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Financial Support Application Form

Welcome to the online application form for financial support. Please make sure you have read the guidance we have provided on the following web page General Information before submitting your application. Please note the form will take around 15 minutes to complete and you can not save your data part way through. We will send you an e.mail confirmation on receipt of your application that will list the supporting evidence you are required to supply.

Please Note: Undergraduate Students can only submit an application for financial support after they have applied for their full statutory support entitlement and received their first instalment.

Questions? - financialhelp@shef.ac.uk

Personal Details

Student Registration Number: (required)

Your Title: (required)

Your First Name: (in full) (required)

Your Family Name: (in full) (required)

Mobile Telephone Number:

Home Telephone Number:

University Email Address: (required)

(A copy of your submitted application will be sent to this e.mail address. Please check your email on a regular basis, we may wish to contact you for additional information to support your application or give you up to date announcements)

Date of Birth (dd/mm/yy): (required)

Your age: (in years) on 1/9/2012 (required)

Nationality: (required)

Tuition Fee Status (required)

Home(UK) Fee
Oversees Fee

Marital Status: (required)

Sheffield Accommodation - who do you live with? (required)
Please give your address, details of everyone sharing the accommodation and their relationship to you (include housemate, partner, any children and other members of your family where applicable)

Eligibility

I am a Postgraduate (excluding PGCE), International or European Student (required) (this includes International or European Students studying an Undergraduate Course)

If you answered YES please go direct to Course Details

I am a UK(Home) Undergraduate, PGCE or Part Time Student

If you answered YES complete the two questions below before continuing to Course Details.

I have applied for the full entitlement of my statutory support package from Student Finance?

I have received the first instalment of my statutory support entitlement i.e loans, grants?

(If you have not applied for your full statutory support entitlement or received your first instalment you are not eligible to apply for Financial Support until you have done so. UG students who are not eligible for statutory support should e.mail financialhelp@sheffield.ac.uk for advice on how to proceed.)

Course Details

Course Title e.g BA History, MA Law: (required)

Faculty/Department: (required)

Are you studying? (required)

Full Time
Part Time

What year are you studying? e.g 1st, 2nd (required)

Is this a repeat year? (required)

For UK Postgraduate students ONLY When studying as an Undergraduate, were you in receipt of a full support grant from Student Finance? i.e Higher Education Grant, Maintenance Grant etc...

Yes
No
Don't Know

Your Dependants

Do you have any adult/child dependents living with you who are also financially dependent on you? (required)

If YES please provide details of their name and age.

Is your child/children registered at the University Nursery or Holiday Club?

Do you have any adults living with you who are also financially dependent on you?

If YES please provide details of their name and age.

Disability/Medical Condition/Learning

Do you have a disability, medical condition or learning difficulty? (required)

If YES please give some brief information below:

Have you applied for the Disabled Students' Allowance (DSA)?

(If you are in receipt of DSA please provide a copy of the confirmation letter from your funding body as evidence)

Debts To The University

Do you have any of the following debts to the University? (not tuition and library debts). You should be aware that you will not be able to graduate if you have an outstanding debt with the University.

University Accommodation Debt

Short-Term University Loan Debt

If your application is successful, would you be willing for us to pay off the debt from your award? If yes please select the percentage below:

100%
75%
50%

Bank & Building Society

Please provide below details of ALL accounts held by you and your partner (if applicable) (required)
Include the Name & Location of the Bank/Building Society and the Account Number

Personal Circumstances

Please complete this section by telling us about your circumstances in brief detail. Including:

*Unusual "one-off" costs that could not have been foreseen.

*Exceptional circumstances that have affected your financial position.

*If it is not possible for you to engage in paid employment.

*Why you are in financial difficulty.

This does not have to be in essay format, please feel free to write brief notes and use bullet points.

Remember to support your statement with documentary evidence. (required)

Checklist of Evidence Required

Below is a checklist of evidence that you are required to supply after you have submitted your application. On receipt of your application we will send you a confirmation e.mail that will list the documentation you are required to provide. The deadline for submission of evidence is Friday 7th June 2013. *Incomplete applications will not be considered*. Please click on the evidence that you intend to submit.

Money Plan (required)

1. All Students must provide a PDF print out of their Money Plan

Go to the following website http://www.sheffield.ac.uk/undergraduate/finance/moneytools/moneyplanner and complete the money-planner. When you have done this please save your Money Plan by clicking on the 'Download PDF' button as you are required to submit this document.

Undergraduate & PGCE Student Finance Documents

2. Student Finance Breakdown
3. Student Finance Payment Timetable

Undergraduate & PGCE Students must provide their Student Finance Breakdown & Payment Timetable. The breakdown shows your statutory support entitlement and the payment timetable confirms the date of payment and the amount of loan requested.

Postgraduate, International & EU Students - Main Source of Income

4. Proof of Main Source of Income

e.g. Professional & Career Development Loan, Scholarships, Wages.

Home PGT Students - Evidence of full grant entitlement as an Undergraduate

4A. Eligibility for full grant as UG

All Students must provide Proof of Accommodation costs (required)

5. Proof of Accomodation costs

i.e. Rent Agreement or proof of Mortgage ANNUAL INTEREST payments: a certificate showing this can be obtained from your Bank/Building Society. Also include evidence of any Buildings Insurance.

All Students must provide proof of their financial situation (required)

6. Proof of Financial Situation

i.e. Copies of 3 months' most recent consecutive up to date bank statements/bank ledgers listing transactions for EACH account you and your partner (if applicable) hold, a copy of your Building Society Book, 3 months' credit card statements etc. The statements must show your name and bank details - print outs from your online account are acceptable, mini statements are not.

Provide evidence of any part time earnings (where applicable)

7. Proof of Part-Time Earnings

i.e. Last 4 weeks wage slips

Provide evidence of your partner's income (where applicable)

8. Proof of Partner's Income

i.e. Last 3 months pay slips, benefit awards/entitlements, grants or award letter etc...

Provide evidence of Inland Revenue notification of Child Tax Credit and/or Working Tax Credit awards (where applicable)

9. Proof of Child/Working Tax Credit Statement

Provide evidence relating to travel and/or private vehicle costs (where applicable)

10. Proof of Transport Costs

Provide evidence of benefits (where applicable)

11. Evidence relating to benefit entitlement

Provide evidence to support any exceptional circumstances that you identified in your statement

12. Evidence relating to special circumstances

Provide evidence relating to a disability you have declared (where applicable)

13. Evidence relating to disability

Provide evidence of your childcare costs (where applicable)

14. Evidence relating to childcare costs

Confidentiality

Applications are only seen by Student Services Staff and the Financial Help Advisory Panel, if necessary. In some cases it may be necessary for additional supporting evidence to be sought by yourself from other university staff in order for the Panel to reach a decision.

Monitoring

To enable us to improve our publicity for the financial support scheme, (required) please state where you heard about this scheme. Please choose only one as appropriate:

Student Advice Centre
University Web Pages
Word of Mouth
Academic Department
Student Services

Data Protection Act 1998

The University of Sheffield is a data controller in terms of 1998 legislation. The Student Services Department follows University policy in matters of data protection. The data requested in this form is covered by the notification provided by the University under the Data Protection Act. Personal data will be used solely in the department for statistical purposes and electronic records keeping. The data will not be passed to any third party without your consent, except when the University is required to do so by law. Should you have any concerns as to how this information is used please contact the Student Services information Desk, Union of Students' building.

Declaration

*I have read all the documentation included with this application, including the Guidance Notes.

*I declare that the information I have given on this form is true, complete and accurate.

*I understand that providing false information in an attempt to obtain funds from the University, BIS (Department of Business Innovation & Skills) or other funding body would be fraudulent and could result in disciplinary action and will automatically disqualify my application.

*I have fully declared all sources of income and all financial accounts I and my partner (if relevant) hold.

*I will contact the University if my circumstances change in any way.

*I will forward documentary evidence in support of my application and understand that my application will not be processed without adequate evidence.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (required)

I agree to the terms and conditions set out above.

Feedback

On a scale of 1-5 with 1 being EASY, how easy was it for you to complete this form?

Comments on how easy/difficult this form is to complete.

*PLEASE NOTE - You can not submit this form without completing all of the required fields. If you click SEND and the form remains on the screen it means you have not completed all of the required sections. If your submission has been successful you will receive a message on screen confirming this and a confirmation e.mail will be sent to the address stated on the form. The e.mail will also explain how to provide your supporting documentation. If you have any questions regarding this web form please e.mail financialhelp@sheffield.ac.uk