CONCESSIONARY RIDER

APPLICATION FOR POST-16 SUBSIDISED TRAVEL

2013/2014

Students who are not automatically eligible for the Council’s subsidised travel scheme for further education may apply for a spare seat on a contracted vehicle where these exist. These students travel as Concessionary Riders. The spare places are allocated on a ‘first come, first served’ basis at a cost of £327 per year for 2013/14.

The Concessionary Rider scheme does not start until 1st October each year when bus loadings are settled. You must arrange and fund your own transport to your sixth form or college until a Concessionary Scheme seat is allocated.

If you would like to apply for a Concessionary Rider place for 2013/14 please complete and return your application form as soon as possible to:

  • Transport Officer - Commissioning, CamelBuilding, New County Hall, Truro, TR1 3AY; or
  • ;

Details of Student
Surname...... First Name(s)......
Date of Birth...... Male/Female......
Home Address......
...... Post Code......
Telephone (Home)...... Mobile......
Email address......
Date of moving to above address: / / / /
NB for students with special educational needs – travel is normally provided by bus or train.If you feel you require special provision please enclose additional information and evidence to support this.

Name of College/Sixth Form......

(Please give full name of establishment and campus)

Previous School......

Course Title & Level......

(A Level, BTEC, NVQ etc. Please list all A Level subjects)

Full time/Part time Days attending College: Mon Tues Weds Thurs Fri (Circle as appropriate) (Circle as appropriate)

Length of Course / years (approx.)
Course start date
Course Start Date / / / / / End Date / / / /

CONCESSIONARY RIDER PAYMENT DETAILS

The total contribution for 2013/14 is £327. You can make this in one payment or you may wish to payin three termly instalments (£120 Autumn Term, £120 Spring Term, £87 Summer Term).

Either whole payment or the first termly payment of £120 must be madebefore travel is arranged and passes issued. If paying in termly instalments you will be sent reminders towards the end of the Autumn and Spring terms when the next payments are due.

Please indicate below your chosen method of payment:

I have enclosed a cheque or postal order for £…… (made payable to Cornwall Council)

Credit/Debit card– once your application is approved you will receive areference number which you will need in order to make payment over the telephone by calling 0300 1234 222.

School/college invoice - to be completed by the budget holder only:

Name of School/College/Authority to be invoiced: ......

Address: ......

Authorised Signature: ...... Print Name: ......

Number of terms to invoice: Autumn Spring Summer

Please do not send cash

DECLARATION

The information you have submitted on this form will be used by Cornwall Council to administer

your application. We may share the information you have given us with other services or

professionals working for or on behalf of the Council in respect to that application process. We

will treat your information throughout this process confidentially and limit access to it to only

those who need to view it. Cornwall Council adheres to all the principles of the Data Protection

Act 1998. Your information will be stored electronically on password protected and access

controlled computer systems and will be deleted after one year. Our Data Protection policy can

be viewed at

I undertake to notify Cornwall Council immediately of any change which could affect the

application, and I agree that failure to make the relevant payments will result in the suspension

of subsidised transport (the student should not attempt to travel until the appropriate pass is

received).

Parent/Guardian Name
(Including title, Mr, Mrs, etc)
Parent/Guardian
(Signature) / Date
For Office Use Only
Student No: / Agreed/Refused / College Code / Course Code / Qualification Code / Route Code(s)