Bursary Application

Please read the information below

You should read the attached 16-19 Bursary Fund Guidelines to make sure you are eligible to apply.
Please complete all sections of the form and make sure you provide us with copies of the evidence we need. Your application will not be assessed without the correct evidence.
The budget we have is limited so we cannot guarantee that we will be able to provide you with the financial support you request.
Payments of all bursaries are dependent on you maintaining attendance of 80% + on all of your lessons and behaving appropriately, with no unauthorised absence or lateness.

Section 1 - Personal Details

Name*

First Last

Date of Birth*

Gender*

Male
Female

Address*

Street Address Address Line 2 Town / City County Post Code

Phone*

Email*

Section 2 - Residency

Please select which of the following applies to you:*

Have you been a resident in the UK or EU/EEA for the last 3 years?*

Yes
No

Section 3 - Bursary Fund Levels

Bursary Fund Level*

Level 1: Guaranteed Bursary - This is for Students who are in care; young care leavers; young people in receipt of Income Support/Universal Credit in their own name; young people in receipt of Employment and Support Allowance or Universal Credit/Disability Living Allowance or Personal Independence Payments. Students will be eligible for a Bursary of up to £1200.00 a year.
Level 2: Discretionary Bursary - Students who were in receipt of Free School Meals or have a total household income of £16,190 or less. These Students receive full payment of any travel costs if they live more than 2 miles from NTG and Breakfast + Lunch voucher up to the value of £3.00 per day whilst attending at NTG and at their Work Placement.
Level 3: Discretionary Travel Bursary - Students whose household income is more than £16,190, but less than £30,000. These Students will receive a contribution towards the cost of travel if they live more than 2 miles from NTG/Work Placement and Breakfast + Lunch voucher up to the value of £3.00 per day whilst attending NTG.

Section 4 - Household Income

(Required for Level 2 & Level 3 Bursary Applications)

My Total Household Income is:

Section 5 - Required Financial Evidence

Evidence should be dated within 3 months of the application. Household Income will relate to the Student and their family members with whom they reside.

Please provide Tax Credits Award or Universal Credit Award Notification covering the April 2018/April 2019 Tax Year or: Evidence of household income showing who lives in the house and their related incomes. This may be Council Tax, Housing Benefit evidence along with proof of low income such as:-

Income based Benefit Award letter (Income Support, JSA, ESA no more than 3 months old).

Bank statement no more than 3 months old showing income based benefits or 3 months recent wage slips and P60 for all householders with Working tax credit evidence.

Please note that we cannot process your application without the required evidence.

Section 6 - Travel

Please tell us how you intend to travel to/from your place of study. Tick all that apply:

Travel*

Walk
Cycle
Car
Bus
Train

Section 7 - Bank Account Details

Please fill in this section carefully and ensure the information you provide to us is accurate. We will normally pay you by BACS directly into your Bank Account. For that reason you must have a bank account in your name.

Name*

First Last

Name of Bank*

Sort Code*

Account Number*

Please note: Payment will be transferred weekly to the Student’s bank account via BACS upon authorisation that the student has satisfied all attendance and behaviour requirements. These payments will be made in arrears and there may be delays where there is a query relating to attendance.

Section 8 - Student & Parent Guardian Declaration

This declaration must be signed by all Students. If the income evidence provided belongs to parent(s)/guardian(s) then we must also have a parent/guardian signature.

I/We certify that the information given is, to the best of my/our knowledge and belief correct. Any changes in personal, family or financial circumstances will be notified immediately in writing to BTA.

Please note that giving false information which leads to incorrect or overpayment may result in the stoppage of future bursary payments and recovery of monies already paid.

I/We understand that payments may be delayed or stopped if I do not maintain the minimum BTA requirement of at least 80%+ attendance on all my courses.

For your Information:-

The impact of bursaries on DWP Benefits

Receipt of bursary funding does not affect receipt other means tested benefits paid to familes such as Income Support, Jobseekers Allowance, Child Benefit, Working Tax Credit and Housing Benefit.

However if the student is in receipt of Disability Living Allowance or Personal Independence Payments, and Employment Support Allowance or in receipt of Universal Credit, parents can no longer receive certain household/family benefits for that child e.g Child Benefit.

Student Name*

First Last

Parent/Guardian's Name*

First Last

Date of Application*

Privacy Policy*

We want you to know exactly what we do with your data and why we need the above information to process your enquiry. Please state that you have read and agree to our Privacy Policy.

I agree to the Privacy Policy

Marketing and Communication Preferences*

We’d love to contact you by email, phone, SMS and post with information on courses and events which may be of interest to you. Please let us know if you would like to receive this information.

Email
Phone
SMS
Post
None

Do you confirm that the information given in this form is true, complete and accurate?*

I confirm that the information given in this form is true, complete and accurate.

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Please read the information below

Section 1 - Personal Details

Section 2 - Residency

Section 3 - Bursary Fund Levels

Section 4 - Household Income

Section 5 - Required Financial Evidence

Section 6 - Travel

Section 7 - Bank Account Details

Section 8 - Student & Parent Guardian Declaration

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