Prep Scholarship Brochure 2013-14 - St Bede's School

confidential statement of financial circumstancesPlease read the Notes for Guidance before completing this form.1 CHILDa. Full Namesb. Date of Birthc. Year of Entryd. Scholarship application (Please tick.) Yr 3 Yr 4 Yr 5 Yr 6 Yr 7 Yr 82 PARENTS (See Note 2)a. Namesb. Style or Titlec. Address(es)father/Stepfather Mother/Stepmother FOR SCHOOL USEd. Occupatione. Retired – Employed – Self Employed – Unemployed (circle which applies)f. Name & addressof Employer or Businessg. Are you a Director or Yes/No Yes/NoProprietor of thisCompany or Business?If ‘YES’ state proportionof Company or Businessyou and/or your spouse/partner ownh. Daytime Tel NoEvening Tel NoMobile Tel NoFax NoEmail address3. INCOME (See Note 3)(Please enter below your current earnings and expected income from all sources for this tax year)father £ Mother £a. Gross Salary andother similar earnings(including all taxablebenefits & emoluments)b. Profits of businessfarm, estate or professionc. Gross pension, widow’spension, etcd. Gross investmentincome from:i) Building Societies/Banksii) Dividends10 St Bede’s School TrustSt Bede’s School Trust 11