Loan Application Form

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Loan Application Form Thank you for your interest in applying for a Refugee Access Loan RefuAid lends up to 10,000 to help resettled refugees pay for courses, training, exams or other costs associated with obtaining the licensing or training they require to work in their professional field in the United Kingdom. By completing this application form and submitting it along with the items listed on the checklist, we will have much of the information we require to consider your request for a loan. Loan staff will be happy to answer any questions. After you have completed and submitted your application and checklist documents, you will meet with a loan facilitator to discuss your application. If there is no RefuAid facilitator near you, your meeting will be by Skype or by phone. During your conversation with the loan facilitator, he or she will gather additional information that will help the Loan Review Team assess your application. Please visit www.refuaid.org/loanscheme for more information Or email: tamsyn@refuaid.org The RefuAid team, partners and funders wish you every success as you move towards achieving your career goals in the UK 1

Application Checklist Please send the following items with your application. Photocopies or scanned copies sent via email are acceptable. Please do NOT send us original documents. Application Form - A fully completed and signed application form Immigration Status - Copy of documentation stating your current immigration status, whether Permanent Resident, Citizen or Protected Person; if you have gained asylum we must see your letter of acceptance from the Home Office. Recent bank statement Dated from the last three months. We need to see this because loan repayments are taken via Direct Debit. If you do not have a bank account yet, please open one before you apply (go to www.refuaid.org/bank-accounts). Proof of household income - (for example, pay stub, student funding letter, National Insurance information or Income Support confirmation). Please also provide proof of income for other members of your household who contribute to the household s expenses if you can. Credit check Please undertake a Credit Search (you can do a free Credit Search with the agency Clear Score: https://www.clearscore.com/) and include a copy in your application. Prior training/education - Copy of translated educational certificates or assessments from services such as World Education Services or International Qualification Assessment Services (transcript is optional) CV/Resume - (include home country and education and work experience) Level of English - Most recent documentation showing level of English. This is not required if English is your mother tongue. Job advertisements - Job posting(s) describing the job you would like to have after you complete your learning plan Your licensing/training plan - Printed information about any programs or courses you plan to take and the learning institution, or information on exams you need to write. If applicable, please include a letter of acceptance into the program or institution. At least two references - (see page 12) We must have these items in order to assess your application. We are not able to consider incomplete applications. If possible, please send your application form and checklist documents in a single email. Please put your name in the subject line of any emails. 2

Information First Name: Last Name: Address: Town: Post Code: Phone Mobile: Home: Email address: Date of Birth: / / Male Female Country of Birth: Date you arrived in the United Kingdom: / / Immigration Status: Under Humanitarian Protection British Citizen Indefinite Leave to Remain Refugee Status Discretionary Leave to Remain Biometric Residence Permit (BRP) number: (Please note, you will be asked to show your BRP at interview) National Insurance number: Marital Status: Married or in Civil Partnership Single Living with Partner Separated 3

Do you have undischarged bankruptcy? Yes No (If you answer yes to this question we are not able to lend while your bankruptcy is still active. We can consider your application for loan once you are released from your legal obligation to repay the debts covered by your bankruptcy.) Have you received a RAL loan in the past? Yes No If yes, in what year? How did you hear about RefuAid? 4

Learning Plan Please let us know what you will do which course you will take, which exams you will take in order to become better able to work within your field in the United Kingdom. Course Details (do not include courses or exams you have already completed) Courses and Programs Date fees must be paid Course Start Date Course End Date Costs Exams Details (do not include exams you have already completed) Date fees must be paid Exam Date Date Results Expected Costs 5

Professional Associations (including membership and licensure fees) Details Date Fees must be paid Date membership or licence will be active Date membership licence will expire Costs Qualification Assessments (including English language evaluation/testing) Details Date fees must be paid Completion Date / / / / Costs / / / / / / / / 6

Details of materials/books Books and Course Materials Dates books/materials must be purchased by / / Costs / / / / / / Details (travel: method of travel; accommodation: number of nights) Travel and Accommodation (only to complete courses or exams indicated in the learning plan) Date travel must be booked mm/dd/yy Date of first exam or course mm/dd/yy Date of last exam or course mm/dd/yy Costs Details Living Allowance (only for the shortfall during learning period) Date you would First month required require funds to help with living costs Last month required Costs (total) 7

Details (description of item, purpose) Other (for example: computer, software, tools) Date item must be purchased/commitment made yy / / Costs / / Total Costs Loan Request I wish to borrow: I need for my first loan advance on / / to cover my learning plan costs for the first 3 or 4 months. Goals - What occupation do you want to work in for your short-term goal? This is likely the occupation you will have when you complete the above learning plan. - What occupation do you want to work in for your long-term goal? This may be the same occupation as above, but it may be something you will continue to work toward after you reach your short-term goal. 8

Expenses (during learning plan ) Monthly Personal Budget Based upon adults and children in my family living with me, my household s average monthly expenses, during my learning plan will be: Item Cost Rent/Mortgage Utilities (heat, water, electricity, internet) Phone Food (groceries and dining out) Household and personal care supplies Childcare Prescriptions and additional medical costs Clothing Transportation (car insurance, oyster, bus pass) Money sent back home to family Money sent back home for debt repayment Home and Life Insurance Credit Card Payments Loan Payments (car, furniture, student loan, etc.) Other/Miscellaneous Costs 9

Total: Income (during learning plan) My household s average gross and net monthly income during my learning plan will come from:. Source of Income Gross Income (before deductions) Net Income (after all deductions) My full-time employment working as a My part-time employment working as a Student Finance Loan or Grant (average monthly allowance) My partner s employment working as a If you do not know your partner s employment, tick here Other household members employment Income support Housing Benefit Child Tax Benefit Other: Total: 10

Assets and Liabilities Separate from your monthly budget, this section addresses how much you own and how much you have owing. If you own any of the following assets, please complete the following: Value Amount Owing Monthly Payments Home Car Additional Car (s) Other Value Amount Owing Monthly Payments Savings Investments Total Amount owing Monthly Payments Credit Limit Please tell us what this money was used for: Credit Cards (please ONLY list if you do not pay the balance in full every month) Loans (student, bank, payday, family) Outstanding bills (heat/water/ electricity) Total: 11

References We must speak with at least two references. It is helpful if you provide the details of three references in case someone is difficult to reach. We prefer to speak with references who have known you since you reached the UK. Only provide friends and co-workers if you cannot provide a reference from a caseworker, landlord, counsellor or teacher. Please get the consent of your references and let them know RefuAid will be contacting them. We may call/email your references in the future if we cannot contact you. First Name Last Name Phone Email How long have you known this person? What is their relationship to you? 1. 2. 3. (optional) 12

Declaration/Consent The information I have provided is complete and accurate. I give consent for RefuAid and/or its agent(s) to: Obtain/review a report of my credit history Discuss my situation with organisations where I have applied or may apply for training, classes or coaching (and within RefuAid and its agent(s) Assess my learning plan by discussing my application with staff of RefuAid and/or its agents, and RefuAid volunteers Use data to track and monitor the success of the RefuAid loan programme Providing I have signed a consent form authorizing RefuAid to do so, provide information included on this application form and disclosed in an interview, and provide my contact information to those authorized to contact me Contact my references and inform them I have applied for a RefuAid access loan If my application is approved, I further give consent for RefuAid and/or its agent(s) to: Provide information about me and my loan to RefuAid s loan administration partner, for the purposes of administering my loan Provide information about my loan to financial institutions Register my loan with a credit bureau Use my contact information to keep in contact with me. I understand that RefuAid may call my references in the future if they cannot contact me. Use my contact information to send me information about RefuAid and its agent(s), or general information RefuAid and its agent(s) believe will be of interest to me Use information from my application form, from my learning plan, and from communications I have with RefuAid to help RefuAid, its agent(s) and its funders understand: my personal situation 13

the progress I make on my leaning plan and when I complete it information about my employment and income the impact my RefuAid loan program has had on my finding employment in my field the effectiveness and quality of the RefuAid loan program me By ticking this box, RefuAid can use my contact information to send me information about RefuAid or general information RefuAid believes will be of interest to me. I understand that in collecting this information, RefuAid and/or its agent(s) will not identify me by name unless I say they can. I understand that by submitting this application does not guarantee I will receive a loan. I confirm that the information provided on this application is complete and accurate. Name: Signature: (if you are completing this form online, please insert a 'digital signature') Date: / / RefuAid is committed to maintaining the accuracy, confidentiality and security of your personal Information and does so in accordance with the Data Protection Act. If you have any questions about how your personal data and/or information will be used, how it will be protected and how long it will be kept, please email tamsyn@refuaid.org to request our Data Policy. 14

Banks/Building Societies offering Fee-Free Bank Accounts Banks and Building societies in the UK are to launch basic bank accounts which will not charge a fee for missed payments. The accounts will be available to anyone who does not already have a bank account, is ineligible for a standard current account or can t use their existing account because of financial problems. The new accounts will be available from 1 January 2016 to people who fail to qualify for a full current account. Bank/Building Society Barclays Santander NatWest Ulster Bank RBS (England and Wales) HSBC Nationwide Co-operative Bank Lloyds/ Halifax/ Bank of Scotland TSB Yorkshire and Clydesdale Banks Account Name Barclays Basic Current Account Basic Current Account Foundation Account Foundation Account Foundation Account Basic Bank Account FlexBasic Cashminder Basic Account Cash Account Ready Cash Account Contact your local bank in order to make an application for a basic bank account. 15