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Financial Support Application Form


At the end of this form, you will need to upload a copy of your household income evidence. Accepted file types are PDF, scanned images, or you may upload a photo. Please have this ready before you continue with your application.


First Name
Surname
Date Of Birth

Gender

Do you have access to the following IT?

Living arrangements

We require details of all household income, whether earned or from benefits before we can assess your application. Along with this completed application form you are required to provide evidence of all income. Without the appropriate evidence we will not be able to process your application and this will delay any award.

Who do you live with?

If other please specify

How many dependants live with you?

If you are under the age of 20 and require childcare support, please contact Care to Learn. For more information visit www.gov.uk/care-to-learn

Travel

Do you own either an Apple or Android smartphone?

How do you travel to college? (select all that apply)







Household income

We require details of all household income, whether earned or from benefits before we can assess your application. Along with this completed application form you are required to provide evidence of all income. Without the appropriate evidence we will not be able to process your application and this will delay any award. The types of evidence you can provide are detailed below.


Please select your gross annual household income?
Do you receive any of these benefits?

For assessment purposes, you will be required to supply Employment/Self-Employment evidence at the end of this form. Accepted evidence guidance can be found in the upload section at the bottom of this form

Bank details

Some of the financial support you may be entitled to could be paid to you through BACS transfer into your nominated bank account. Please complete the following details accurately to ensure payment into the correct account.

*Please note we can only make a payment to your own bank account. We are unable to accept bank details which are not in your name.

Name of Account Holder as it appears on your card
Sort Code
Account Number
Building Society Ref Number (if applicable)

Work Placement

Please detail expected and necessary purchases required for your work placement and the costs. This will be verified by your department.

Description and costs
If you are required to undertake work placement, please indicate how many days will you be attending?

Tuition Fees

Your application will be assessed for tuition and exam fees where applicable. Support can be provided for the cost of tuition and exam fees in certain circumstances. Your application will be assessed for tuition and exam fee support automatically and your fees paid for if you are eligible. You will remain liable for tuition and exam fees until your application has been assessed and approved.

You will be required to provide evidence of your income to be assessed for help with paying for your tuition and exam fees

If found ineligible for financial support, you will remain liable for the full cost of course and exam fees associated with your courses.

This is a provisional award and you will be notified of the final award within four weeks of your application

Childcare Support - Students aged 20+

We can help with the costs of childcare whilst you study - up to a maximum of £65 per day. Childcare must be provided by an Ofsted registered provider.

Funding will be paid for the days you are timetabled to be at college, including planned placements. Please note you may be expected to make some contribution to your own childcare cost

Where government funding is available, you will be expected to fully use this funding prior to requesting support from the college. Further information can be found on te Gov.UK website below.

https://www.gov.uk/help-with-childcare-costs/freechildcare-and-education-for-2-to-4-year-olds

All 3 to 4 year olds in England can get 570 free hours per year. It’s usually taken as 15 hours a week for 38 weeks of the year. Some 3 to 4 year olds in England can get up to 1,140 hours per year, 30 hours a week for 38 weeks of the year. All payments for childcare will be made directly to your provider by monthly invoice in arrears.

Please do not commit to any childcare you cannot self-fund without seeking prior confirmation of support (being available from Student Services).

Would you like to apply for childcare support?



Delcaration

Please ensure you read through the declaration and fully understand the terms and conditions of receiving a bursary before submitting your application form.

I certify that all the information provided on this application form is, to the best of my knowledge true and accurate

  • I have enclosed all relevant documentation as requested and understand that if any items are missing or incorrect a decision on my application will be delayed or rejected.
  • I understand that if my attendance falls to below 89% I may be refused support or asked to return any support already received.
  • If I leave college during the period for which I am receiving help I will return any equipment provided and will, if asked, repay any assistance given.
  • I agree to notify the college of any change in my circumstances which may affect my eligibility for funding as soon as this occurs.
  • I understand that any funding I am allocated is for my current course only and that a new application will be required for progression/additional courses.
  • I confirm the bank details provided are my bank details and do not belong to anyone else.
  • I am responsible for ensuring my phone has sufficient charge to cover entire journeys.
  • I understand that travel support may not be able to be replaced if my travel card or phone is lost stolen or damaged.
  • I understand that an admin fee is payable for the replacement of travel support services.
  • understand that all support is subject to periodic assessment and availability of funds.
  • I understand that it is my responsibility to inform the DWP (Department for Work & Pensions) of any financial support recieved from the college that may impact benefits i receive.
  • I understand how my personal data will be used in relation to this application in line with SHCG's Privacy Notice. For further details, please see our website https://www.SHCG.ac.uk/privacy-notice/

Childcare Application (if applicable)

Declaration

  • I certify that all the information provided on this application form is, to the best of my knowledge true and accurate.
  • I will attach all relevant documentation as requested and understand that if any items are missing or incorrect a decision on my application will be delayed or rejected.
  • I understand that if my attendance falls to an unacceptable level my childcare support may be withdrawn.
  • I agree to notify the college of any change in my circumstances which may affect my eligibility for funding, or any change to my course, as soon as either of these occurs.
  • I understand that any funding I am allocated is for my current course only and that a new application will be required for progression/additional courses.
  • I understand that I am responsible for informing the childcare provider of my course start and end dates and I will be liable to pay for any childcare costs outside of these dates.
  • I consent to the release of confidential information as defined below. For further information on SHCG's Privacy Policy please refer to https://www.SHCG.ac.uk/privacy-notice/
  • I will attach a copy of my child's birth certificate.


Evidence of Eligibility - Upload

For us to assess your eligibility you now need to upload evidence relating to your personal status and household income


You can do this by taking a photo or scan of each item of evidence and uploading it below. Please note you may be required to provide copies of the original documents in person at a later date.


For each item of evidence, select the most relevant ‘type of evidence’, enter any additional notes if required, and then pick the Browse button and pick the item of evidence for upload. Remember to click the ‘Upload’ button for each item of evidence.

Please attach your documents here that will support your application and the information you have provided regarding your household income, your free meal eligibility (if applicable), or if you are aged 16-18 and have a Care status, or are living independantly.

Please ensure all pages are included and have the name and address is clearly visible on the documentation


What do I need to upload?

To evidence your eligibility:

OptionEvidence to Upload
I am 16-18 and in Care Please provide a letter from the Local Authority / Social Services to confirm this
I am 16-18 and I am a Care Leaver Please provide a letter from the Local Authority / Social Services to confirm this
I am aged 16-18 and receive Income Support or Universal Credit in my own name Please provide a copy of your award notice
I am aged 16-18 and receive Disability Living Allowance or Personal Independence Payments AND Employment & Support Allowance Please provide your DSA or PIP and ESA award notice
I am aged 16-18 (or 19-24 with an EHCP) and have a total household income of less than £30,000 Please provide evidence of household income
I am aged 19 or over and have a total household income of less than £30,000 Please provide evidence of household income
I am aged 19 or over and have a total household income of less than £30,000 AND I am paying for my course with an Advanced Learning Loan Please provide evidence of household income and evidence of your loan confirmation

To evidence your household income – you must upload evidence for all types of income that apply

Type of IncomeEvidence to Upload
Salary/wages from paid employment Please provide last 3 months wage slips or P60
Self-employed earnings Please provide audited accounts for most recent tax year or official tax return
Income Support Please provide an award letter which is less than 6 months old or a recent bank statement which names the benefit that is received
Universal Credit Please provide an award letter which is less than 6 months old or a recent bank statement which names the benefit that is received
Employment & Support Allowance Please provide an award letter which is less than 6 months old or a recent bank statement which names the benefit that is received
Pension Credit Please provide an award letter which is less than 6 months old or a recent bank statement which names the benefit that is received
Working Tax Credit / Child Tax Credit Please provide all pages of the latest Tax Credit Award
Company or Private Pension Please provide the annual pension statement or a recent bank statement which includes pension amounts
Support under part VI of the Immigration and Asylum Act 1999 Please provide a copy of your award letter



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Maximum Allowed File Size is 4000Kb



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