ST. JOHN’SCOLLEGE

APPLICATION FORM FOR HARDSHIPFUNDS

Thisfundisusedtohelpstudentswhoaresufferingfinancialhardshipasaresultofunforeseencircumstances.

1.Please complete both pages of this application form, sign the declaration and passitontoyourTutorifyouareanundergraduate,ortoyourSupervisororCollegeAdviser if you are a graduate student. He/she should comment in the spacebelow.

2.Theformshouldthenbepassedtomeor,inmyabsence,theAcademic Dean.Ifforanyreason you do not wish your Tutor or Supervisor to see your application, you may senditdirectly to me. You may also send it to any other member of the Hardship Committeeifyoudonotwishmetoseeit.

3.I will then arrange a brief meeting with you as soon as I can to discussyourapplication,andwillthensendittomembersoftheHardshipCommitteefortheirviews. As soon as they have replied, I will let you know the decision. I try tocompletethewholeprocesswithinaweek.Ifyouareunhappywiththedecisionreached,youshouldwritetomeandIwillinformtherestoftheCommittee.

4.YouridentitywillbekeptstrictlyconfidentialbythemembersoftheHardshipCommitteeand,ifnecessary,theFinanceBursar.However,youdohavetherightto remain anonymous. If you wish to do so, please let me know when we meet andI will have your name removed from the copies of the application andanysupporting documents before circulatingthem.

5.TheHardshipCommitteecomprisesthePresident,PrincipalBursar,Academic Dean,Chaplain,FinanceBursar,SeniorDean,JuniorDean.

Prof. Patrick Hayes,

SeniorDean

DECLARATION

Icertifythattothebestofmyknowledgethisisatruestatementofmyincomefromallsources and of my necessary expenditure for this academicyear.

Name in capitals...... Signature...... Date......

Statement by Tutor or Supervisor of any relevant academicconsiderations:

Name incapitals ………………………………………………………………….

Signature...... Date......

ST. JOHN’SCOLLEGE

APPLICATION FORM FOR HARDSHIPFUNDS

Name in caps ...... Subject andyear…………………

Reasonforapplication(indicatethenatureoftheunforeseencircumstances):

1.Present financialsituation:

Outstanding battels (with due date forpayment)Bankoverdraft

Any other debts (excluding studentloans)

2.Expected income for the current academic year(October-September): Grants, scholarshipsetc

StudentloanFamilysupport

Allearningsfromemployment

Support from/applications to University hardshipfundsAny otherincome

Totalincome:

Expected expenditure for the current academicyear:Maintenance(rent)

Maintenance (food, billsetc)Fees

Any otherexpenditure

Totalexpenditure: