Application - Secondary

Your Name

Your Email

Your School

Applications are made by recommendation of the Head Teacher.

Head Teacher's Name

Head Teacher's Email

Name of Pupil

What is your Unique Pupil Number - Your Head Teacher will be able to provide this number for you. Please make sure it is entered correctly.

After this point, please do not use any names (particularly the pupil's) or any gender-specific pronouns (e.g. use "they" instead of "he"/"she", and "their" instead of "him"/"hers").

What Date is your Activity taking place?

Describe the Planned Activity

How Many Days will the Activity last for?

Location of the Activity

What is the cost of the activity?

What contribution would you like the Trust to make?

How will this activity raise the aspirations of the student?

What will be the greatest challenge for you?

What do you expect to learn from this activity?

What will be different for you as a result of this activity?

By submitting this form you permit us to use this data in an anoymised manner for promotional purposes for the Chairman's Trust, agree to provide us with feedback on the activity after event has taken place and permit us to contact you through your school.