Leaders Like Us Bursary Application

Name and surname

Telephone number to confirm payment details

Post address (as finance needs this for their records and to confirm payment details)

Email address

Company/Name of school

Address

Please select your role:

I am a participantI am a mentorOther - Please state in the box below:

Please select the cohort you belong to:

Are you submitting a claim for travel expenses or accessibility support?

ExpensesAccessibility support

Date of claim. (Please note that CEFEL will only honour expense claims within 1 month of the date of the claim).

I am claiming for

Type of claim

Total cost of claim (This bursary will cover your mileage or public transport costs after the first £10. If you decide to drive, you will be reimbursed 25p per mile, up to a maximum of £100 per claim. You can only claim for standard-class train travel and the cheapest available route. The maximum claim for shadowing travel costs is £200 per claim. Please input the total amount of your claim. The finance department will reimburse you £10 less of the total amount of your claim.

Travel date

Description of claim, e.g., Mileage of 80 miles from XYZ to XYZ or train ticker from Cambridge to Liverpool street.

Please attach any other evidences if required

Please upload evidence of cost of ticket/accommodation

Payment details: Account number

Sort code

Name of bank

Name on bank account if different from above

Privacy Please read our privacy notice to understand how we will process the data you submit in this application: https://www.churchofengland.org/sites/default/files/2022-08/CEFEL_Programmes_Privacy_Notice_2022_v1.pdf Please confirm whether you consent to us processing your data to progress your application:

Yes I have read the privacy notice and understand how the Church of England Foundation for Educational Leadership will collect and process my data.