ACADEMIC YEAR 2018/2019 ONLY EXTENDED BURSARY

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1 ACADEMIC YEAR 2018/2019 ONLY EXTENDED BURSARY APPLICATION FORM (WORTH UP TO 1200) (PART OF THE 16 TO 19 BURSARY FUND) EXTENDED BURSARY SCAN AND RETURN COMPLETED FORM AND EVIDENCE TO: OR POST COMPLETED FORM AND EVIDENCE TO EITHER: LINCOLN COLLEGE GAINSBOROUGH COLLEGE NEWARK COLLEGE WELFARE TEAM WELFARE TEAM WELFARE TEAM STUDENT SERVICES ACLAND STREET FRIARY ROAD MONKS ROAD GAINSBOROUGH NEWARK LINCOLN LINCOLNSHIRE NOTTINGHAMSHIRE LN2 5HQ DN21 2LG NG24 1PB IF YOU NEED HELP UNDERSTANDING OR COMPLETING YOUR APPLICATION FORM PLEASE CONTACT STUDENT SERVICES ON (LINCOLN CENTRE, GAINSBOROUGH COLLEGE AND OUTREACH STUDENTS) OR (NEWARK COLLEGE STUDENTS) AND ASK TO SPEAK TO A MEMBER OF THE WELFARE TEAM. VERSION 1 (JUNE 2018)

2 WHO CAN GET HELP? To be eligible to apply to the Colleges Extended Bursary Fund you must be: Ordiarily a residet i the EU for all of the last 3 years other rules ay apply and Aged on 31/08/18 and have started at the College on a course of Further Education funded by the ESFA directly or via a local authority, funded or co-financed by the European Social Fund or otherwise publicly funded and lead to a qualification (up to and including Level 3) that is accredited by Ofqual or is pursuant to Section 96 of the Learning Skills Act 2000 and a looked after young person in local authority care (this means children looked after by a local authority on a voluntary basis (section 20 of the Children Act 1989) or under a care order (section 31 of the Children Act 1989). This also includes unaccompanied asylum-seeking children, or a local authority care leaver. This is you if you are either a young person aged 16 or 17 who was previously looked after for a period of 13 weeks consecutively (or periods amounting to 13 weeks) which began after the age of 14 and ended after the age of 16, or a young person who was looked after prior to becoming 18 for a period of 13 weeks consecutively (or periods of 13 weeks) which began after the age of 14 and ended after the age of 16, or in receipt of Income Support or Universal Credit in place of Income Support in your own right or in receipt of Employment Support Allowance (ESA) or Universal Credit in place of ESA and Disability Living Allowance or Personal Independence Payments in your own right. You will only receive the Extended Bursary if your circumstances continue to meet one of the above criteria. Your Bursary may stop if your circumstances change. You may be required to attend regular appointments with the Welfare Team to confirm your continued eligibility. Failure to attend an appointment will result in your Extended Bursary being stopped. HOW DO I APPLY FOR HELP FROM THE EXTENDED BURSARY FUND AND WHAT HELP CAN I GET? Complete the attached application form. Either scan it, post it or hand it in at the Main Reception at Lincoln, Newark or Gainsborough College (see front cover for address details). Enclose evidence to prove that your circumstances meet at least one of the eligibility criteria listed above. Support will be refused or delayed if you fail to do this. You will be told within 10 working days (15 working days during Autumn Term 18/19) of receipt of your completed application form whether or not your application has been successful or if we need further evidence. Eligible students may receive a maximum of To receive this you must be a full time student, your course must last a minimum of 30 weeks and you must meet one of the eligibility criteria for a minimum of 30 weeks. If you do not meet these criteria the maximum amount will be reduced. It will also be reduced if you do not meet our attendance and behaviour criteria. The amount you will receive will be paid weekly in arrears. The purpose of this fund is to help you with course related costs. Other rules may apply. OTHER INFORMATION Where a Bursary award is to be paid into a bank account this must be yours. This ensures that there is no conflict with the benefit agencies. This is a national Extended Bursary Fund rule. You will need to re-apply for the Bursary at the beginning of each Academic Year if you continue with your studies. As the Extended Bursary is a national fund the College cannot guarantee it will be available for each Academic Year you continue in study. You should also be aware that meeting the requirements of this Fund does not automatically mean funding will be given if your financial needs are already being met and it is deemed you have no relevant costs. You must attend a Extended Bursary Induction before any payments can be released. The college is no longer able to make cheque payments. You must have a bank account to receive support from this fund. Payments will be delayed if bank details are not provided. WHAT HAPPENS IF MY APPLICATION IS UNSUCCESSFUL? If your application is unsuccessful we will write to you and let you know the reason why. If you believe the decision made not to support your application is unfair you can appeal in writing to the Welfare Team Leader, Student Services, Lincoln College, Monks Road, Lincoln, LN2 5HQ. We will provide a written reply to your appeal within 10 working days of receipt of your letter. OTHER INFORMATION If you are unhappy with any aspect of the administration of your application or the service you have received you can let us ko through the Colleges Custoer Coplaits ad Grievance Procedure. Contact the College on the telephone number shown over leaf or visit our website for full details.

3 CONFIDENTIAL UNIQUE ID. EXTENDED BURSARY FUND FOR F.E. FUNDED COURSES ACADEMIC YEAR 2018/2019 FOR STUDENTS AGED ON 31/08/ STUDENT DETAILS: Surname: Forename(s): Date of Birth: Age (On 31/08/2018): Male Female Address: Post Code: Mobile: Nationality: Have you lived in the EU for the last 3 years? Yes No Are you an Asylum Seeker? Yes No 1B. SOCIAL WORKER S/GUARDIAN S DETAILS (IF APPLICABLE): Name: Local Authority (if applicable): Contact Number: 2A. COURSE DETAILS: Course Title: Course Level: Student ID Number (if known): 2B. PLACE OF STUDY: Lincoln College, Monks Road Newark College Lincoln College, CHT Brook House Lincoln College, Queens Park Gainsborough College Rand Park Farm Other 3. STUDENT BANK DETAILS: Awards paid by BACS can only be paid in to the your bank account. This is a national Learner Support Fund Rule. Please take care when completing this section as the College will not accept any responsibility for payments made into the wrong bank account due to incorrect or unclear details being entered on this form. Please note that the college is no longer able to make cheque payments Sort Code - - Account Number ALL SECTIONS MUST BE COMPLETED OR YOUR APPLICATION WILL NOT BE ASSESSED.

4 EXTENDED BURSARY ELIGIBILITY To be eligible for the Extended Bursary your circumstances must fit at least ONE of the criteria in this section. Please tick which one(s) applies to you. You must also enclose evidence to prove that your circumstances meet at least one of the following criteria. Your application will be refused or delayed if you fail to do this. 4A. YOU (THE STUDENT) ARE EITHER A LOOKED AFTER YOUNG PERSON IN LOCAL AUTHORITY CARE (INCLUDING UNACCOMPANIED ASYLUM-SEEKING CHILDREN) OR HAVE RECENTLY LEFT LOCAL AUTHORITY CARE I (the student) am a looked after young person in Local Authority care (including unaccompanied asylum-seeking children) I (the student) have recently left Local Authority care (care leaver) If you (the student ) are either in care or a care leaver, you MUST provide written confirmation of your current or previous looked-after status from the relevant Local Authority - this is the Local Authority that looks after you or provides your leaving care services. 4B. YOU (THE STUDENT) ARE IN RECEIPT OF INCOME SUPPORT IN YOUR OWN NAME I (the student) am in receipt of Income Support in my own name If you are applying for the Bursary as you are in receipt of Income Support, you must provide us with a letter from the Deparment of Work and Pensions or the Job Centre confirming that you receive Income Support in your own right. The letter must also confirm that the you can be in Further Education or training (some young people in receipt of benefits are not allowed to participate). 4C. YOU (THE STUDENT) ARE IN RECEIPT OF UNIVERSAL CREDIT IN PLACE OF INCOME SUPPORT IN YOUR OWN NAME I (the student) am in receipt of Universal Credit (UC) in place of Income Support in my own name If you are applying for the Bursary as you are in receipt of Universal Credit (UC) in your own right in place of Income Support, you must make an appointment with a member of the Student Services, Welfare Team as soon as possible. Please book an appointment to do this at either Lincoln, Newark or Gainsborough Main Reception. Please bring your UC login details to this appointment. At your appointment we we will contact the Department for Work and Pensions and ask them to confirm that you are in receipt of UC in your own right in place of Income Support and that you can be in Further Education. In addition to the above you (the student) must also provide additional evidence to confirm your independent status, for example a tenancy agreement in your name, utility bill etc 4D. YOU (THE STUDENT) ARE IN RECEIPT OF EMPLOYMENT SUPPORT ALLOWANCE (ESA) OR UNIVERSAL CREDIT IN PLACE OF ESA AND DISABILITY LIVING ALLOWANCE OR PERSONAL INDEPENDENCE PAYMENTS IN YOUR OWN RIGHT. I (the student) am in receipt of Employment Support Allowance (ESA) or Universal Credit (UC) in place of ESA and Disability Living Allowance or Personal Independence Payments in my own right. If you (the student) are in receipt of Employment Support Allowance (ESA) or Universal Credit (UC) in place of ESA and Disability Living Allowance or Personal Independence Payments in your own right a copy of the your UC or ESA award from DWP is required. You must also provide evidence that you are currently in receipt of Disability Living Allowance or Personal Independence Payment. If a you are in receipt of Disability Living Allowance or Personal Independence Payments and Employment Support Allowance or in receipt of UC parents can no longer receive certain household/family benefits such as Child Benefit and so on. If you are in receipt of UC you must make an appointment with a member of the Student Services, Welfare Team as soon as possible. Please bring your UC login details to this appointment. At your appointment we we will contact the Department for Work and Pensions and ask them to confirm that you are in receipt of UC in your own right in place of Income Support and that you can be in Further Education.

5 5. DATA PROTECTION: Lincoln College is subject to the requirements of the General Data Protection Requirements legislation, The Student Services Department follows College Policy in matters of Data Protection. The data requested in this form is covered by the notification provided by the College under the General Data Protection Requirements legislation. Personal data may be used within the College for the purpose of determining whether or not you should receive assistance from the Extended or other College services. Some of the information gathered in this form is required by the Education and Skills Funding Agency (ESFA). Information supplied will be anonymised and aggregated before it is sent to the ESFA. In addition, external auditors are obliged to certify that the Extended has been allocated in accordance with ESFA and College Guidelines. As part of this process, auditors will wish to view a small sample of Application Forms. The data will not be passed to any other third party without your consent, except where the College is legally required to do so. Your data will be held securely for 6 academic years in accordance with our audit requirements. 6. DECLARATION: - YOU MUST READ THIS CAREFULLY AND SIGN BELOW I confirm that all the information supplied is correct and agree that the College may seek further evidence as necessary to substantiate any statements made, and may require me to attend an interview in relation to this application in order to confirm financial need. I understand that if false or incomplete information is submitted, or I do not tell Lincoln College about any part of my income that is relevant the matter may be referred to the Department of Education or the Police. I could face disciplinary action and/or prosecution. The College will seek to recover any payments I am not eligible for. I confirm that I have read and understand the Data Protection Statement set out in Section 5. I confirm that the bank account details given on this form are my own. I confirm that I have read & understand the eligibility criteria contained in the information attached to this application form. I uderstad that the support I reeie is ade aailale through the ESFAs 16 to 19 Bursary Fud. I give my permission for the College to contact my Social Worker (where applicable) to confirm my status as either a Looked After Child in Local Authority Care or a Local Authority Care Leaver. I understand that the information I have provided and any funding received in support of this application covers the 2018/19 Academic Year only and that I must re-apply for any future academic year. I agree to inform the Welfare Team in writing of any change to my personal, financial circumstances and bank details. I confirm I am not a Waged Apprentice or in waged training, I am not serving a custodial sentence, or have been remanded to a secure instiution and have not been released from a custodial sentence on temporary licence. I understand that even if my circumstances appear to meet the eligibility criteria of this Fund support may not be given if any of the evidence I have submitted shows that I do not have a financial need. Student Signature: Date

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