19+ Bursary Application 2017/2018 IMPORTANT: Please complete all parts of this form in block capitals. Section 1: Personal Details Age as of 31.08.17: First Name: Date of Birth: Surname: Student ID No.: Mobile No: Course Title: Qualification Level: Course Hrs/wk: Email: Please note: your college email address may be used to communicate vital information about your support. Section 2: Eligibility (Please tick the criteria that best describes your Evidence Required circumstances) Evidence of eligibility I am aged 19+ and I am currently in receipt of: should be postmarked within the last 6 months. JCP Letter Universal Credit JCP Letter Income Support Income Job Seeker’s Allowance/Employment and Support JCP Letter Allowance GOV.UK Letter Support the Immigration and Asylum Act 1999 DWP Letter The guarantee credit element of State Pension Credit I am aged 19+ and I am currently: In receipt of tax credit (excludes Working Tax Credit) and have an Tax notice annual household income that does not exceed £17,000 Under 20 years of age, a qualifying element for child tax credit and Tax award notice have an annual household income that does not exceed £17,000 Section 2: Bursary Plus only eligibility (receipts will be required to process this Evidence Required part of your application) Tax Credit provided you are not also entitled to Working Tax Credit and HMRC Letter have an annual income that does not exceed £21,000
19+ Bursary Application 2017/2018 IMPORTANT: Please complete all parts of this form in block capitals. Section 1: Personal Details First Name: Age as of 31.08.17: Surname: Date of Birth: Mobile No: Student ID No.: Course Title: Course Hrs/wk: Qualification Level: Email: Please note: your college email address may be used to communicate vital information about your support. Section 2: Eligibility (Please tick the criteria that best describes your circumstances) Evidence Required I am aged 19+ and I am currently in receipt of: Evidence of eligibility should be postmarked within the last 6 months. Universal Credit JCP Letter Income Support JCP Letter Income Job Seeker’s Allowance/Employment and Support Allowance JCP Letter Support the Immigration and Asylum Act 1999 GOV.UK Letter The guarantee credit element of State Pension Credit DWP Letter I am aged 19+ and I am currently: In receipt of tax credit (excludes Working Tax Credit) and have an annual household income that does not exceed £17,000 Tax notice Under 20 years of age, a qualifying element for child tax credit and have an annual household income that does not exceed £17,000 Tax award notice Section 2: Bursary Plus only eligibility (receipts will be required to process this part of your application) Evidence Required Tax Credit provided you are not also entitled to Working Tax Credit and have an annual income that does not exceed £21,000 HMRC Letter
Bursary-Application-Form-2017_18-19.docx