The Attingham Study Programme application form

Please indicate type of application*

You, your institution or a separate funding body are paying the full fee
You are applying for a scholarship from The Attingham Trust

Please specify

1. General details

Name*

Title Forename Surname

Name by which you are known (for list of participants)*

Correspondence Address*

Address Line 1 Address Line 2 City Postcode Country

Email address*

Enter Email Confirm Email

Are you happy for your name, correspondence address and email to be held on the Attingham Trust database? This will be for archival purposes and for sending you information on future Attingham courses and events and will NOT be shared by any third party.*

Yes
No

Telephone number (Mobile)*

Nationality*

Date of Birth*

Age (in September 2023)*

2. Current Employment

Job Title*

Institution*

Responsibilities*

3. Abbreviated Biography

Education/Qualifications and significant courses (with dates attended)*

Previous work experience and responsibilities (last two posts held)*

Professional interests/specialities*

Membership of relevant societies/organisations*

Select Publications (most recent/relevant)*

4. Personal Statement

Reasons for attending the 2023 Study Programme*

How did you hear about The Attingham Trust/Study Programme*

Have you attended other Attingham courses ?*

Yes
No

Please specify which courses and year*

Please Note when making your application that this is an intensive and physically strenuous course. There is plenty of walking, standing and climbing stairs and your fitness must be of a level that will not impact on the enjoyment of the group or take up disproportionate amounts of the organisers’ attention. You should have a good level of spoken English. Whilst we are happy to cater for vegetarian and gluten-free needs, other specialist diets cannot always be accommodated.

An interview via Zoom may be required.

Letter of Professional Reference
You are required to send a letter of professional reference UNLESS you have attended an Attingham Trust course in the last 5 years.

5. For Attingham Trust Scholarship Applications ONLY

Please complete the scholarship application section below

Name*

Please state your annual salary*

Gross figure, in £ Sterling

Have you applied for financial assistance from your institution ?*

Yes
No

Please specify*

Are there any other sources of funding available to you (foundation/grants)*

Yes
No

Please specify*

How much are you applying for from The Attingham Trust ?*

Statement*

Please outline your request and submit a statement of up to 500 characters explaining your need for financial help and any additional information which will help us evaluate your application. NOTE: Scholarships received from The Attingham Trust do NOT cover travel expenses to or from the start of the course.

To submit your application

Once complete, please submit the application form using the submit button below. You will receive an email confirmation with a PDF of your completed application form.

Please ensure that your letter of professional reference (if applicable) is sent directly to Rita Grudzień either by email: or

via post to:

Rita Grudzień
Study Programme Co-ordinator
1 Prospect Cottage
The Green
Slingsby
North Yorkshire
YO62 4AA

NB. Everything must be received by the deadline date of 12th February 2023. Any queries should be addressed to

Name