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The Janet Goodwin Educational Grant for dental nurses
Your details
First Name
Last name
(required)
This field is required
Email
(required)
Please enter your email address
Please enter a valid email address
Phone
(required)
Please enter your phone number
Please enter a valid phone number
Name of your college, dental practice or organisation
(required)
This field is required
Your address
Address line 1
(required)
This field is required
Address line 2
Town / City
(required)
This field is required
Postcode
(required)
This field is required
Grant application
Are you looking for a grant to cover (please tick):
(required)
Please tick a checkbox
Course fees
Examination fees
Both
What are the total costs of your course and/or examination fees?
(required)
This field is required
How much money are you seeking for from this grant (max £500)?
(required)
This field is required
Course details
Please provide us with the name of the course you are taking
(required)
This field is required
Who is your centre provider?
(required)
This field is required
Start date of the course
(required)
Please select a date
End date of the course
(required)
Please select a date
For your application to be successful, we require proof that you have been accepted onto this course.
(required)
I have proof
I do not have proof
Examination details
Who is the examining body for your examination?
(required)
This field is required
Date of the examination
(required)
Please select a date
For your application to be successful, we require you to agree to sending us evidence of exam attendance. This could take the form of the certificate or results letter/email you receive.
(required)
I am happy to send confirmation of attendence after the exam
Grant history
Please state whether you have applied to and / or been granted funds from any other charitable organisations and whether you are receiving grants from any other sources
(required)
This field is required
For your application to be successful, you must confirm that you are not receiving funding for the course/examination from any other grant provider, government organisation or employer.
(required)
I am not receiving any other funding
Essay section
Please provide a brief description of why you are seeking a grant to cover the costs of your course and/or examination fees. (250 max)
(required)
This field is required
How will this course complement and add value to your professional development as a dental nurse? (250 max)
(required)
This field is required
Contact details
We would like to use your contact details to communicate with you about the outcome of your application. Please choose how you’d like us to contact you:
(required)
Please tick a checkbox
Email
Phone
Post
We would like to use your contact details to communicate with you about the Oral Heath Foundation. Please choose how you’d like us to contact you:
(required)
Please tick a checkbox
Email
Phone
Post
Please click ’send’ to submit your application.
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