Fillable Lourdes Award Application form CBFLA006

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Lourdes Award Application form CBFLA006

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The Catenian Bursary Fund Ltd
2nd Floor 1 Park House,
Station Square
Coventry, CV1 2FL
Registered Charity Number: 1081143
Registered Company No 2468843
E: contact@catenianbursary.com
T: 0044 (0) 24 7622 4533
www.catenianbursary.com
If you have any queries regarding your eligibility or relating to the completion of the form please contact the
Bursary Fund Administrator at contact@catenianbursary.com or at the address and telephone at the top of
this page and also printed at the end of the Lourdes Award Application Form itself.
1
Lourdes Award
Application form CBFLA006
uiancenotesoraicants
oraouresursaryar
1 These guidance notes are designed to assist you to make an
aicationoraouresar.
eysoubereainconunctionitteLourdes
Application form.easenoteeseciaytat
aaicants
a. mustbeomanatoicoramemberoaaittatisin
ucommunionitome.
b. mustbeaminimumaeoanunerattetime
oteirimae.icantsoareinearan
oibecomebystuustinteyearote
irimaeiasobeaccete.
c. mustasobeinoeincarinorassisteirimsnot
simyoinonairimaetooures.
eaicationmustbeysicaysinebyteto
referees requested on the Lourdes Application form.
aarsaremaeentireyatteiscretionote
rusteesoteursaryun.
eatenianursaryuncannotroieirectunin
oranotercarity.
rantsarenotienretrosectiey.eatesote
rusteesortcominmeetinsaresononteLourdes
Application form.easeensureyouayinaccorance
ittetimescaessoninnote.
eicationmustbecometeanreceieby
teministratorTHREE WEEKS before the date of the
Trustees’ next meeting AND no less than TWO MONTHS
beoreteirimaeisuetostart.
sectionsoteLourdes Application form must be
cometeasuyasossibe.ereyoucantcomete
teormyoumustieuscearreasonsy.
anaarisacceteteaicantareestateorse
iaenocaimaainstteatenianursaryunt
arisinromteroisionotisaar.
9 If you have any queries regarding your eligibility or relating
to the completion of the form please contact the Bursary
unministratoratcontact@catenianbursary.com.
ometeormsaretobereturnebyosttoteursary
ministratorosearessanteeonenumberis
sonatteenoteormorattetootisae.
It is a condition of this award that you provide the Fund
with a report, either as a written, illustrated document,
(maximum length 2 x sides of A4), or as a video report on
your pilgrimage. This should be sent to arrive with the
Fund within 28 days after the end of your pilgrimage, to:
admin@catenianbursary.com.
Please also send us your pictures – as high a resolution as
possible – to the same address, and please send them as
stand alone jpegs and do not embed them in your report.
You can also upload your pictures to our social media
channels.
11
The Catenian Bursary Fund Ltd
2nd Floor 1 Park House,
Station Square
Coventry, CV1 2FL
Registered Charity Number: 1081143
Registered Company No 2468843
E:contact@catenianbursary.com
T: 0044 (0) 24 7622 4533
www.catenianbursary.com
If you have any queries regarding your eligibility or relating to the completion of the form please contact the
Bursary Fund Administrator at contact@catenianbursary.com or at the address and telephone at the top of
this page and also printed at the end of the Lourdes Award Application Form itself.
2
Our scale of Awards for the year 1 October 2020 to 30 September 2021 will be £100 for
someone going on an HCPT Pilgrimage and £60 for someone going on a Diocesan Pilgrimage.
To apply for an award you must complete all the boxes on the following form.
ow please start by carefully reading and agreeing our data protection certificate below.
DATA PROTECTION CERTIFICATE
ncometinteaicationrocessoraniniiuaroectaryouibesarinyourersonainormationitus.
eneetisinormationsotatecaneauateyourroosaassessyouraarantenrocessanayitanemay
asocontactyouateryourreturniturtermatters.eoreyouoanyurteryoumustreaanareeteooinata
rotectionstatementsiniyintatyouareetosareyourersonaataonteseterms.itouttiscertiicateecannot
rocessyouraication.
eursaryunatabaseosyourersonainormationinorerorteatenianursaryunimitetoreceiean
manaeyourreuestorinanciasuorttoeauateittoassessteaareimaeaniyouaresuccessutoay
youraartoyou.emaytenuseyourataateryourreturnromyourroecttocontactyoutoasoryoursuortoour
utureoerationsortoasoryourermissiontouseyourroectetaisanreortorourubicityuroses.
We will retain your data for at least 2 years.
emayasosareyourinormationitseectemembersoteatenianssociationoiarraneoraresentationto
ayanyaarranteanormanaementuroses.otteatenianursaryunimiteanteatenianssociation
Limited are bound by the General Data Protection Regulations (May 2018)toensuretatanyataeooniniiuasis
reeantaccurateannotecessie.itionayitmustbeairyanauyrocesseeoreneurosesbeaccurate
anutoatenotetoronertannecessaryrocesseinineityourritsanmustbesecure.eiensure
tataataeonouratabaseistreateinaccoranceitteserincies.easerestassuretateineerseor
misuseanyersonaataoruseitinanymannertatisinconsistentitouraimosuortinteeeomentoatoic
youtorie.eonotintentocontactyoutoootenemereyneeyourormaareementorustouseyouratato
estabisroutinecorresonence.
oumayotoutotisareementatanytimebutoinsoimeantatecannotconsieryouraicationurter.at
anytimeyouistoosoeaseemaicontact@catenianbursary.com or call 024 7622 4533ityourreuest.
I AGREE TO SHARE MY PERSONAL DATA WITH THE CATENIAN BURSARY FUND LTD
Lourdes Award
Application form CBFLA006
The Catenian Bursary Fund Ltd
2nd Floor 1 Park House,
Station Square
Coventry, CV1 2FL
Registered Charity Number: 1081143
Registered Company No 2468843
E:contact@catenianbursary.com
T: 0044 (0) 24 7622 4533
www.catenianbursary.com
3
Lourdes Award
Application form CBFLA006
If you have any queries regarding your eligibility or relating to the completion of the form please contact the
Bursary Fund Administrator at contact@catenianbursary.com or at the address and telephone below and
also printed at the end of the Lourdes Award Application Form itself.
eonymaerantstoomanatoicsortoseoaaittatisinucommunionitome.
oumustbeaminimumaeoanunerattetimeoteirimae.icantso
areinyearanoibecomebystuustintatirimaeyeariasobeaccete.
oumustroietoreereesoryouraicationourarisriestorcooaain
ocanconrmtatyouareamemberoteatoicaitoramemberoaaitin
communionitomeanyouririmaeoraniserocanconrmyourunerstaninoyouruties.
tisyourresonsibiitytoettesetoreereestosintisormtoconrmatyouaeentere.
arisriestcooaainname raniserame
conrmtatnotisaicanttobeamemberote
Catholic church or of a faith that is in full communion with Rome
conrmtattisaicantibetainartinairimae
asaeerorsuortoreroranassisteirim.
uame
Full Postal
ress
easeconrmatutiesyouanticiateunertainieonirimae.
ostcoe ostcoe
ostcoe
e
ontact
one
ontact
one
ontact
one
Date of Birth

Email
ress
ress ress
Email
ress
Priest or
coo
aain
inature
Email
ress
Pilgrimage
Organiser
inature
About You
1
Conrmation
2
conrmtatamaomanatoicoramemberoaaittatisinucommunionitome.
The Catenian Bursary Fund Ltd
2nd Floor 1 Park House,
Station Square
Coventry, CV1 2FL
Registered Charity Number: 1081143
Registered Company No 2468843
E:contact@catenianbursary.com
T: 0044 (0) 24 7622 4533
www.catenianbursary.com
4
If you have any queries regarding your eligibility or relating to the completion of the form please contact the
Bursary Fund Administrator at contact@catenianbursary.com or at the address and telephone below and
also printed at the end of the Lourdes Award Application Form itself.
Your Pilgrimage
3
Lourdes Award
Application form CBFLA006
irimaeraniserrouoriocesename
Date
11 January 2022
8 March 2022
3 May 2022
4 May 2021
13 July 2021
14 September 2021 (AGM)
9 November 2021
erence Donnelly
ecretaryeatenianssociation
ursaryunt
rou
Number
(if applicable)
Date of commencement
of pilgrimage (

Date of completion of
pilgrimage (

atenian
(please provide their name)
Other
(please state)
Internet
Parish Poster coooeeoster rien
Pilgrimage
organiser
Where did you obtain your information about the Fund?
4
DECLARATION
5
I agree to refund the whole of any grant awarded if the
Project does not materialise.
conrmtataetemeans
to cash a personal cheque.
Please choose from
oneoteooin

Signature
ncometionteormsoubereturnebyosttoteministratorateatenianursaryunimitenoor
arousetationuareoentry.arsaremaeatteiscretionoterusteesoteatenianursary
unancorresonenceaboutaarscannotbeentereinto.
icationssoubeosteintimetobereceiebyteministratorTHREEeesbeoreanymeetinan TWO MONTHS
beoreanyirimaeisuetostart.eceitoaicationsibeacnoeebyemai.
Dates of forthcoming meetings in 2021/22
12 July 2022
13 September 2022 (AGM)
8 November 2022
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Lourdes Award Application form CBFLA006

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Completed 21 December 2021

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