PART TIME STUDENTS ONLY
Cumbria Bursary Application
Academic Year 2018/19 /

The part-time Cumbria Bursary for undergraduate students is worth £1,500 in total over the first three years of the course- £500 cash paid in each year. Recipients must be studying at least 50%, registered on a minimum three-year award and have been residents of the UK or the EU for at least three years before starting their course. Applicants must have a residual household income under £25,000.

The closing date for applications is 5th October 2018

If you have any questions please send an email to:

1. Your personal details
1.1 Your first name(s)
1.2 Your surname
1.3 Your student number
1.4 Your home address
1.5 Contact telephone number
1.6 E-mail address
1.7 Your marital status / Single
In a relationship / living with a partner
1.8 Do you have dependent children? / YES / How many dependent children do you have?
NO
2. Eligibility Criteria
In order to be considered for the part time Cumbria Bursary award you need to meet the criteria below. Please place a cross X in all boxes to confirm:
2.1 You are studying at least 50% and registered on a minimum three year award
2.2 Your residual household income is less than £25,000
2.3 You are not undertaking a postgraduate qualification
2.4 You are not continuing from one course to another (e.g. foundation degree to final year top-up)
2.5 You are ordinarily resident in the UK or the EU
3. Income Assessment
Please note: only send copies of evidence not originals as we will not be returning the documents to you.
3.1 Are you or your husband / wife / civil partner / partner getting one or more of the state benefits listed below?
Universal Credit
Income Support
Housing Benefit / Local Housing Allowance
Income-based Jobseeker’s Allowance
Income-related Employment and Support Allowance
YES
Please provide a copy of evidence (e.g. a completed ‘Confirmation of Benefits’ form; a letter confirming benefit entitlement signed / stamped by job centre).
NO
Please go to section 3.2 page 3.
3.2 Amount of income received from 6th April 2016 to 5th April 2017
You / Husband, wife, civil partner or partner
Income from wages / salary (before deductions)
Please provide evidence e.g. copy of P60, month 12 payslip. / £ / £
Income from self-employment
Please provide evidence e.g. copy of self-assessment tax return. / £ / £
Other income
Please list any other income and provide evidence for each. / £ / £
£ / £
£ / £
4. Declaration
I declare that the information I have given on this form is correct and complete to the best of my knowledge. If I supply false information then I undertake to repay any award obtained.
Signature:
Date:
Please check you have enclosed all required evidence and have completed all relevant sections of this form (any incomplete applications, including applications where the required evidence is missing, will not be processed and will be returned to students for completion).
Please post to:
Joanne Rayson
Student Money Advice Manager
University of Cumbria
Fusehill Street
Carlisle
Cumbria
CA1 2HH

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