William Wright Memorial Fund: Grant application form

If you’ve been an Accord member for at least 5 years and would like to apply for a grant, please complete the application form below

A. Details

First name*

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Surname*

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Employee Number / ID*

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How long have you been a member of Accord? (Years)

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What roles do you hold with Accord or have you held in the past? e.g. workplace rep (please specify dates)

Email address

Please enter a valid email address

This type of email address is internal to LBG and cannot be used externally. Please provide an external email address.

B. Workplace

Employer*

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Workplace address*

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Start typing your workplace address Enter address manually

Address line 1*

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Address line 2

Address line 3

Postcode*

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Current job role*

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C. Course details

Name of course*

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Cost of course*

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Why did you choose to study this course?*

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How would you like Accord to help?*

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