Home Grants Eligibility Smallprint Application Bernard Butler Contact

Online Application

Part 1: Personal Details.
Have you made a previous application?	Yes No
*Surname:
*Forename(s):
*Email address:
*Address:
*Daytime telephone No.
*Date of Birth (dd/mm/yyyy):
*Nationality:
*UK Resident for:	years.
Part 2: Further Education.
College(s) attended: (please include dates)
Courses attended:
Qualifications gained: (Subject level and grade. If BTEC, state whether half, whole, or double units)
Part 3: Engineering Training/Practice.
Organisation(s): (name, address, and dates)
Details of Training: (include time spent in various dept's and any subsequent experience. Part-time academic studies should be included)
Part 4: Career Intentions.
*Details of your intended career: (please show how this will benefit / link to civil engineering, public works and construction)
Part 5: Purpose of award - course or project details. Please include details of financial outgoings.
*Purpose of award (Give the full details of any course or project that you intend to undertake)
Part 6: Referees. You are required to provide two referees in support of your application. These referees should be the Head of your College of further Education; and/or a senior representative of the organisation for which you worked while obtaining practical experience of engineering. The Institution will contact your referees, and you are asked to point out to them that references will always be required.
Referee 1.
*Name
*Position
*Address:
Referee 2.
*Name
*Position
*Address:
Important notes. By submitting this form you agree to pursue the project to the best of your ability and to act in the best interests of engineering, industry and society and allow the trustees to follow your progress if your application is successful. You also declare that all the information provided here is accurate.. Sections 4 and 5 are important for assessing an application, please ensure these sections have sufficient detail