Financial Support (16-18 Learners)

For the College Bursary and support with study costs – 16-18 Learners

Please only complete this form if your household income is less than £25,500

For more information on Financial Assistance please contact studentfinance@lcwc.ac.uk

Please complete all sections of this form. If you do not know your student number this can be added at a later time.

College Bursary Form

PART A – TO BE COMPLETED BY THE STUDENT OR ON BEHALF OF THE STUDENT
Section 1 - Course Details
Student number (if known)
Course name / area
Section 2 - Student's Personal Details
Address must match that on income evidence and college enrolment system.
First name(s)
Surname / family name
Title
Gender assigned at birth
Date of birth
Age (on 31/08/2020)
Email address
Home telephone number
Mobile telephone number
Address
Street Address Address Line 2 City County Postcode Country
Section 3 - Home Status
Who do you live with?
If you are living on your own, please say how you support yourself financially
Are you currently in care (eg. in foster care or Local Authority Care)?
Have you left care?
If answer was Yes to question above, have you been looked after for 13 weeks or more since the age of 14?
PART B - TO BE COMPLETED BY THE PARENT(S) OR GUARDIAN(S)
Section 1 - Income
Do you have a taxable household income of less than £25,500?
Was the student entitled to Free School Meals while at School?
Do you claim any of the following benefits?
Universal Credit
Income Support
Income-based Job Seekers Allowance
Personal Independent Payments (PIP) (must be in receipt of another benefit alongside)
Disability Living Allowance (must be in receipt of another benefit alongside)
Income-related Employment and Support allowance
Support under part VI of the Immigration and Asylum Act 1999
Working tax credit
Child Tax Credit (provided you are not entitled to Working Tax Credit) and an annual income which does not exceed £16,190
How many children are you receiving Child Tax Credit for? (if applicable)
Guarantee element of Pension Credit
Other benefits - please state
Please state your taxable household income (if you are in paid employment)
Your income
Your partner's income
Overall household income
In order to assess this application proof of income must be provided, please see below examples of evidence you can provide:
· Universal Credits (most recent payment statement showing full breakdown) · Personal Independent Payments Award Letter (must be in receipt of another benefit alongside) · P60 2020-2021 · Income Support** · Last 3 wage slips (paid monthly) · Last 4 wage slips (paid weekly / fortnightly) · Job Seekers Allowance** · Employment Support** · Pension Guarantee** · Disability Living Allowance** (must be in receipt of another benefit alongside) · Local Authority letter if you are in or have Left Care · Working / Child Tax Credit Award Notice (headed Tax Credit Award April 2021-April 2022 and will show income for 2020-2021 on page 2 or 3) ** this can be either a letter dated within 3 months stating you are in receipt of the benefit or alternatively you can provide a bank statement dated within 3 months showing your name and address along with 3 or more payments being paid into your account. Please email copies /screen shots of all evidence to studentfinance@lcwc.ac.uk. Please call Student Services on 01946 839300 if you experience any problems.
Declaration
I will abide by College Regulations. To the best of my knowledge, everything I have declared on this form is both true and complete. I will inform Student Services if anything changes with my personal circumstances including household income. I understand that I may be asked to provide evidence of continued eligibility to fee remission. I agree to Lakes College processing personal data, including “sensitive” personal data (ethnicity, disability, etc.) contained on this form or other data that the College may obtain from me or other people, whilst I am a student. I agree the processing of such data for any purposes connected with my studies or my health and safety whilst on the premises or for any other legitimate reason.
- Please tick
I understand that any fraudulent claims will be investigated
- Please tick
I agree that where applicable the College may contact my Parents or Guardians relating to my academic performance, attendance, punctuality or behaviour.
- Please tick
I understand that once a written offer is received, any financial assistance is subject to satisfactory attendance, behaviour and performance, and if the conditions are not adhered to, funding may be withdrawn and I may be liable to repay any payments made or return any equipment the College has funded.
- Please tick
I confirm that all details stated in this form are correct and that my information can be processed by Lakes College
- Please tick
Please ensure that you (and your parent/guardian as noted) have answered each section and ensure that you forward all documentary evidence to studentfinance@lcwc.ac.uk Once completed, the preferred method of communication would be via email. Please email copies of all evidence to studentfinance@lcwc.ac.uk. Please call Student Services on 01946 839300 if you experience any problems. If you do not have an email address you can hand a copy of your evidence into Student Services at the College (please do not post the application and evidence to us). You can submit the application at any time but payments will only commence once you have enrolled, we have checked and approved your eligibility and you are attending classes. Following receipt of your application, you will be informed of the outcome of your application by email or text in due course.

Financial Support (16-18 Learners)

Please only complete this form if your household income is less than £25,500

Finance Form

College Bursary Form

PART A – TO BE COMPLETED BY THE STUDENT OR ON BEHALF OF THE STUDENT

Section 1 - Course Details

Section 2 - Student's Personal Details

Section 3 - Home Status

PART B - TO BE COMPLETED BY THE PARENT(S) OR GUARDIAN(S)

Section 1 - Income

Do you claim any of the following benefits?

Please state your taxable household income (if you are in paid employment)

In order to assess this application proof of income must be provided, please see below examples of evidence you can provide:

Declaration