Wadham Student Support Funds: Student Support Grants & Loans Application Form

Transcription

1 Wadham Student Support Funds: Student Support Grants & Loans Application Form The College is concerned that students academic work should not be adversely affected by undue financial pressures. The College has funds available to assist students who experience financial difficulties as a result of unforeseen changes to their circumstances while at Wadham and help may be given either in the form of a grant or a loan, or both. If you find that financial pressure to do paid work in the vacations is preventing serious academic work, you should apply for help. The College expects students to apply for assistance from the Government Access to Learning Fund (ALF) in the first instance. In considering the level of financial support available, the College would also expect that the maximum student loans on offer from the SLC to have been taken (where these are available). Students in financial difficulties should seek advice from the Domestic Bursar or Finance Bursar and application forms for other sources of financial help, due to hardship problems, are available from the Bursary Foyer. Useful advice on avoiding financial difficulties will also be found in the College s Financial Guide for Undergraduates. Completed application forms should be returned to the Finance Bursar s Secretary by: Friday of 4 th week for the Loans and Grants Committee Meetings in 6 th week of Michaelmas and Hilary Terms or Friday of 5 th week for the Loans and Grants Committee Meetings in 7 th week of Trinity Term In the case of requests for urgent financial assistance, applications should be made directly to the Domestic Bursar or Finance Bursar. 1. Personal Details Your first name: Your surname: Term and Year of application: Course: Year of Course (e.g. 1 st ): Undergraduate: Graduate: Name of College Tutor or College Advisor: Your application will be copied to this tutor or adviser who will be asked to comment on its merit (Unless you indicate that you would not like your College Tutor or Advisor to be contacted) Page 1 of 5

2 2. Amount Requested: Is this an application for a Loan or a Grant? (Please tick as appropriate) If it is a Loan, how long do you require the Loan for? Can you supply a Guarantor for the Loan, if required? If yes, please supply the name and address of the Guarantor: Loan Yes Grant No Is this your first request for Hardship Support? Yes No Please state why you are in financial difficulty and your reasons for the amount requested. Page 2 of 5

3 3. Your Financial Resources What is your bank overdraft? (Please provide a copy of your latest bank statement with this application) How much student loan (if available) have you taken out? Do you have any other debts? Yes No If yes, briefly list them: Do you have any other savings? Yes No If yes, briefly list them: Where possible you should supply copies of your last three bank statements relating to the above account. These statements must show your name and bank details mini statements are not acceptable. 4A. Student s Income - please list all the income you will receive this term from: - Oxford Opportunity Bursaries (OOB) Access to Learning Fund (ALF) University Hardship Fund Maintenance Grant Student Loan Parental Support Other (please specify) Your total Income for the term is: Page 3 of 5

4 4B. Partner s Income (if applicable) Net Earnings Total Income (4A and 4B) 4C. Student (and, if relevant, partner s) expenditure Term Electricity Childcare Costs Telephone Travel costs (home to institution one return trip) TV Licence Council Tax Rent/Mortgage/College Accommodation Food/Household/Laundry Gas Water Travel costs (daily travel during term time) Private vehicle costs (road tax/ fuel /insurance/maintenance) Books/equipment/course costs Disability costs not covered by DSA (please specify) Insurance (excluding car/ contents insurance) Other costs (please specify) Contents Insurance Fees Total Expenditure Difference between Total Income and Total Expenditure Page 4 of 5

5 Confidentiality Applications are seen only by the Loans & Grants Committee. It may be necessary for additional supporting information to be sought from other University staff in order for the Committee to reach a decision. Data Protection Act 1998 Wadham College is a data controller in terms of the 1998 legislation. The Loans & Grants Committee follows University policy in matters of data protection. The data requested in this form is covered by the notification provided by the University under the Data Protection Act. Personal data will be used solely for evaluating the application and for no other purpose. The data will not be passed to any other third party without your consent, except when Wadham College is required to do so by law. Any formal enquiries concerning the use of data noted here should be addressed to the Domestic Bursar. Your Name: Your Signature: Date: dd/mm/yy For Office Use Only: Comment of College Tutor or Advisor (if contacted) Signed: Date: dd/mm/yy Details of previous awards made: Decision of Loans and Grants Committee: Signed: Date: dd/mm/yy Page 5 of 5