Discretionary Fund Application Form Session 2017/2018 The Discretionary Fund is for students who are in, or may be facing, severe financial difficulty. EU and international students are not normally eligible to apply. These Funds are not intended to be your primary source of support for living costs, but are intended as a supplement only. Full guidance notes are available from: www.strath.ac.uk/studentfinancialsupport/financialassistance/discretionaryfund/ CLOSING DATES: 23 March 2018 at 4pm for Students finishing their course in June 2018 or earlier 29 June 2018 at 4pm for Continuing Students Funds are limited and may run out before the advertised closing date. PLEASE ENSURE YOU WRITE DOWN ALL INCOME AND EXPENDITURE. WE CANNOT ASSESS AN INCOMPLETE APPLICATION. IF YOU DO NOT PROVIDE ALL THE DOCUMENTS NEEDED, YOUR APPLICATION WILL BE DELAYED. YOU MUST PROVIDE PHOTOCOPIES - ORIGINALS WILL NOT BE RETURNED. Supporting Statement Checklist for Supporting Evidence If living with a partner provide paperwork for partner. SAAS Award Notice / Student Finance Award Notice (you can download this from your SAAS/ Student Finance account). Applications will not be considered without your Award Notice. Evidence of any other Scholarship/Bursary, Professional and Career Development Loan or support from funding council or other organisation Copy of 3 months most recent bank statements for ALL household accounts (you and your partner s), including savings accounts. Copies of online statements are acceptable but not in spreadsheet format. Copy of lease or mortgage statement or highlight rent/mortgage payments on your bank statements. Earnings Copies of 3 months most recent wage slips. Tax Credits Copy of ALL pages of 2017/2018 award notice. Benefits Copy of ALL pages of most recent Benefit Award Letters (eg Housing Benefit, ESA etc). Debt Provide recent credit card/store card/loan statements. Letters of agreed monthly repayments of other debts and arrears (excluding debt to family and friends). Confirm Attached If you need help or have any questions, please email us or come along to one of our drop in sessions. You can submit your application by email, post or hand it into the Advice Centre. The Advice Centre Student Financial Support Team University of Strathclyde McCance Building, Level 1 16 Richmond Street Glasgow G1 1XQ Drop-in Sessions: Monday to Friday 1400 1600 These times are subject to change. Please refer to guidance notes for drop-in times. financial-support@strath.ac.uk The University of Strathclyde is a charitable body, registered in Scotland, number SC015263
Bank Account Form If the University already holds your bank details, there is no need to complete this form unless your bank account details have changed. Please tick here if your bank details have already been provided: DISCRETIONARY FUND Personal Details Name: Registration Number: Bank/Building Society Details Account Holder Name: Bank Name: Sort Code: Account Number: Student Declaration Signature: Date:
Office Use Only: Date Rec d: Reg 17/18: Y / N Year: Code:.. CASE No: Discretionary Fund Application Form Session 2017/2018 PERSONAL DETAILS Title: Full Name: Date of Birth: Registration Number: 2 0 Nationality: Contact Telephone Number: Are you a Care Experienced Student? Yes No Are you a Carer? Yes No Term Time Address: Is your current residence: Post Code: Parental Home Halls of Residence Rental/Local Authority Owner Occupier Other If Other, please give details: Name of Course: Undergraduate Postgraduate Full-Time Part-Time Year of Study: 1 2 3 4 5 Course completion date: Are you: Single/Separated/Widowed Living with Partner/Married Number of Dependants: (Please list anyone in your household who is financially dependent on you, specifying ages of any children) Name: Age: FUNDING Where does your funding come from (please tick): SAAS Student Finance England Student Finance Wales Student Finance Northern Ireland Other (please give details): If you are responsible for paying your own tuition fees, how are you paying these? The University of Strathclyde is a charitable body, registered in Scotland, number SC015263 1
INCOME Provide details of you and your partner s household income. Income Source Amount Per Month Student Loan (SAAS/Student Finance) SAAS/SFE/SFNI/SFW: Bursary/Maintenance Grant SAAS Lone Parent Grant SAAS Care Experienced Students Bursary Professional and Career Development Loan (for living costs) Trusts/Scholarships Family Contribution Wages (NET i.e., take home pay) Working Tax Credits Child Tax Credits Child Benefit Child Maintenance Employment and Support Allowance Income Support Job Seekers Allowance Housing Benefit Carer s Allowance Pension Other income e.g. from rent/lettings: Write details here: Do you have any savings? Please detail any over 500 Other (specify): EXPENDITURE You Sub Total(s) TOTAL Partner We will automatically calculate figures for food/personal items, mobile/telephone/internet, clothing, TV licence and study costs. These figures have been entered below. If single, only give your own expenditure. If you have a partner/children, give family expenditure. Expenditure Rent / Mortgage / Accommodation Payment Gas / Electricity Council Tax Travel to/from University Healthcare / Special Diets (explain in Supporting Statement) Insurance(s), e.g. building and contents, life Food/Household Mobile Telephone/Internet Study/Books Entertainment/Social Other (specify) TOTAL Amount Per Month 250 per adult / 125 per child 25 per adult / 15 per child 25 per household 20 per application 25 per person 2
DEBT Debts will only be taken into account where there is supporting evidence. Debts to family and friends cannot be taken into account. We do not consider overdrafts as a debt. Debts might include: Credit/Store Cards Loans Catalogues Rent, Council Tax and utility arrears Credit/Store Card(s): Debt Total Minimum Monthly Payment Are you in a Repayment Plan for this debt? Loan(s): Other Debts (do not include overdrafts): Emergency Aid Fund Loan: N/A N/A Have you ever consulted a debt advice agency, e.g. StepChange (www.stepchange.org/) or Citizens Advice Bureau (www.cas.org.uk/) Yes No If so, please provide details:...... Please note: If you have been declared Bankrupt or are in a Trust Deed, you should inform the Accountant or person responsible if you are made an award from the Discretionary Fund. SUPPORTING STATEMENT/PERSONAL CIRCUMSTANCES Please give a detailed statement of your circumstances in support of your application for financial assistance. You should include: Any exceptional/necessary expenditure not covered in this form If you do not receive funding for fees or living costs you must state what other arrangements you have put in place to support yourself and any dependants during your studies. If you are not working, please indicate why Personal or family circumstances that affect you financially Personal or family health issues or disabilities Commercial credit unavailable due to previous financial difficulties If you have a car, state why this is essential If you have listed debts, detail any repayment plans We have included a blank space for you on page 5, however a typed statement would be preferable. 3
DECLARATION You must read the following: I certify that I have read and understood the form and the information I have given is true and accurate. I understand that giving false information will automatically disqualify my application and may also lead to disciplinary action. I confirm that if eligible for a means-tested student loan that I have taken out the maximum amount available to me. I confirm that I am a registered student for session 2017/18. I have provided all the required supporting evidence. I will inform the Student Financial Support Team of any change of circumstances affecting this application. Tick to confirm you agree to this declaration: I understand and agree to the following: o o o The University reserves the right to check all information supplied with application forms. All documents I submit with this application will be retained with my application form for auditing purposes. I may be required to provide proof of actual expenses later in the year. You will not pass my information to anyone outside the Student Financial Support Team without my consent except: Where checks are needed to verify the accuracy of information I have provided; When the Student Financial Support Team is required to do so by a University regulation, the Student Awards Agency for Scotland or other legal requirement; Where my partner is a student at another University and you require to share verification of Discretionary Funds awarded. Any debt to the University (excluding tuition fees) should automatically be deducted if I am made an award. If an award is paid in instalments, payment will cease if I am no longer in attendance (except where I am on Voluntary Suspension), terminate my studies or complete my course. Tick to confirm you understand and agree to the above: Signature:.. Date: 4
SUPPORTING STATEMENT/PERSONAL CIRCUMSTANCES We have included a blank space for you, however a typed statement would be preferable. 5