Bursary Reference Form – Debate Chamber

Your Name: *

First

Last

Position *

School *

Email Address: *

Email

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Phone Number: *

Name of student applying for bursary: *

Event which the student wishes to attend: *

Please write a brief (250-500 words) reference outlining the suitability of the student for the chosen course, and any relevant financial circumstances which you are aware of: *

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