LISA ULLMANN TRAVELLING SCHOLARSHIP FUND

APPLICATION for funding from April 2019 to April 2020

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CLOSING DATE: 17th January 2019

Once submitted to LUTSF this form cannot be changed. In exceptional circumstances a subsequent submission may be made and you should make this clear on the second application which will be accepted as your final submission. Your online application will be saved on our system only on submission – the offline form is available for temporary storage on your own system.

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ABOUT YOU
Your first name
 Your family name
Your permanent address

Address 1
Address 2
Town/City
County
Postcode

 Address between 20th Feb and 21 March (if different)
Address 1
Address 2
Town/City
County
Postcode
Home Region
Telephone number
Email address
 Confirm email address
Date of birth
 Age Range
Gender
Nationality
 Length of residency in UK (in years)
Are you registered disabled?
Please tell us one option which describes your ethnic group or background (optional)
SUMMARY OF YOUR PROJECT
In not more than 50 words (max 275 characters), summarise your project. This information may be used for publicity so please aim to describe your project clearly, briefly and accurately.
Destination country and town/city
 
Travel cost
 Travel dates
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TRAINING AND EMPLOYMENT
Current employment (including date started and whether full-time, part-time or freelance)
Please list briefly the dates, institutions and details of your training (most recent first)
Please list briefly your previous professional roles / employment (most recent first)
Are you currently registered for a degree?
 If so, please give title of degree course and level
Does this application relate to your degree study and, if so, how?
Please give the names and addresses of TWO referees.
Both should know you in a professional capacity
Referee 1 name

Address

Email

Telephone

Position held/profession

Length of time known by applicant (years)

 Referee 2 name

Address

Email

Telephone

Position held/profession

Length of time known by applicant (years)
Please check that both referees support your application and attach a letter of support for this project from one of them.
ABOUT YOUR PROJECT
Description of project (max 500 words - 2250 characters). Please explain clearly what your aims and activities. You should describe any preparatory work you have done, contacts you have made, and, the reasons for choosing your collaborators/destination organisation(s).
Destination region of your project
Reasons for undertaking the project (max 500 words - 2250 characters). Please outline how the project relates to your work and will contribute and inform your professional practice. Please also highlight the contribution it will make to the wider dance sector and any plans you have to share your learning.
Do you have or are you seeking funding for this project from another source?
If yes, please give details
How did you hear about the Lisa Ullmann Travelling Scholarship Fund?
YOUR APPLICATION MUST INCLUDE THE FOLLOWING ATTACHMENTS (.DOC, .DOCX OR .PDF MAX 1MB)
Letter of support from one of your two referees. Your referee should be someone who knows you in a professional capacity and who is not applying for a LUTSF scholarship this year

Evidence of planning including dates and travel details

Any letters of support, invitation and/or confirmation from your destination host

Completed budget document

Please tick this box to confirm that you have read LUTSF's terms and conditions
You will be informed of the outcome by 31st March