Educational Support Request - healthcare professional

Lead applicant *
Job title *
Employer (if employed) *
University /College name ( if student) *
Address *
Email *
Telephone number *
Educational event *
Please provide location/online website links if possible *
Educational event start date *
Educational event end date *
How will this course be beneficial to your educational/professional development?(250 words limit) *
Total cost of the course *
Total grant requested *
Breakdown of the grant requested (including accommodation/travel etc) *
Are you receiving funding elsewhere for support? *
If yes, pelase give further breakdown detail (250 words limit) *
Any further supporting information (250 words limit) *
	I confirm that the contents of this application are correct. *
	I confirm that I have read the Grant Application Guidance and Iagree to all CHT terms and conditions. *
Attachment additional supporting documents such as CV	Max file size (Mb): 100
Terms and Conditions of Educational Support Application If your grant application is successful, support from the CHT will be conditional upon the successful completion of your academic course. The CHT requires evidence of course completion in a timely manner following the event. If the course is not completed/ fully achieved, the CHT will require a full refund, pending any extenuating unforeseen circumstances. Please notify us immediately if this becomes the case. *

treasurer@cambridgehearingtrust.co.uk