Please read through the application process and the guidance notes before completing the form. This form should take no more than 15 minutes to complete. Please feel free to contact us on 020 88168066 if you have any questions.

Which Programme/s are you applying to?*
Please tick all that apply.
- Bright Ambitions Programme
- Headstart Programme
- Young Leaders Programme
- The Success Academy
How did you find out about GT Scholars?
Parent or carer details
Parent or carer (1) will always be our first contact. Contact details for Parent or carer (2) will only be used if we are unable to reach the first contact.
Parent or Carer (1)*
Prefix First Last
Relationship to student (1)
- Parent
- Carer or Guardian
Phone number (1)*
This is the number that we will usually call if we need to reach you.
Additional phone number (1)
Please provide an additional landline or mobile number that we can use to reach you.
Email address (1)*
Most correspondence will be sent via email. Please ensure that the email address provided is correct.
Hidden
Home address (1) - Old version
Address Line 1 Address Line 2 City Post code Country
Home address (1)*
Address Line 1 Address Line 2 City Post code Country
Parent or carer (2)*
Please provide details of an additional adult that we can contact if we are unable to reach you. We will usually only contact Parent or carer (1).
Prefix First Last
Relationship to student (2)*
- Parent
- Carer or Guardian
Main contact number (2)*
Additional contact number (2)
Student details
Please provide as much information as possible about each student. This helps us prepare for interviews and helps us with goal-setting for each scholar.
Number of student applicants*
- 1 student
- 2 students
- 3 students
Do we have your permission to take photographs and short video recordings of your child/ren as they carry out educational and enrichment activities? This will be used in promoting the GT Scholars Programme and highlighting our scholars’ accomplishments*
- Yes
- No
Do you give permission for your child to attend our courses, workshops and programme events and take part in any tutoring sessions?*
- Yes
- No
We are unable to chaperone young people at the end of our sessions. This applies to all courses, workshops and programmes. Do you agree to make adequate arrangements for your child to get home at the end of each session?*
- Yes
- No
Name of student (1)*
Prefix First Middle Last
Year Group (1)*
Year group at the time of intake.
Subject (1)*
Name of school (1)*
What goals do you have for your child? What do you hope your child will gain from the programme? (1)*
Does your child have any special needs, disabilities or learning difficulties that you are aware of? (1)*
- No
- Yes
Please provide further details of special needs, disabilities or learning difficulties (1)
This information is used to help us make adequate arrangements for each child.
Does your child have any allergies or medical conditions that we may need to be aware of? Please be aware that food and drinks may be served during some enrichment activities. (1)*
- No
- Yes
Please provide further details of allergies or medical conditions (1)
This information is used to help us make adequate arrangements for each child.
Name of student (2)*
Prefix First Middle Last
Year Group (2)*
Year group at the time of intake.
Subject (2)*
Name of school (2)*
What goals do you have for your chilid? What do you hope your child will gain from the programme? (2)*
Does your child have any special needs, disabilities or learning difficulties that you are aware of? (2)*
- No
- Yes
Please provide further details of special needs, disabilities or learning difficulties (2)
This information is used to help us make adequate arrangements for each child.
Does your child have any allergies or medical conditions that we may need to be aware of? Please be aware that food and drinks may be served during some enrichment activities. (2)*
- No
- Yes
Please provide further details of allergies or medical conditions (2)
This information is used to help us make adequate arrangements for each child.
Name of student (3)*
Prefix First Middle Last
Year Group (3)*
Which year will he/she be at the time of intake.
Subject (3)*
What is your child's predicted grade for this subject?
What is your child's level for this subject?
Name of school (3)*
What goals do you have for your chilid? What do you hope your child will gain from the programme? (3)*
Does your child have any special needs, disabilities or learning difficulties that you are aware of? (3)*
- No
- Yes
Please provide further details of special needs, disabilities or learning difficulties (3)
This information is used to help us make adequate arrangements for each child.
Does your child have any allergies or medical conditions that we may need to be aware of? Please be aware that food and drinks may be served during some enrichment activities. (3)*
- No
- Yes
Please provide further details of allergies or medical conditions (3)
This information is used to help us make adequate arrangements for each child.
Is your child/are your children receiving free school meals? **
- Yes
- No
Would you like to apply for a scholarship?*
Scholarships are only open to young people living in England. Partial scholarships are open to families with a total household income under £40,000. Full scholarships (100% Scholarships) are only open to children on Free School Meals.
- No
- Yes
Scholarship application
This section is for scholarship applicants only. A limited number of scholarships are available to families with a total household income under £40,000. You must provide evidence to support your application.
Total Household income & Significant assets
Please describe which of these best describes your financial situation
Household type*
- Single parent household
- Dual parent household
Full name of parent or carer (1)*
This must be the same name on any attached documents
Prefix First Middle Last
Full name of parent or carer (2)*
This must be the same name on any attached documents
Prefix First Middle Last
Employment status for parents or carers (Please tick all that apply)*
- Full time employed
- Part time employed
- Self-employed
- Retired
- Student
- Uemployed
Housing status for parents or carers (Please tick all that apply)*
- Homeowner
- Private tenant
- Council tenant
- Housing association tenant
- In receipt of housing benefit
Education level for parents and carers (Please tick all that apply)*
- Post-graduate degree
- Degree
- Diploma
- Higher certificates (A-levels or BTEC)
- School certificate (GCSEs)
Number of children in household (under the age of 18)*
Number of children in household (under the age of 3)*
What is the total household income for all adults in your home?*
Does your child attend an independent school (Private school)?
Please note that we are unable to offer free places to pupils attending independent fee paying schools.
- Yes
- No
I am in receipt of*
Please tick all that apply. You will need to provide supporting documents.
- Income support
- Income-based Jobseekers Allowance
- Income-related Employment and Support Allowance
- Support under Part VI of the Immigration and Asylum Act 1999
- The guaranteed element of State Pension Credit
- Child Tax Credit
- Working Tax Credit
- Universal Credit
- Disability allowance
- None of the above
- Other benefits or income )
Please provide details of other income or benefits
Is there any other information that you would like to add to support your application? Please write this in the space below.
Your child/children
Please provide as much information and evidence as possible to support each statement.
Is your child/are your children receiving free school meals? **
- Yes
- No
Please provide further details if applicable (FSM)
EVIDENCE TO SUPPORT YOUR SCHOLARSHIP APPLICATION
Please upload AT LEAST ONE piece of document evidencing your income or financial support. This can be in the form of: 1. A P60 document 2. End of Year Accounts and Inland Revenue Tax returns (Self-employed) 3. An award letter from a UK Jobcentre Plus 4. Letter from school/college confirming receipt of free school meals 5. Universal credit award notice 6.Tax Credit Award Notice which must include the pages showing total household income and the section where you are named. 7.Student loan award notice together with a letter from the college or university stating the term dates and proof of enrolment We accept the following document formats: PDF, Word, JPEG If you are unable to upload documents. Please email a copy to contactus@gtscholars.org
File
Max. file size: 256 MB.
File
Max. file size: 256 MB.
File
Max. file size: 256 MB.
File
Max. file size: 256 MB.
File
Max. file size: 256 MB.
Equal Opportunities Monitoring
GT Scholars CIC is committed to ensuring that applicants from all sections of the community are treated equally and not discriminated against. This section of the form assists us in monitoring who is applying to join our programmes, helps us our adherence to equal opportunities best practice and helps our progress towards identifying any barriers to diversity within our programmes. We would be grateful if you would fill in this form and return it with your application. You are not obliged to answer all the questions, but the more information you supply, the more effective our monitoring will be. All information supplied will be treated in the strictest confidence. Thank you for your assistance.
Please select the group that best describes your child/ren
White/White British
- White English
- White Welsh
- White Scottish
- White Northern Irish
- White Irish
- White British
- Gypsy or Irish Traveller
Asian/Asian British
- Indian
- Pakistani
- Bangladeshi
- Chinese
- Other Asian background
Black/Black British
- African
- Caribbean
- Other Black background
Mixed ethnicity
- White and Black
- White and Asian
- Black and Asian
- Other Mixed background
Is your child/are your children young carers looking after a disabled member of the family?
- Yes
- No
Please provide further details if applicable (Young carer)
Is your child/are your children living in care (looked-after-children)?
- Yes
- No
Please provide further details if applicable (Looked after child)
Data protection
GT Scholars CIC is registered under the data protection Act and hold and use client data for the purposes of the services that it provides.
Agreement to Terms & Conditions including Data protection*
- I have read and agree to GT Scholars' parent terms & conditions. For the purposes of compliance with the Data Protection Act 1998, I hereby confirm that by completing this form, I give my consent to GT Scholars CIC processing the data supplied in connection with my application. I also agree to the storage of this information on manual and computerised files.

The GT Scholars Programme

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Menu

Application form

Parent or carer details

Student details

Scholarship application

Total Household income & Significant assets

Your child/children

EVIDENCE TO SUPPORT YOUR SCHOLARSHIP APPLICATION

Equal Opportunities Monitoring

Please select the group that best describes your child/ren

Data protection