12.07.2015 Views

information sheet and application form - Yeovil College

information sheet and application form - Yeovil College

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For<strong>College</strong>Date Received:Student PC:Bursary ID:19+ Adult Discretionary Support Fund Application Form 2013/2014Closing Date:1st November 2013 (completed <strong>application</strong>s are assessed in the order received).Some questions ask you to include evidence with your <strong>application</strong> (if applicable to learner/learner’s household).Learner DetailsFirst Name(s):Surname:Date of Birth: Age at 31 August 2013:Address:Home No:Mobile No:Email:Eligibility ChecksTick as applicable to the learnerAre you attending a funded adult Further Education (FE) course or an Adult Skillscourse programme during the 2013/2014 academic year?Are you attending a waged Apprenticeship or a Higher Education (HE)programme during the 2013/2014 academic year?Have you been ordinarily resident in the UK, EU or EEA between 1st September2010 <strong>and</strong> 31 August 2013 <strong>and</strong> have “settled” status?Are you aged 19-24 on the 31st August 2013Are you 24+ on the 31 August 2013 <strong>and</strong> studying at Entry Level, Level 1 or Level 2?Are you 24+ <strong>and</strong> studying at Level 3 or above?Childcare ExpensesYESYESYESYESYESYESNONONONONOIf yes you are noteligible for this fundplease use 24+Application <strong>form</strong>Tick as appropriate to you, the learner, <strong>and</strong> provide details of childcare provider if applicable.Do you require Learner Support 20+ Childcare Assistance? Yes NoChildcare Provider’s Name:Ofsted Registration No:Childcare Provider’s Address:

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