SECTION 1 Household Details - Please tick I live with parent(s)/guardian(s) and I live with my parent(s)/guardian(s) and have NO income. have my own income Please give details* and continue to Section 3 I live with my partner I live independently (i.e boyfriend/girlfriend) I live with my partner and child(ren) I live independently with my child(ren) Other domestic situation Please outline *If you have no income, please explain how you are supporting yourself (e.g. paying for food, clothes etc.) SECTION 2 Own/Household Income - Please tick all household income sources Please tick evidence enclosed Photocopy of FULL 2018-19 award letter - ALL pages Working / Child Tax Credits or most current letter & latest 3 months bank statements Earnings from work or Photocopy of 2017-18 P60 or Latest 3 months wage slips self-employment or certified accounts or 2018-19 Tax Credit Notice Means-tested benefits Income Support, Universal Credit, Income related Photocopy of award letter dated within the last 3 months ESA, Income based JSA, Pension Credits etc. OR Other benefits / Pensions / Income an older letter AND latest 3 months bank statements Carers Allowance, Contribution based ESA/JSA, rental income, savings etc. If you cannot provide evidence then we cannot process your application. SECTION 3 Childcare Support - Do you require support with childcare costs during your Yes No college/placement hours How many Children? Please state their ages If you are aged 20+ on the 31st August 2018, you are eligible to apply for childcare support from the 19+ Adult Education Learner Support Fund. Please contact the Learner Finance Team to request a Childcare Registration Form which provides detailed terms and conditions. The Childcare Registration Form requires completion by yourself and your childcare provider; without the form your childcare claim cannot be processed, so please return it as soon as possible. Any questions relating to this please call 01262 455202. Please note no childcare will be allocated if a spouse/partner is at home to look after the child(ren) If you are aged 19 on the 31st August 2018 you must apply online through Care2Learn
Please tick I live with parent(s)/guardian(s) and have NO income. Please give details* and continue to Section 3 I live with my parent(s)/guardian(s) and have my own income I live with my partner (i.e boyfriend/girlfriend) I live independently I live with my partner and child(ren) I live independently with my child(ren) Other domestic situation Please outline *If you have no income, please explain how you are supporting yourself (e.g. paying for food, clothes etc.) SECTION 1 - Household Details SECTION 2 - Own/Household Income Please tick all household income sources Please tick evidence enclosed Working / Child Tax Credits Photocopy of FULL 2018-19 award letter - ALL pages or most current letter & latest 3 months bank statements Earnings from work or self-employment Photocopy of 2017-18 P60 or Latest 3 months wage slips or certified accounts or 2018-19 Tax Credit Notice Means-tested benefits Income Support, Universal Credit, Income related ESA, Income based JSA, Pension Credits etc. Photocopy of award letter dated within the last 3 months OR an older letter AND latest 3 months bank statements Other benefits / Pensions / Income Carers Allowance, Contribution based ESA/JSA, rental income, savings etc. If you cannot provide evidence then we cannot process your application. SECTION 3 - Childcare Support Do you require support with childcare costs during your college/placement hours Yes No How many Children? Please state their ages If you are aged 20+ on the 31st August 2018, you are eligible to apply for childcare support from the 19+ Adult Education Learner Support Fund. Please contact the Learner Finance Team to request a Childcare Registration Form which provides detailed terms and conditions. The Childcare Registration Form requires completion by yourself and your childcare provider; without the form your childcare claim cannot be processed, so please return it as soon as possible. Any questions relating to this please call 01262 455202. Please note no childcare will be allocated if a spouse/partner is at home to look after the child(ren) If you are aged 19 on the 31st August 2018 you must apply online through Care2Learn