Only a limited number of applicants may be successful each year. Why should the Trust approve your application?

When is your proposed trip – give dates and specify number of weeks. N.B. The trip must be at least 5 weeks of active involvement to gain support (refer to Dollar Academy guidelines).

With regard to your trip please state how long you will be engaged in the main purpose of your trip compared to the number of days sightseeing, etc?

Total number days engaged on the project (5 week minimum)

Total number days travelling and sightseeing, etc

Total number days away

How will you apply the knowledge and experience acquired when you return?

If you are working during your trip, what salary and expenses do you expect to receive from your employer?

Summary of Qualifications

Major extra-curricular involvement inside and outside the school context.

It is a condition of being awarded a grant that the student provides a written report to the Trustees on their experiences within two months of returning to the U.K.

I am willing to provide a report on my trip to Trustees and will do so within 2 months of my return. I confirm my approval to my report being published, if the Trustees wish to do so.

Financial Information

What other applications for funding have been made, to whom and what is the current status of these applications? Include details of any other fundraising being undertaken to assist in paying for the trip.

Any other relevant information which the Trustees should take into account in assessing your application?

Declaration

I confirm and acknowledge:-

• The information provided in this application is correct and accurate. If the Cameron Travel Scholarship Trust agrees to make a grant to me this will be used exclusively for the purposes described in this application.

• If for any reason I am unable to undertake the travel for which a grant has been made I will be liable to reimburse the Trustees part or all of any grant paid, at their request.

• If I undertake the travel detailed in the application, I do so at my own risk and I am responsible for complying with all laws, regulations, orders and requirements of other countries as well as for obtaining all entry and exit visas, health and other documents required by law or custom in the countries I am proposing to visit.

• I will obtain from a reputable insurer, travel insurance cover of a type suitable for the proposed excursion to cover all the usual contingencies including medical and travel expenses and that the responsibility for ensuring that such cover exists and is adequate is solely mine.

• I accept, in the event of any grant being paid by the Trustees to support my proposed travel abroad, that the Trustees are not in any way responsible to me or any third party for any adverse consequences arising directly or indirectly as a result of my travelling or being abroad whether foreseeable or not.

• I agree that as a condition of being awarded a grant, I will provide the Trustees with a written report of my experiences within 2 months of completion and if requested to do so by the Trust, also agree to make a verbal presentation.

• I agree that the Trustees can retain ownership of my report, together with any associated photographs, and publish all or part of it or use it for promotional purposes to publicise the Trust.

I have read and accept the above Terms and Conditions