Application Received Date BURSARY FUND APPLICATION FORM 2016-17 Please complete this Application Form and submit it to Pearl Flanders, Student Services, in the Information, Advice and Guidance office. In case of queries please contact Pearl Flanders: Section A: Name & Address – Please complete in capitals Student Reference: Surname: First Name: Address: Postcode: Telephone: E-mail: Section B: Course(s) Details Course Code: Course Title: Full Fee: £ Concessionary Fee: £ Section C: Details of Financial Circumstances Please provide full details of what money you receive each month and attach copies of all relevant documents to support what you are saying. E.g. bank statements or benefit letters etc. Monthly Household Income Wages: Benefits: Any Other Income: Total: Section D: Supporting Documents We need to see copies of all of the following documents which apply to you. Please tick below to indicate the evidence you are providing. Your application will be delayed if you do not attach copies of the documents which support your claim. □ Bank Statement - This account should be the one in your income stated above is paid into. □ Benefit documents - If these are not dated within the last three months please also provide the bank statement. □ Payslip (if applicable) □ Medical document (if applicable) □ Other (Please give details) Section E: Supporting Statement In a few sentences please tell us why you are applying for a bursary. You should include information on any exceptional circumstances that mean you are unable to cover the fees stated overleaf. You should also tell us how you feel the course will benefit you.
Guidance Notes The College Bursary is only for the payment of tuition fees. Any other associated costs are excluded from the bursary award scheme. The Bursary may help with 25% or 50% of the course fee depending on the individual circumstances of the applicant. The level of support for each student in 2016/17 is capped at £200 per student; this can be spread across 3 term courses. All payments are at the discretion of the Bursary panel. The panel meets on a weekly basis and you will hear of the result of you application within 10 working days of submission. The panel does not consider applications for courses where the applicant would qualify for the Advacned Learner loan The panel will consider applications when one of the following applies; • The student qualifies for the concessionary rate but there are circumstances above and beyond those for which the concession is granted. Proof of these circumstances must appear within the supporting statement and a bank statement must support the application • The applicant does not qualify for the concessionary fee but there are exceptional circumstances which would mean that the applicant would not be able to attend the course unless the Bursary was awarded. Proof of these circumstances must appear within the supporting statement and a bank statement must support the application If you wish to appeal the decision of the Bursary panel you can do by email. Please contact the Vice Principal, Nick Rampley Please to our Financial Assistance for Students policy for full details and conditions. Declaration I confirm that I have read the guidance notes and that I am eligible. I am not in receipt of fee remission for any other courses during the current term. The information I have provided is true and accurate. Signature: Date: For Office Use Only Evidence of Financial Circumstances: □ Amount Approved: £ Amount Learner Must Pay: £ Signature & Date: