Graduate Leader Fund APPLICATION FORM for the financial year April 2013 – March 2014 Applications for monies from the Graduate Leader Fund are welcome from Ofsted registered settings in receipt of Nursery Education Funding, providing care and early education for under fives within the Private, Voluntary and Independent sector. Please return completed form to Ann Spetch, WDU, West Offices, Station Rise, York YO1 6GA Tel (01904) 554592 email ann.spetch@york.gov.uk To be completed by all applicants Setting name Address Postcode Tel Email Type of setting (please tick) Full day care Sessional care Accredited childminder Opening hours AM PM AM Mon Weds Tues Thurs PM AM PM Fri Graduate Leader Fund Training Grant Please tick Honours Degree 95% of course fees up to a maximum of £1,282.50 ............... Foundation Degree 95% of course fees up to a maximum of £1,282.50 .......... Support to achieve Maths equivalency £400.00................................................ Support to achieve English equivalency £400.00.............................................. Support to achieve Science equivalency £400.00............................................. Page 1 of 2 Full title of training ................................................................................................ Training start date / / Finish date / / Please tick the year of the course this application relates to. Year 1 Year 2 Year 3 Actual course fee £ ... ……. Name and address of the training provider ..................................................................................................................................................... ..................................................................................................................................................... Please attach evidence of firm offer of place and course fees. Applications will only be considered upon proof of place for the named employee. Name of employee for the training (please print) ............................................................ Signature of employee .................................................. Declaration We are submitting this application for a grant towards the above mentioned training to be undertaken by the above named employee. We agree to supply City of York Council with monitoring information as and when required. Signature .................................................. Print name ............................................ Position in setting ....................................... Date ...................................................... PLEASE NOTE Should a successful applicant fail to complete the full current academic year then steps may be taken to seek reimbursement of the grant. Please return completed form to Ann Spetch, WDU, West Offices, Station Rise, York YO1 6GA Tel (01904) 554592 email ann.spetch@york.gov.uk Page 2 of 2