Name: Student ID Number: Home Address: Male: Female: Mobile Number: EU: Non EU: Date of Birth: Country of Birth: Course Title: Academic School: Science Business Engineering What year of your course are you in. (e.g. 1st/ 2nd) Are you repeating the year: Yes No Did you receive SAF last year: Yes No Are you receiving any other EU funding this year: Yes No Your highest level of education prior to starting on your Labor market status prior to starting your current course; current course (tick one of the following): Unemployed: Primary or Junior Cert Short-term unemployed Leaving Cert/ Post Leaving Cert Long-term unemployed 6 to 12months Third Level Qualification Long term unemployed over 12 months Inactive: Full time student Part-time student & working Not in education & not unemployed Employed Are you from a minority background: No Yes (i.e. Non-national resident in Ireland/Traveler/Roma) Do you have a disability Yes No Are you a lone parent Yes No: Do you/your parents have a medical Card Do you work part-time Yes No: Yes No: Have you been approved for the Maintenance Grant Do you qualify for Special Rate: Yes No: Yes No: If YES what type of grant How many others are financially dependent on you/your Adjacent Non Adjacent parents WEEKLY INCOME/EXPENDITURE BUDGET
Name: Student ID Number: Home Address: Male: Female: Mobile Number: EU: Non EU: Date of Birth: Country of Birth: Course Title: Academic School: Science Business Engineering What year of your course are you in. (e.g. 1st/ 2nd) Are you repeating the year: Yes No Did you receive SAF last year: Yes No Are you receiving any other EU funding this year: Yes No Your highest level of education prior to starting on your current course (tick one of the following): Primary or Junior Cert Leaving Cert/ Post Leaving Cert Third Level Qualification Labor market status prior to starting your current course; Unemployed: Short-term unemployed Long-term unemployed 6 to 12months Long term unemployed over 12 months Inactive: Full time student Part-time student & working Not in education & not unemployed Employed Are you from a minority background: No Yes (i.e. Non-national resident in Ireland/Traveler/Roma) Do you have a disability Yes No Are you a lone parent Yes No: Do you/your parents have a medical Card Yes No: Do you work part-time Yes No: Have you been approved for the Maintenance Grant Yes No: Do you qualify for Special Rate: Yes No: If YES what type of grant Adjacent Non Adjacent How many others are financially dependent on you/your parents WEEKLY INCOME/EXPENDITURE BUDGET
SAF_Application_Form_2018-19.docx