discretionary fund application 2012 2013 by e07H424

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									DISCRETIONARY/ CHILDCARE FUND APPLICATION FORM
INFORMATION AND CONDITIONS 2012 – 2013

Discretionary Funds consist of Higher Education Discretionary Funds (HEDF), Further Education Discretionary Funds
(FEDF), Childcare Funds (CCF), and also the Lone Parent Childcare Grant (LPCG). The funds have been made
available to provide extra financial support for students. The following notes give a summary of the procedures
for distribution of these funds at Motherwell College. Further details are available from Learner Services.

To qualify for any Award from the Discretionary Fund, applicants MUST have applied for ALL other Educational
financial support available to them for example, Maintenance Allowance (EMA) Bursary, Grant and Loan funding
to which they are entitled.

HOW TO APPLY

Complete this form and return to Learner Services as soon as possible. Don’t delay your application if you are
waiting on information. While an award can only be made when all relevant documents have been received, it
will usually be backdated.

ELIGIBILITY FOR ASSISTANCE

All students aged 16 and over are eligible to apply.

PROCESSING OF APPLICATIONS

Applications will be considered in the order they are received. Learner Services Funding and Welfare staff will
check eligibility and awards will be made at the College’s discretion. A decision will normally be made within 4
weeks of receiving your application and all supporting documents. You may be asked to provide additional
information, or invited to an interview to clarify your circumstances.

DISTRIBUTION OF FUNDS

While all applications will be considered, priority will be given to support: Childcare Costs; Housing Costs; Other
Hardship (eg. excess travel expenses). In most cases awards will be given as Grants, which do not need to be
repaid. Payments are dependant on satisfactory progress and attendance and can be stopped at any time.

ALL STUDENTS MUST SUPPLY COPIES OF THE FOLLOWING INFORMATION

Funding Award                 SAAS Award & Student Loan Award or Bursary/EMA Award.
Bank Details                  Current bank details including sort code and account number.
AND WHERE RELEVANT
Tenancy                       Mortgage or Tenancy Agreement with confirmation of current payments and a
                              council tax bill. Proof of current payments
Childcare                     Completed Supplementary Childcare Funding Application. Current Tax Credit
                              Award, Nursery/Afterschool contract stating days and cost per day if not on
                              Childcare Application form.
Benefits                      Proof that any benefits, housing or other have ceased and proof of current
                              payments.
Other                         Any other information that may be relevant to your application. Claims for course
                              expenses must be accompanied by cost breakdown from the department.


    Applications submitted more than 4 weeks after the start of the course may not be backdated.
 ALL APPLICATIONS MUST BE SIGNED and DATED- INCOMPLETE APPLICATIONS CANNOT BE CONSIDERED.


                        Board of Management of Motherwell College : Registered Charity Number SC021206
Please return the completed application and supporting documents to the
Funding and Welfare Staff in Learner Services as soon as possible.
1.     PERSONAL DETAILS
Name: ______________________________________           Student I.D. No. ______________________
Address: ________________________________________________________________________________
          ________________________________________________________________________________
Postcode: _______________________ _______              Email:    ______________________________
Home Tel. No.: ______________       _________          Mobile No.:____________________________
Date of Birth: ____________________________            Age on 1st day of course:___ __________
Are you a lone parent ? __________________             No. of children:_________________________


Do you live alone ?     Yes           No  If, NO please give details i.e. Parents/Spouse/Partner/Children
Name: ________________________ Relationship: _____________________________ D.O.B: ___________
Name: ________________________ Relationship: _____________________________ D.O.B: ___________
Name: ________________________ Relationship: _____________________________ D.O.B: ___________


2      INFORMATION ABOUT YOUR COURSE


Course Title: ______________________________________________________________________________
Full-Time:  - Part-Time:  - Year 1:  - Year 2: 
Start Date:   __________________________        End Date: _______________________________




3.     FUNDING DETAILS
Have you applied for:           Bursary Award                  Reference No.   __________________________________
                                SAAS Award                     Reference No. ___________________________________
                                Student Loan                   Reference No. ___________________________________


4.     BANK / BUILDING SOCIETY ACCOUNT DETAILS

All awards will be paid directly into you Bank or Building Society account. For this reason we need the following
details. If there are any changes to your bank details, you must notify us immediately.

Name of account holder:                ___________________________________________________________
Name of Bank/Building Society :        ___________________________________________________________
Address                                ___________________________________________________________
                                       ___________________________________________________________
Bank / Building Society Sort Code                 _____ _____     -   _____ _____   -   _____ _____
Bank / Building Society Account No.              __________________________________________________
Building Society Roll Number (if applicable)     __________________________________________________




                        Board of Management of Motherwell College : Registered Charity Number SC021206
5.     REASON FOR APPLICATION
Housing / Accommodation Costs        ______          Other Costs / General Hardship      ______
Lost / Reduced Benefit               ______          Name of Benefit Lost or Reduced      ______
HNC/D Part time Travel               ______          Utility Bills                        ______
Childcare / After School Care Costs* ______          Name of Provider(s)



*For assistance with childcare costs please fill in the enclosed Supplementary
Childcare Funding Application.



6.     INCOME & EXPENDITURE

Evidence of all income and expenditure must be submitted.

SOURCE OF INCOME                              AMOUNT                              PROOF ENCLOSED
College Bursary Award (4 weekly amount)       £____________________               ___________________
SAAS Student Loan Award                       £____________________               ___________________
SAAS Dependants Grant                         £____________________               ___________________
SAAS Young Student Bursary                    £____________________               ___________________
Tax Credit Award                              £____________________               ___________________
Benefit (eg. Income Support; JSA; Housing Benefit; Incapacity Benefit)
Name of Benefit               ______________________________________              ___________________
                              ______________________________________              ___________________
Any Other Income              _____________________________________               ___________________




WEEKLY EXPENDITURE                            AMOUNT                              PROOF ENCLOSED
Childcare / After School Costs                £__________________                 ___________________
Housing (Rent / Mortgage)                     £__________________                 ___________________
Other General Hardship                        £__________________                 ___________________




8.     OTHER RELEVANT INFORMATION
       Please give brief details of any other information that may be relevant to your application form
       ___________________________________________________________________________________


        ___________________________________________________________________________________


         _________________________________________________________________________________


      ___________________________________________________________________________________



                         Board of Management of Motherwell College : Registered Charity Number SC021206
9.        ABOUT YOUR APPLICATION - WHAT HAPPENS NEXT


This application form MUST be signed and returned to the Funding and Welfare Staff in Learner Services as soon
as possible. Late applications may be refused. All applications will be considered in the order they are received.


             PLEASE BE AWARE THAT ANY AWARD MAY AFFECT YOUR ENTITLEMENT TO STATE BENEFITS


                                           CONFIRMATION BY APPLICANT


I have read and accept the information and conditions for payment of any Hardship Funds.
I confirm that I have applied for and will accept ALL Bursary, EMA, Grant and/or Loan Funding to which I am
entitled.
I agree that the College may check the accuracy of any information submitted.
I will inform you of any change in circumstances that may affect my award.
If any details are found to be inaccurate I will be liable to repay of any funds received and any associated costs.


Signature of applicant: _______________________________________ Date: _______________________




     For official use only…


     Staff Signature _______________________________________________


     Date Received_______________________________________________


     All relevant paperwork submitted? Yes / No


     Comments:




                          Board of Management of Motherwell College : Registered Charity Number SC021206

								
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