Application for an Educational Grant

    PART 1

    Data Protection Act: Applicant Consent Form

    In order for the Royal Merchant Navy Education Foundation (“Foundation”) to consider your application for support, personal data and sensitive personal data of both you and the potential beneficiary/beneficiaries will be recorded.

    To comply with the Data Protection Act (1998), the Foundation must tell you how it uses these data and in the case of sensitive personal data explicitly ask for your consent. By signing this form, you are providing your consent for the Foundation to process your/ the potential beneficiary’s data for the purposes below.

    Permission to PROCESS and SHARE your Data

    The Foundation is required by law to ask for your permission to PROCESS and/or SHARE the information we gather about your case. This information may contain your personal data and sensitive personal data. Your information will be stored in a secure shared electronic case management system accessed by the Foundation’s Staff and Trustees.

    Paper copies of your data may also be stored securely by the Foundation.

    For the purposes of the Data Protection Act the Foundation is the Data Controller of your information.

    Everything you tell the Foundation will be treated confidentially however we may suggest that you go to another organisation for advice because the Foundation believes that it/they will be better able to meet all or part of your needs. The Foundation is able to refer you to them and, ideally, the information you have provided would also be given to them.

    If you give consent below, you are agreeing that the Foundation may:

    • refer you to other advice providers.

    • share your personal information with other advice providers so that they have initial information about your application.

    i If you are making this application on behalf of a potential beneficiary, e.g. parent or guardian, please sign below to consent to the processing of both your and their information.

    ii If the potential beneficiary is 13 years old or older we ask that they also sign below to indicate their consent to the processing of their information as they are considered old enough to understand that their information is being used by us for their application.

    I/We give my/our consent to the Foundation processing personal data and sensitive personal data about me/us

    Please answer all sections as fully as possible.

    * denotes a required field

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    PART 2

    Application Form

    Details of Applicant. This is the person applying for help. This doesn’t have to be the beneficiary.

    Your Title

    MrMrsMsMissOther

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    Details of Person with Sea Service Connection

    (if different from Applicant)

    Sea Service Connection *

    Merchant SeamanFishermenRNLIRFA

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    Potential Beneficiary

    If you are not the beneficiary please fill in the section below.

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    Other Children Living in the Household?

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    School Information

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    Income Per Month

    If the amount is ZERO please enter 0 into the input field.

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    Expenditure Per Month

    If the amount is ZERO please enter 0 into the input field.

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    Other Maritime Charitable Organisations

    Give details of help applied for or received from other Trusts/Charities etc. If a home visit has been made or arranged please include the date.

    Grant Made

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    Grant Made

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    Grant Made

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    Grant Made

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    Period for Which the Grant is Required

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    Declaration

    I/we declare that to the best of my/our ability I/we have accurately and fully answered the questions set out above.

    I/we undertake to inform the RMNEF of any change in my/our circumstances.

    I/we understand that my/our application will not necessarily result in the award of a grant.