Confidential Application for Financial Assistance

Before completing this form, please ensure you have read the information relating to the fund that you are applying for and understand what supporting evidence should be submitted so that the application can be considered.

Applying for the Discretionary Fund (formerly the Hardship Fund)

Applying for the Childcare Fund & Lone Parent Childcare Grant

Applying for the International Hardship Fund

Calculating your income and expenditure

(All fields marked with an asterisk (*) are required.)

Step 1: Your Financial Assistance requirements

How much are you applying for?

 (guidance)

 (guidance)

 (guidance)

 (guidance)

Step 2: Your personal details

Age of child

Age of first child

Age of second child

Age of first child

Age of second child

Age of third child

Age of first child

Age of second child

Age of third child

Age of fourth child

Age of first child

Age of second child

Age of third child

Age of fourth child

Age of fifth child

Step 3: Your bank details

Any award made can only be paid into a UK bank account. Every UK account has a six digit sort-code and an eight digit account number.

Step 4: Your course details

Step 5: Your income

Budget Statement for Academic Year (2 semesters), on average 34 weeks. Each box must show the total for the 34 weeks (multiply by 8 for monthly amounts).

See Guidance Notes for details. Consult the checklist at the end for details of documentary evidence required to back up these figures.

A total income of zero cannot be included in this step as it is expected that all students on course will have a form of income during the academic year. This could be a student loan/bursary, bank loan, family/parental/partners contribution, part-time earnings, savings or be in receipt of state benefits.

Any other form of income (eg benefits not listed above, savings, child support from a former partner.)

Step 6: Your expenditure

Budget Statement for Academic Year (2 semesters), on average 34 weeks. Each box must show the total for the 34 weeks (multiply by 8 for monthly amounts).

See Guidance Notes for details. Consult the checklist at the end for details of documentary evidence required to back up these figures.

Any other form of expenditure incurred during the academic year eg placement costs, gym membership etc. Please provide an explanation in your personal statement to support your application.

Step 7: Your personal statement

Your application will only be considered if you give a detailed account of the exceptional circumstances leading to your application.

Step 8: Review and send application

Please review your application and confirm you understand the terms and conditions before sending.

I confirm that I have read the guidance information relating to the fund that I am applying to and understand what supporting evidence should be submitted so that the application can be considered.

I have read and understood our privacy statement and to the best of my knowledge and belief, the details I have given on this form are complete and accurate.