Higher Education Grant First Time Application

Comments

This field is for validation purposes and should be left unchanged.

Name*

First name Middle name Surname/Family name Known as/Preferred name

Pronouns

Usual residential Address*

Street Address Address Line 2 City County / State / Region Post Code Country

Address during term time if different from above*

Same as previous

Street Address Address Line 2 City County / State / Region Post Code Country

Contact mobile telephone number*

Contact email address*

Date of birth*

Place of birth*

(e.g. London)

Is this your first application for a higher education grant from The Rutlish Foundation?*

Yes

No

Name of university or college*

Course of study*

Number of years on course*

Please enter a number from 0 to 10.

Qualification awarded at completion of course?*

e.g. BSc Biomedical Science, BA History etc.

Secondary school attended

From

To

College/Sixth form attended

From

To

During your time at school/college were you in receipt of free school meals or Pupil Premium Support?*

Yes

No

Don't know

Are your Parent(s)/Guardian(s) Employed?

Parent/Guardian 1*

Yes

No

Parent/Guardian 2

Yes

No

Occupation of Parent(s)/Guardian(s)*

Parent/Guardian 1

Parent/Guardian 2

GSCE or equivalent exam results*

A Levels or equivalent exam results*

Other examinations, degrees or diplomas*

BUDGET

Income

1. Tuition loan*

Income per year

Comments/additional information

2. Maintenance loan*

Income per year

Comments/additional information

3. Money from Parents/Guardians*

Income per year

Comments/additional information

4. Employment income*

Income per year

Comments/additional information

5. Grants/Bursaries received*

Income per year

Comments/additional information

6. Other income*

Income per year

Comments/additional information

Please specify

Total income*

In £

Expected Expenditure

Tuition Fees*

Cost per year

Comments/additional information

*Not all applicants have loans/similar fees

Accomodation*

Cost per year

Comments/additional information

Food/Subsistence*

Cost per year

Comments/additional information

Household Items*

Cost per year

Comments/additional information

Travel/Vehicle*

Cost per year

Comments/additional information

Clubs*

Cost per year

Comments/additional information

e.g. Gym or University Societies

Books*

Cost per year

Comments/additional information

Course Specific Equipment*

Cost per year

Comments/additional information

IT/ Computer Equipment*

Cost per year

Comments/additional information

Software*

Cost per year

Comments/additional information

Socialising / Extramural Activities*

Cost per year

Comments/additional information

Field Trips*

Cost per year

Comments/additional information

Other*

Cost per year

Comments/additional information

Please specify

Total Expenditure

In £

BALANCE

(SURPLUS/DEFICIT)

Additional comments

Any other points you wish to bring to the attention of the Directors and any specific items which you would apply the grant to.

Reference/report on progress and study/work upload

Max. file size: 2 GB.

Please upload the requested Reference/Report on Progress and Study/Work for the 2023/2024 Academic Year here, as required under the Regulations for your application to be submitted and accepted as complete. PLEASE NOTE - RR6 Wimbledon Applicants do not need to provide a reference, this will be provided directly to the Rutlish Foundation by the relevant RR6 Wimbledon Staff Member.

I declare that the information given is accurate. I confirm that I have read the Rutlish Foundation Privacy Policy – For Student Grant Applications (the "Privacy Policy), and I understand that the personal details I have provided in this application will be processed in accordance with the Privacy Policy. * Please note: If you have provided us with someone else’s personal data (such as details about your parents occupation or financial circumstances or details of your tutor or contact at your university or college), you must tell them that you’ve shared this information with us and direct them our Privacy Policy which can be found on our website: www.rutlishfoundation.org.uk Electronic copies of our Privacy Policy can be requested from the Clerk, Mrs Velia Kietzmann at: office@rutlishfoundation.org.uk All Applicants will be contacted within 30 days after the application deadline date.

Signature

Declaration*

I declare that the information given is accurate

Date

Higher Education Grant First Time Application

Information