Bursary Application

Application

The UK Cervical Cancer Bursary is designed to support individuals who are undergoing treatment for cervical cancer. This bursary aims to alleviate some of the financial burdens associated with treatment and recovery, allowing patients to focus on their health and well-being.

If you are currently undergoing treatment for cervical cancer, you may be eligible to apply for this bursary. The application process is straightforward and aims to provide timely support to those in need.

To apply for the UK Cervical Cancer Bursary, please fill out the application form below. Ensure that all information is accurate and complete to facilitate a smooth review process.

For any questions or further information regarding the bursary, please visit our Contact Us page or reach out to our support team.

We are here to support you during this challenging time and hope that the bursary can provide some relief as you focus on your health.

SECTION A - Applicant Details

Please fill in your details below. This information is essential for processing your bursary application.

First Name

Last Name

Email Address

Phone Number

Address

SECTION B - Cervical Cancer Affiliation (if not self)

If you are applying on behalf of someone else, please provide their details below.

First Name

Last Name

Relation

Email Address

Phone Number

Address

How has your involvement with family member/affiliate with cervical cancer affected your lives?

SECTION C - Bursary Funding Details

Please provide details about the funding you are applying for.

Give details and cost of Intended Goods, Services or Activity to be funded if application is successful:

Organisation supplying Goods, Services or Activity:

Details for contacting (if any):

First Name

Last Name

Position held in organisation

Email Address

Phone Number

Address

SECTION D - Supporting Statement

Please provide a supporting statement to explain why you are applying for this bursary and how it will help you or the person you are applying for.

In a few sentences, please tell us why you have need to apply for a bursary. How will the bursary help support you, your family member or affiliate to sustain dignity during the cervical cancer journey?

Please supply the following:

Brief medical timeline of your journey if comfortable to do so
Your initial Diagnosis and date
Your treating doctors/medical organisation
Current status and prognosis.

Please attach any documents to support your application.

I confirm that I have read and agree to the Bursary application guidelines and conditions above and that I am eligible and have no intention of being legally bound.

The information I have provided is true and accurate.

I agree to give UK Cervical Cancer copyright to share my story and any images through UK Cervical Cancer media and other channels if requested at no fee or charge to UK Cervical Cancer.

Donate to UK Cervical Cancer

Bursary Application

Application

SECTION A - Applicant Details

SECTION B - Cervical Cancer Affiliation (if not self)

SECTION C - Bursary Funding Details

SECTION D - Supporting Statement