SECTION 1 Household Details – (Please tick) I live with Parent(s) / Guardian(s) I live independently I live with my partner domestic situation: Please specify eg. in care Are there any other persons aged under 19 living at the Yes No How Many? same address as you? About your parent(s)/guardian(s) - living at the same address as you Forename Surname Date of Birth Occupation SECTION 2 Vulnerable Bursary – If you tick any of the statements below and provide the relevant evidence, you may be eligible for Vulnerable Bursary payments of up to £1200 for the full college year. (Not available to students aged 19+ on 31st August 2017) Please Tick Please Tick Evidence Enclosed Letter or Email from the relevant Local Authority confirming I am in care or a care leaver your status I Income Support Benefit Award letter/s* dated within the last 3 months (or Universal in my own name OR an older letter AND a bank statement within the last 3 Credit in place of IS) months I receive DLA/PIP and ESA or *Evidence must confirm that you can be in further education or training; please Universal Credit in my own name see a member of the Learner Finance Team for more details. SECTION 3 Parent(s)/Guardian(s) Household Income – Y N Please tick Yes or No Please Tick Evidence Enclosed Earnings from work or Photocopy of latest P60 or 3 months wage slips / certified self-employment accounts or up to date Tax Credit Award Notice Photocopy of FULL 2017-18 award letter - ALL pages or Working/Child Tax Credit most current award letter & latest 3 months bank statements Income Support (IS) Employment and Support Allowance (ESA) Job Seekers Allowance Photocopy of each Benefit Letter dated within (JSA) the last 3 months OR an older letter AND latest 3 months bank statements Universal Credit Carers Allowance Pensions/Pension Credits Housing Benefit Current Confirmation Letter (can be obtained from Local Council Offices - please request the amount for each to be stated on letter) Council Tax Benefit Photocopy of a recent Benefit Letter/Tax Credit Award Notice Benefit or latest 3 months bank statements. Photocopy of documentary evidence Please specify – e.g. CSA letter or latest 3 months bank statements e.g. Maintenance/Savings/Rental income FAILURE TO SEND IN ALL DOCUMENTARY EVIDENCE WILL MEAN A DELAY IN YOUR APPLICATION
SECTION 1 – Household Details (Please tick) I live with Parent(s) / Guardian(s) I live independently I live with my partner domestic situation: Please specify eg. in care Are there any other persons aged under 19 living at the same address as you? Yes No How Many? About your parent(s)/guardian(s) - living at the same address as you Forename Surname Date of Birth Occupation SECTION 2 – Vulnerable Bursary If you tick any of the statements below and provide the relevant evidence, you may be eligible for Vulnerable Bursary payments of up to £1200 for the full college year. (Not available to students aged 19+ on 31st August 2017) Please Tick Please Tick Evidence Enclosed I am in care or a care leaver Letter or Email from the relevant Local Authority confirming your status I Income Support (or Universal Credit in place of IS) in my own name Benefit Award letter/s* dated within the last 3 months OR an older letter AND a bank statement within the last 3 months *Evidence must confirm that you can be in further education or training; please see a member of the Learner Finance Team for more details. I receive DLA/PIP and ESA or Universal Credit in my own name SECTION 3 – Parent(s)/Guardian(s) Household Income Please tick Yes or No Y N Please Tick Evidence Enclosed Earnings from work or self-employment Photocopy of latest P60 or 3 months wage slips / certified accounts or up to date Tax Credit Award Notice Working/Child Tax Credit Photocopy of FULL 2017-18 award letter - ALL pages or most current award letter & latest 3 months bank statements Income Support (IS) Photocopy of each Benefit Letter dated within the last 3 months OR an older letter AND latest 3 months bank statements Employment and Support Allowance (ESA) Job Seekers Allowance (JSA) Universal Credit Carers Allowance Pensions/Pension Credits Housing Benefit Current Confirmation Letter (can be obtained from Local Council Offices - please request the amount for each to be stated on letter) Council Tax Benefit Benefit Photocopy of a recent Benefit Letter/Tax Credit Award Notice or latest 3 months bank statements. – Please specify e.g. Maintenance/Savings/Rental income Photocopy of documentary evidence e.g. CSA letter or latest 3 months bank statements FAILURE TO SEND IN ALL DOCUMENTARY EVIDENCE WILL MEAN A DELAY IN YOUR APPLICATION
16-19%20Burs%20App%202017-18.docx