BPH Bursary & Access Fund request form

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Thank you for your interest in our events and programmes. Costs should never be a barrier to any of our opportunities, please complete this form if you need to request a bursary or access funds to enable you to participate.

Please aim to complete this form before the closing date of the event/programme you are booking or applying for.

Email *

What is your first name? *

What is your last name? *

What are your pronouns? *

I.e. She/her, He/him, They/them etc.

What is your telephone number? *

What is your full postcode? *

E.g. BD1 3HT

Which event or programme are you making this bursary and/or access fund request for? *

Have you already applied/booked? *

Yes

Has your place been confirmed? *

Yes

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