CONFIDENTIAL

FORM AET 33

AYRSHIRE EDUCATIONAL TRUST

SECTION 33 – ASSISTANCE IN OBTAINING PRACTICAL EXPERIENCE OF TRADES, ETC.

For residents of Ayrshire who require aid in order to enable them to travel to and reside at Centres at a distance from their homes whilst serving apprenticeships, or undergoing courses of technical instruction in or gaining practical experience of the details of any profession, trade or occupation. Assistance can be given to offset travel and accommodation costs and fees and to obtain any necessary books, instruments or tools.

Successful applicants are required to submit a report to the Trust on their experiences and the educational benefits within one month of the apprenticeship or course taking place.

Please complete all sections, sign the application form and return it to Heather MacDonald, Economy & Skills, Civic Centre South, John Dickie Street, Kilmarnock KA1 1HW.

Section 1

Applicant’s Details:-

  1. Name

  1. Date of Birth

  1. Full postal address

  1. Email address

  1. Telephone number

  1. Contact details of applicant’s parent(s)/guardian(s) if different from above

Section 2

Educational Details (the governing body shall have regard to the diligence, attainment and promise of the applicant):-

  1. School attended by applicant

  1. Date applicant left school

  1. School certificates/attainments(if applicable)

  1. University/College attended by applicant

  1. Date of entry to University/College

  1. Date of leaving University/College

  1. Details of University/College course undertaken

  1. Degree, diploma or other University/College qualification obtained (if applicable)

  1. (Intended) Occupation

Section 3

Travel Details (to travel and live at Centres a distance from home whilst serving an apprenticeship, undertaking a technical course, or gaining practical experience of any profession, trade or occupation):-

  1. Centre to be attended including full postal address

  1. Details of the apprenticeship, technical course, etc including trade/profession

Start date
Finish date
  1. Details of assistance required (travel, accommodation costs, fees, books, instruments, tools). Please provide a breakdown of costs

  1. Anticipated educational benefit to be gained from the proposed apprenticeship, technical course etc
Please continue on separate sheet if necessary
Additional information

Section 4

Financial Details (the governing body shall have regard to the financial circumstances of the applicant and the expenses likely to be incurred by them);-

  1. This section to be completed by the applicant, detailing all sources of income:-
Income from sources stated:- / Amount £ (per annum)
Education Maintenance Allowance
Student Loan
(other) Bursary
Scholarship
Earnings from Employment
Earnings from Apprenticeship or Internship
DWP (Dept for Work and Pensions) Benefit Award(s)
(if applicable, or see household income section)
Any other income
The Trust may ask applicants to provide their most recent award letter from the Department for Work and Pensions as verification of benefits received
Please provide details of any employment/apprenticeship/internship
  1. Additional sponsorship(s) secured (please provide details of any sponsorship that you have secured or applied for in connection with the course of study to be undertaken)
Name of Sponsor / Amount Requested / Amount Awarded / Award Date / If not yet awarded, when is sponsor’s decision expected?
  1. Your Bank Details
Please give details of your bank account
Name of bank
Address
Title of bank account
Account No
Sort Code
  1. This section to be completed for all other persons in the household, detailing all sources of income:-
Income from sources stated:- / Amount £ per annum
Earnings from Employment
DWP Benefits for Families(eg Child Trust Funds, Child Care, Sure Start Maternity Grant)
DWP Carers and Disability Benefits(eg Disability Living Allowance, Carers Allowance, Employment and Support Allowance/Universal Credit)
DWP Child Benefit
DWP Death Benefits (eg Widowed Parents Allowance, Bereavement Payment)
DWP Heating and Housing Benefit/Universal Credit
DWP Jobseekers Allowance/Universal Credit and Low Income Benefits (eg Income Support/Universal Credit and Pension Credit)
DWP Tax Credits (eg Working Tax Credit/Universal Credit, Child Tax Credit/Universal Credit)
Pensions
Bank/Building Society Interest
Dividends from Stock, Shares, Bonds or Securities
Rents Received
Any Other Income
The candidate should obtain permission from the other persons residing in the household to disclose this information to the Trust
ALL INCOME DETAILS PROVIDED WILL BE TREATED IN THE STRICTEST CONFIDENCE AND WILL ONLY BE USED FOR THE PURPOSE OF ASSESSING THIS APPLICATION
The Trust may ask for the most recent award letter from the Department for Work and Pensions to be provided as verification of benefits received.
  1. Declaration by Applicant
I hereby declare that the details given on this form are correct and to the best of my knowledge
Signature
Date
FOR OFFICIAL USE ONLY
Date application received
Date presented to Trust
Decision
Condition(s) of award (if applicable)

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