Bursary Application Form

Transcription

1 Bursary Application Form Student Name: Student ID Number: This application form should be used to apply for all types of financial support. We are unable to accept incomplete applications (which includes those with missing supporting evidence and/or photos) so please seek advice from the Bursary Team if you are unsure about any of the questions or need help. THERE IS ENTITLEMENT TO A BURSARY. Each application will be assessed and if funds are available, a bursary will be allocated subject to meeting minimum college standards. There are several funds available to help different groups of students and the rules for each are different. This means that if you are provided with support please be aware that you might get a different amount of support to other students who are on the same course. Funding is provided to Northampton College by the Government so that we are able to help you if you think you will find it difficult to attend college because of the costs involved. We can help with the cost of equipment, uniform, travel, trips and childcare. Eligibility is based on age, residency, course type and household income, although exceptional circumstances will be considered. Your household income needs to be less than 26,000 per year to be entitled for help. If there are 3 or more dependent children under the age of 18 in full time education in the household, a higher annual income of up to 30,000 may be considered. Students who meet one of the criteria below and are aged under 19 at the start of the academic year may be eligible for a bursary for vulnerable groups of up to 1,200 per year. In the care of the Local Authority Care leavers, supported by the Leaving Care team Receiving Income Support, or Universal Credit in their own right Receiving Disability Living Allowance or Personal Independence Payments in their own right as well as Employment and Support Allowance or Universal Credit in their own right Please be aware that in some cases, a young person might be eligible for this type of bursary but if their financial needs are already met and/or they have no relevant costs, there is the possibility of no award, or a limited award, being the outcome of an application. You may be eligible for funding from additional sources and this will be taken into consideration before you are awarded a Bursary. Sir Thomas White Educational Grant This is available to students aged on 31 st August 2018 who are enrolled on a Northampton College course. Students must be living in the Northampton area have done so for the 5 years prior to the start of the academic year and have explored all other areas of help available. Students can apply for an award to help with the cost of coming to college. The maximum award is 750. Care to Learn If you are a parent under 20 at the start of your course, Care to Learn can help you pay for your childcare and related travel costs while you are learning up to a maximum 160 a week.

2 Qualifications / Learning What course will you be studying? Please include the level. Is this your 1st or 2nd year on this course? (Please circle) Which site are you studying at? 1st Year 2nd Year Is it full time? (Please circle) Yes No (Please circle) Booth Lane Lower Mounts Daventry Have you applied for an ADVANCED LEARNING LOAN for this course? Yes No Have Jobcentre Plus instructed you to attend this course? Yes No How many children aged under 18 and in full time education live in your household (including you)? Personal Details Date of Birth Post Code Your Mobile No. Please tick Yes or No to the questions below. 1. Are you a Young Carer, someone who is under 25 who looks after someone with a disability, long-term illness or mental health condition? 2. Are you accommodated as a Looked After Child/Child in Care or supported by the Leaving Care Team? Yes No 3. Are you aged 16, 17 or 18 and Living Alone? 4. Are you aged 16, 17 or 18 and get ESA and PIP in your OWN NAME? (Both benefits required) 5. Are you a Young Parent, someone aged under 20 with a child/children of your own? 6. Do you have an EHCP (Education & Health Care Plan)? Residency Details Please tick Yes or No to the questions below. Yes No 1. Are you a British Citizen or EEA National (European Economic Area)? 2. Have you lived in the UK or EEA (European Economic Area) since August 2015? 3. Have you lived in the Northampton area since 31st August 2013?

3 College Support Required Please tick below all the help that you would like to apply for. Equipment / Materials / Books / Uniform - please provide any kit lists given to you Trips Further Education Free Meals (FEFM) Available to students over 16 who are from a household which is in receipt of certain benefits (listed below) Available to students aged who have an Education Health Care Plan (EHCP) 1 x COLOUR PASSPORT SIZED PHOTO REQUIRED Bus Pass Available to all students who live more than 3 miles (walking distance) from their site of study May be available to those eligible for Free College Meals (see eligibility criteria below) 3 x COLOUR PASSPORT SIZED PHOTO REQUIRED SEN Transport contribution Available to students aged under 19 who have been awarded Special Educational Needs transport Bicycle Purchase (reconditioned) Available instead of a bus pass to all students who live more than 3 miles from their site of study Bicycle, helmet and lights will be purchased for your use Course Fees Only available in exceptional circumstances Additional Learning Support Needs (For those in receipt of an Advanced Learning Loan only) Childcare Available to students aged over 20 on September 1st 2018 PLEASE FILL IN A CHILDCARE SUPPLEMENT FORM - you will find this on the Northampton College website ** Please do not buy anything in advance as it may not be possible to refund you the money you have spent** Eligible benefits for Further Education Free Meals (FEFM) entitlement: Income Support Child Tax Credit with no element of Working Tax Credit, Income Based Jobseekers Allowance Income Related Employment and Support Allowance National Asylum Seekers Support and a household income below 16,190 (as assessed by HM Revenue and Customs) Guarantee Element of Pension Credit Universal Credit (3 complete assessment periods required)

4 Reason for Application This section must be completed by you to explain why you want to do the course and how financial support will help you to come to college. Awards cannot be made based on household income alone. PLEASE DO T LEAVE THIS SECTION BLANK. Declaration TERMS OF THE AWARD Attendance will be monitored by the mentoring team and MUST be above 90%. Should your attendance fall below this level or if you leave your course, the financial help we are giving you may be stopped and you may be asked to pay it back. It is your responsibility to let us know of any changes to your timetable. Any changes in awards will only be backdated to the beginning of the week in which the information was received. Northampton College reserves the right to remove support due to misbehaviour, fraud, or if the reputation of the College is bought into disrepute. Any items purchased through Northampton College remain the property of Northampton College and you may be asked to return them at the end of your course. I confirm that I understand and agree the eligibility criteria of the scheme and the terms and conditions stated above. I agree that information contained in this document and any award given can be shared with my nominated next of kin and/or representatives from the Local Authority Social Care or Leaving Care teams (where appropriate). I also confirm that the information provided in this application and evidence given are accurate and complete to the best of my knowledge and belief. Please be aware that giving false or incomplete information which results in an overpayment will mean that Northampton College will stop any future payments and seek repayment of anything paid to you up to this point. The matter may also be referred to the Police with the possibility of the student and/or family facing prosecution. I am aware that if I choose to leave my course before the end of the academic year, I will be required to repay any support given. Student Signature: Date:

5 WHAT TO DO NEXT... Once you have completed all sections of this form you will need to provide evidence of your HOUSEHOLD INCOME. There are specific documents we can accept, please use the information and flowcharts in the following pages to determine the evidence we need to see for your age group. If you bring the incorrect evidence, we will be unable to see you at your appointment. PHOTOCOPY YOUR INCOME DOCUMENTS. You can find photocopying services in libraries or local retailers - Student Services are unable to do this for you. Bring passport sized photographs if you need them, 3 for a bus pass and 1 for a meal voucher. There is no facility to get these in college. If you have been given kit lists for your course, please bring them with you to your appointment. Book an appointment with an adviser. Details on how to do this are on the Northampton College website. Appointments will be on a first come first served basis so please be patient. Appointments will be at Booth Lane campus, however there are a limited number of appointments available in Daventry. If you would prefer to have your appointment at Daventry campus, please inform the member of staff when you call to book your appointment. If you wish to speak to a member of the Bursary Team please visit a Student Services Centre or financial.support@northamptoncollege.ac.uk Student Services Centres are located at all three sites, Booth Lane, Lower Mounts and Daventry, however during holidays Student Services is only available at Booth Lane. Due to the volume of applications we are UNABLE to discuss applications or answer questions regarding financial support over the phone. For College Use Only Household Income from TCAN VB Y N CTC Y N WTC Y N WTC at Max level Y N Household Income from UC Period 1 Period 2 Period 3 Overall income:. 19+ with EHCP Y N Eligible for FSM Y N IBB letter Dated:.. Pay slips - Annual Income.. Bank stats Add income..... Distance from college:... (Walking distance on Google Maps) Notes:

6 Household Income Requirements You must evidence that you are struggling financially and are unable to cover the cost of your studies. If you are in receipt of welfare benefits it is your responsibility to declare to HMRC any payments made to you. To be eligible for financial support through the Bursary scheme, it is expected that households have claimed ALL funds available to them from other sources. Therefore, if the student is aged under 20 and in full time education your household should be in receipt of Tax Credits or Universal Credit in order to be eligible for support from the Bursary Fund. If you have not yet claimed Tax Credits or Universal Credit, you would be expected to do so BEFORE applying for support from the Bursary Scheme. Where students are applying for help with travel, distance will be used to establish if support is essential. You must live more than 3 miles from the college you are studying at. This is calculated by looking at the safest walking distance on Google maps. If you are aged over 19 and you are applying for an ADVANCED LEARNING LOAN for your Level 3 course, your loan needs to be approved BEFORE you are eligible for support. If you are aged over 19 and have an EHCP (Education & Health Care Plan) you may qualify for bursary support (if appropriate) and Further Education Free Meals. Please ensure that college have a copy of your EHCP. Household Income Evidence Please use the flow charts on the following pages to find out the income evidence you need to provide to apply for Bursary support. Please use these carefully, if you supply the incorrect financial evidence we will be unable to process your application. PLEASE BE AWARE: The flow charts are designed for the questions to be answered by the STUDENT The evidence requested is required to comply with Government audits, so please only supply what is asked for. If you are unable to supply the evidence requested, please speak to a member of Student Services who will advise you. WE ARE UNABLE TO PHOTOCOPY YOUR INCOME EVIDENCE. PLEASE ENSURE YOU HAVE PHOTOCOPIED THIS BEFORE ARRIVING AT COLLEGE AS YOU WILL T BE SEEN BY AN ADVISOR.! Household income for the purpose of this application is defined as gross taxable income for the household including taxable benefits. It does not include means tested benefits or Disability Living Allowance/Personal Independence Payments. Photographs You may also need to supply passport sized photographs with your application. If these are missing we will be unable to process your application and will not be seen by an adviser. Please ensure your photograph(s) clearly show your face and is the size of the grey box opposite. If you are applying for a bus pass, 3 photos are required. If applying for Further Education Free Meals, 1 photo is required. If applying for both a bus pass and meals, 4 photos are required

7 Please start with flowchart A and follow the arrow for your answer. This will lead you to the household income evidence you need to provide for your circumstances. FLOWCHART A Are you aged under 19? Are you in receipt of Employment and Support Allowance AND Personal Independence Payment, in your own name? Please go to FLOWCHART B Please provide a PHOTOCOPY of both: Employment and Support Allowance (ESA) letter (dated within the last 3 months) AND Personal Independence Payment (PIP) award letter (dated within the last 3 months) Do you live with your parent(s) or guardian(s)? Please provide a PHOTOCOPY of either: 2018/2019 Tax Credit Award Notice for your household (all 6 pages) OR Universal Credit award statements from the 3 most recent complete assessment periods Please go to FLOWCHART C

8 FLOWCHART B Are you aged over 19? Is your household in receipt of Tax Credits or Universal Credit? Please go back to FLOWCHART A Please provide a PHOTOCOPY of either: Are you supported by the Leaving Care Team? 2018/2019 Tax Credit Award Notice for your household (ALL pages) OR Universal Credit award statements from the 3 most recent complete assessment periods Please provide a letter from your Leaving Care PA confirming that you are supported by them Please provide a PHOTOCOPY of: 3 months pay slips AND 3 months bank statements for EACH working member of the household* * Please be aware that we will only accept pay slips and bank statements where Tax Credits are not available. If Tax Credits show on the bank statements as income, we would only accept the Tax Credit Award Notice as income evidence.

9 FLOWCHART C Are you aged under 19? Do you live with your parent(s) or guardian(s)? Please go back to FLOWCHART B Please go back to FLOWCHART A Are you a Looked After Child or supported by the Leaving Care Team? Please provide a letter from your Social Worker or Leaving Care PA confirming that you are supported by them Please provide a PHOTOCOPY of : Income Support letter (dated within the last 3 months) or Universal Credit award statements from the 3 most recent complete assessment periods AND A letter from DWP* confirming that you are able to study whilst in receipt of your benefit AND A copy of your tenancy agreement or Child benefit letter for your child Do you live independently? Please speak to a member of the Student Services Team *DWP Department of Work and Pensions

10 Assessment Process For students receiving a Guaranteed Bursary, support requested will be paid to a 3 rd party where possible and deducted from your total award. You will receive up to 100% of the cost of items required. Requests for any education related items can be made through the Bursary Team to a maximum award of For students receiving Discretionary Bursaries, support requested will be paid to a 3 rd party where possible. All students applying for a bus pass and/or meal vouchers must supply colour passport sized photographs as required. Northampton College is unable to assist with this. Students applying for a bus pass must live more than 3 miles away from their site of study. This is calculated using the safe walking distance from home to site of study on Google Maps. Travel costs for students who are unable to use public transport are calculated at a mileage rate of 20p per mile (maximum award equivalent to the cost of a bus pass). The following calculations are applied to Bursary applications. The award percentages indicated are maximum levels of support not an automatic entitlement. MAXIMUM LEVELS OF SUPPORT AVAILABLE DISCRETIONARY BURSARY SCHEME Age Level of Income Equipment Travel Trips Childcare or on EHCP or 19+ on EHCP Income under 26,000 Income over 26, % 100% 100% Care to Learn 0% Subsidised travel scheme only if you live more than 3 miles from your site of study MAXIMUM LEVELS OF SUPPORT AVAILABLE 19+ DISCRETIONARY BURSARY SCHEME/ALL BURSARY Age / FT or PT Level of Income Equipment Travel Trips Course Fees (Exc. 19+ Income under 26, Income over 26,000 0% Circs. only) 100% 100% 100% 100% if not entitled to fee Care to Learn Further Education free meals available to students who meet published criteria. Please visit for further details. Childcare 100% (timetabled remission hours only) 0% 0% 0% 0% 0% 19+ in receipt of ALL Income under 26, % 100% 100% N/A 100% (timetabled hours only) If you are in receipt of an Advanced Learning Loan and only require assistance with the cost of Additional Learning Support, household income is not required. The maximum award for ALS needs is 1500, although exceptional needs will be considered. There is a maximum award of 5000 per student for all bursary applications. Appeals Procedure If you disagree with the decision regarding your application, you are advised to appeal, in writing stating clearly why you are appealing, giving reasons and supplying any supporting evidence. Appeal forms are available from Student Services at your site of study. Your case will be referred to an independent panel consisting of a member of the awarding body who was not involved in the original decision and a college manager, independent of the team responsible for your programme of study. A decision will be made and supplied within 10 working days of receipt of the appeal. PLEASE TE: It is possible that the appeal panel could reduce the amount of award already offered. The decision of the Appeals Panel is FINAL and cannot be contested further.

11 How the Education Skills Funding Agency (ESFA) uses your personal data: ESFA Privacy Notice (2017 to 2018 Version 2 Published February 2018) How We Use Your Personal Information This privacy notice is issued by the Education and Skills Funding Agency (ESFA), on behalf of the Secretary of State for the Department of Education (DfE). It is to inform learners how their personal information will be used by the DfE, the ESFA (an executive agency of the DfE) and any successor bodies to these organisations. For the purposes of relevant data protection legislation, the DfE is the data controller for personal data processed by the ESFA. Your personal information is used by the DfE to exercise its functions and to meet its statutory responsibilities, including under the Apprenticeships, Skills, Children and Learning Act 2009 and to create and maintain a unique learner number (ULN) and a personal learning record (PLR). Your information will be securely destroyed after it is no longer required for these purposes. Your information may be shared with third parties for education, training, employment and well-being related purposes, including for research. This will only take place where the law allows it and the sharing is in compliance with the Data Protection Act 1998 data protection legislation. The English European Social Fund (ESF) Managing Authority (or agents acting on its behalf) may contact you in order for them to carry out research and evaluation to inform the effectiveness of training. You can opt out of contact agree to be contacted for other purposes by ticking any of the following boxes if you do not wish to be contacted. Please indicate Yes or No for each contact reason and type: Student ID Student Name Contact reason Contact Type Yes No About courses or learning opportunities By post By phone/sms OR By For Surveys and research By post Further information about use of and access to your personal data, and details of organisations with whom we regularly share data, are available at: information about how long we retain your data, and how to change your consent to being contacted, please visit: Requesting access to your personal data By phone/sms By Under data protection legislation, students have the right to request access to information about them that we hold. To make a request for your personal information contact the College Data Protection Officer: Mr Steve Rankine, Northampton College, Booth Lane, Northampton NN3 3RF steve.rankine@northamptoncollege.ac.uk Telephone: You will be asked to complete the proforma to assist with the College with your request. You can ask for your data in either an electronic or paper-based format. We will respond to your request within one month of receiving your request You also have the right to: object to processing of personal data that is likely to cause, or is causing, damage or distress prevent processing for the purpose of direct marketing object to decisions being taken by automated means in certain circumstances, have inaccurate personal data rectified, blocked, erased or destroyed; and claim compensation for damages caused by a breach of the Data Protection regulations If you have a concern about the way we are collecting or using your personal data, we request that you raise your concern with us in the first instance. Alternatively, you can contact the Information Commissioner s Office at How to change your details You can change your personal details and ESFA contact details anytime by completing the Change of Details on-line form (via Moodle or the College website) or complete a paper version available at Student Data Services (H BLOCK, Booth Lane) or for some aspects of data via your e-ilp. If you wish the College to share your details with another organisation or person not listed on this privacy notice, you will need to complete an authority to divulge proforma which are available from the Student Data Services department (H BLOCK, Booth Lane). Changing your mind about non-mandatory data collection Whilst the majority of student information you provide to us is mandatory, the contact information when you making an enquiry, attending an open event or applying for a course is voluntary. You can change contact options anytime by completing the Change of Details on-line form (via Moodle or the College website) or complete a paper version available at Student Data Services (H BLOCK, Booth Lane) Contact If you would like to discuss anything in this privacy notice, please contact the College Data Protection Officer, Steve Rankine.