Student Funding Advice PLACEMENT / EXCHANGE COSTS for the ‘Access to Learning Fund’ BREAKDOWN OF PLACEMENT / EXCHANGE COSTS In order to consider your Placement/Exchange costs you must provide us with a breakdown of the costs you will incur: flight costs, travel, accommodation, living costs. Please provide evidence e.g. letters, receipts etc. This form must be endorsed by your Course Leader/Tutor. Only realistic costs will be considered. We cannot always meet all of the costs that you apply for. Full Name (in capitals) Student No: (on back of your campus card) Dates of placement/exchange: Is it: Paid Unpaid From: To: If you are in receipt of an Erasmus grant how much do you get? £……………………………… Location of placement / exchange : PLACEMENT/EXCHANGE INFORMATION Cost (£) Example: Return Flight to Spain 250 Total (per year) Course Leader / Tutor’s Confirmation: I can confirm that this breakdown is an accurate reflection of the above student’s expenditure for their Placement. I also confirm it is an UNPAID / PAID placement (delete as applicable) and I support the student’s application for financial assistance. Name (please print): Signature: Date: Continue on a separate sheet if necessary.