Foundation Application Form - Gateshead College

Please use this form to apply for funding from the Gateshead College Foundation.

Completion of the form does not guarantee that financial support will be given.

Funds are typically available for support when selected for national/international sports teams or competitions, travel, kit, clothing for work experience or job interviews.

Personal Details

Name*

First Last

Date of Birth*

Phone*

Email*

Student Number*

This field is hidden when viewing the form

Student Number*

Course*

Funding Purpose

What do you need financial support from the Gateshead College Foundation for?*

Please use this section to provide a breakdown of costs associated*

Why do you need help with these costs?*

Have you investigated other sources of funding?*

Please explain how this funding will help you meet your potential and improve your prospects*

Household Income

Please tick the box which best describes your current circumstances. Do you live?*

With my parent(s)/guardian(s)/carer(s)

With my dependent children (lone parents only)

With my partner/spouse

Alone

None of the above

How many people are in your household?*

Name

Relationship to you

Age

Please select one of the below if you, or any of your parents/carers claim any of these benefits*

Income Based Jobseeker’s Allowance

Income Support

Employment and Support Allowance

Guaranteed Pension Credit

Universal Credit (as only source of income, for example Jobseeking)

None of the above

If you answered ‘none of the above’ to the question above, please give further information below:

Salary 1

Weekly / Monthly

Notes

Salary 2

Weekly / Monthly

Notes

Working Tax Credit (not Child Tax Credit)

Weekly / Monthly

Notes

Universal Credit (paid in conjunction with salary)

Weekly / Monthly

Notes

Other income (please state what this is for in second column)

Weekly / Monthly

Notes

Total

Weekly / Monthly

Notes

Please upload evidence here*

Max. file size: 25 MB.

Bank Details

Full name of account holder*

First Last

Name of bank/building society*

Sort code*

Account number*

To confirm bank details are correct please enclose evidence of your bank account such as a letter or bank statement.*

Max. file size: 25 MB.

Student Declaration

By completing this form and submitting you are confirming that you understand and agree to the below:

The information on this application form is complete and accurate.

You understand that if you submit false information, or fail to give complete information, financial support will be withdrawn.

All awards are subject to funds being available. The Foundation reserves the right to reduce or refuse requests if they are deemed to be excessive or funds are limited.

You understand that it is your responsibility to inform the DWP/Jobcentre Plus if you receive an award for living costs or housing costs that are already being covered by welfare benefits

All awards are subject to a minimum of 92% attendance, adhering to the student code of conduct and funds being available

To provide any additional information where required

If you use fraudulent methods to obtain financial support, the College disciplinary procedures will apply and the police may be informed.

If successful with your application you agree to repay in whole or in part, at the discretion of the Gateshead College Foundation, the award made if you withdraw from your course without good reason.

Gateshead college may make payments to third parties where appropriate

You may be asked to return items that are purchased on your behalf to the Gateshead College Foundation on completion of your course

You will inform the Support Funds Team immediately of any change of circumstances which may affect entitlement to support

You have read terms and conditions associated with this application

Consent for someone else to contact the college on my behalf about this application

If you would like someone else to be able to speak to the college about this application, please give us their full details below, otherwise we will only discuss this with you

Name

First Last

Relationship to you

Date of application

Gateshead College Foundation Application Form

Personal Details

Funding Purpose

Household Income

Bank Details

Student Declaration

Consent for someone else to contact the college on my behalf about this application

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