Access to Learning Fund Application Form - University of Worcester
Access to Learning Fund Application Form - University of Worcester
Access to Learning Fund Application Form - University of Worcester
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DECLARATION<br />
I confirm that I am a student at the <strong>University</strong> <strong>of</strong> <strong>Worcester</strong>. I understand that giving false<br />
information may lead <strong>to</strong> rejection <strong>of</strong> my application and steps being taken <strong>to</strong> recover any payment<br />
made <strong>to</strong> me.<br />
I declare that the information that I have given on this form is correct and complete <strong>to</strong> the best <strong>of</strong><br />
my knowledge.<br />
I *do/do not (*delete as appropriate) give my full consent for any relevant member <strong>of</strong> <strong>University</strong><br />
staff <strong>to</strong> act on my behalf, and contact any third party regarding the evidence I have provided in<br />
this application<br />
Your signature<br />
Date<br />
STUDENT CHECKLIST<br />
Important<br />
You must provide pho<strong>to</strong>copies <strong>of</strong> any relevant paperwork as listed below in order for your<br />
application <strong>to</strong> be considered. Please provide pho<strong>to</strong>copies rather than original documents.<br />
Full time students - Student loan notification, Financial<br />
assessment and Payment Schedule (including grants etc., e.g. Parents’<br />
learning allowance)<br />
Part time Students- pro<strong>of</strong> that they have applied <strong>to</strong> LA for<br />
financial support for fees and a course grant (if eligible)<br />
Part time Students applying for help with course fees–a copy<br />
<strong>of</strong> your tuition fees invoice & the final course grant amount<br />
awarded <strong>to</strong> you from your local authority<br />
Part time students – pro<strong>of</strong> <strong>of</strong> earnings<br />
NHS/Social work students - NHS bursary statement<br />
Evidence <strong>of</strong> partners income (e.g. last three pay statements)<br />
Last 3 months itemised Bank/Building Society statements (all acc’ts)<br />
Evidence <strong>of</strong> rent/mortgage<br />
Evidence <strong>of</strong> benefits/tax credits received<br />
(including help with childcare where relevant)<br />
Evidence <strong>of</strong> main carer responsibility for children -if claiming for<br />
child related costs e.g. Tax credit statement, child benefit book<br />
Student ID card<br />
Other/Pro<strong>of</strong> <strong>of</strong> any exceptional expenses claimed<br />
e.g. childcare not covered by LA, extra travel costs, medication,<br />
emergencies,CCJ’s etc. Put details in box below.<br />
Please return completed<br />
form and requested<br />
documents <strong>to</strong>:<br />
Susan Richardson<br />
Senior Student Welfare and<br />
Financial Adviser<br />
or<br />
Jackie Bryant<br />
Student Welfare and<br />
Financial Adviser<br />
Rooms 74 & 72<br />
Woodbury<br />
<strong>University</strong> <strong>of</strong> <strong>Worcester</strong><br />
Henwick Grove<br />
<strong>Worcester</strong><br />
WR2 6AJ<br />
Tel: 01905 855501<br />
01905 542091<br />
E-mail:<br />
moneyadvice@worc.ac.uk<br />
You may visit the advisers <strong>to</strong><br />
discuss your finances or<br />
receive advice on<br />
completion <strong>of</strong> this form on a<br />
week day at any time<br />
between 10.00am and<br />
4.00pm. No appointment is<br />
necessary but you may<br />
make one if you wish.<br />
8
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