EU Hallam PGCE Scholarship application form 01/12

Student Financial Support Centre

Hallam PGCE Scholarship – European Union student application formonly

The Hallam PGCE Scholarship Scheme is a package of financial support for part-time students from low income households.

EU applications will be assessed, where possible, on the same basis as English applications. This means you will be asked to provide evidence to support your application which is equivalent to that provided by English applicants. This evidence relates to residual household income, entry qualifications and other socio-economic criteria, and will need to be translated into English where necessary to enable us to process your application.

How much is the award?

£500 fee waiver (pro rota for part-time students)

Am I eligible for the award?

PGCE awards are only available to new students

  • starting the first year of a PGCE course
  • ordinarily resident in England*or EU students from outside the UK
  • liable to pay the University's 2012/13 tuition fee of £9,000 (part-time students pay a proportion of this fee based on the intensity of their course)
  • from a low income household (defined as one with a residual household income of £25,000)

* The PGCE awardis not available to a student who is ordinarily resident in Scotland, Wales and Northern Ireland.

You are not eligible if

  • you are a part-time student and you are studying less than 25% intensity of the equivalent full-time course
  • your fees are paid in whole or part through sponsorship (for example by your employer)

How do I apply?

Please complete the attached application form. Applications must be submitted together with all documentary evidence as soon as possible and not later than 3 August 2012 for September 2012 starters.

All attached evidence must be provided in English or with an English language translation. Amounts must be converted to British pounds sterling (£) with a note of the exchange rate used and date.

Student Financial Support Centre

Hallam PGCE Scholarship – European Union student application formonly

Applications must be submitted together with all documentary evidence not later than 3 August 2012 for September 2012 starters.

Personal details

Title ______Forename______Surname______

SHU student ID number ______(if available)

Date of birth____ / ____ / _____(DD/MM/YYYY)

Address______

Postcode______

Email address______

Phone/mobile______

Country of domicile ______

Are you ordinarily resident in England? Yes/No*(delete as appropriate)

* The PGCE awardis not available to a student who is ordinarily resident in Scotland, Wales and Northern Ireland.

What is your highest qualification? ______

Course of study ______

Year of study______

Length of course______

How many credits are you studying in 2012/13?______

Is your course part-time? Yes/No(delete as appropriate)

Are you repeating the year? Yes/No(delete as appropriate)

Have you ever been a looked-after child? Yes/No*(delete as appropriate)

*A looked-after child is one who has been in public or state care. This means you have been looked after by a local authority or the state.

If yes, how long were you in care and at what age?* ______

* Please attach appropriate supporting evidence.

Household income statement

What is household income?

Your household income is the total amount your family earns each year before tax and national insurance. Household income is usually based on earnings for the previous tax year (2010–11 if you’re applying to study in 2012/13.)

Dependent students –If you’re a dependent student your income and your parents’ income is assessed. You’re classed as a dependent student unless one or more of the bullet points below applies.

Independent students– If you’re an independent student your income and your partner’s income is assessed. You’re classed as an independent student if

  • you’re 25 years old or older
  • you have a child
  • you have no living parents
/
  • you are or have been married or in a civil partnership
  • you’ve supported yourself for three years
  • you’re estranged from your parents

How much is your current household income? £______(British pounds sterling)

Exchange rate of ______from ______to British pounds sterling (£) on ____ / ____ / 2012

You must attach copies of documentary evidence for each item to your application or we will not be able to process your application.All attached evidence must be provided in English or with an English language translation. Amounts must be converted to British pounds sterling (£) with a note of the exchange rate used and date.

Please supply evidence of household income. For example wage slips, evidence of benefits welfare benefits, bank statements showing interest or annual tax statements.

The evidence of any current income or benefits must be no more than four weeks older than the date of your application.

Fill in either weekly, monthly, or annual figures ONLY in the table below for you and your parent or partner as appropriate.

Your income / Parent/partner income
Weekly / Monthly / Annual / Weekly / Monthly / Annual
Earnings
State or other welfare benefits
TAX allowances
Other income

Please confirm the following.

Are you the only child living in your household? Yes/No(delete as appropriate)

Are you the eldest dependent child living in your household? Yes/No(delete as appropriate)

Are there any other dependent children living in your household? Yes/No(delete as appropriate)

Are there any other dependent children living in your household? Yes/No (delete as appropriate)

Declaration

  • I certify that the information that I have given in this application is true and correct to the best of my belief.
  • I understand that giving false information will automatically disqualify my application and may also lead to disciplinary procedures resulting in possible expulsion from the University and/or referral to the police. I further undertake to repay any funding obtained by me as a result.
  • I understand that I must provide documentation as requested. I agree that relevant third parties may be contacted by University staff in connection with this application and that information I have provided in this application may be disclosed to those parties for the purpose of verification or clarification. I will not unreasonably refuse to grant permission to a third party to disclose relevant information to the University if a third party requests such permission. I understand that my failure to grant such permission without good reason may result in the University being unable to process my application for financial support.

Name (capitals) Signature Date

______/_____/ 2012

I also agree to repay the whole amount of any payment made to me as a result of this application if the information I have entered on this form is shown to be false in any way.

Signature______Date _____/_____/ 2012

Once you have fully completed this form please hand it in together withall supporting documents to

Student Financial Support Centre,

Sheffield Hallam University,

2nd Floor,

Surrey Building,

Sheffield,

S1 1WB

Please note that this scholarship will be paid at the end of February 2013.

OFFICE USE ONLY - print out enrolment form and STU screen from SI.

- check whether student is being charged £9000 fees (pro rota for part time students

- check course is delivered in the UK

Check on SI, if not available contact faculty

INTENSITY OF STUDY ______

CREDIT POINTS ______

COURSE FEES £______

Decision: Amt paid fees £______

Approved by______Date_____Put on dbase ____

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