Part 2 Bursary Claim Form

16-19 Discretionary Bursary

The Discretionary Bursary is to support students who are facing financial difficulty to stay in education and the bursary will help them achieve the best grades possible.

Students can be awarded support with the costs which may include a school bus pass, 50% towards education trips, exam resits, stationery, text books, uniform and/or protective clothing, university open day train tickets (max 2 tickets) and the purchase of a new Chromebook. If students are over 19 they can apply for a discretionary bursary if they are either continuing a course started aged 16 to 18 (known as being a 19+ continuer) and/or have an Educational Health and Care Plan (EHCP).

In order to be considered for the bursary, students MUST meet ALL of the following at all times:-

Attendance must be 90% or above.

No unauthorised absences.

Punctual to all timetabled lessons.

Meeting all deadlines, including homework and coursework in all subject areas

Working towards target grades in all subject areas.

Display a positive attitude to sixth form studies.

Students who are deemed most in need will be given priority.

Payments

Payments in respect of the Bursary Fund will be paid via BACS. You will be notified when the payment is made. Payments will be processed and reimbursements paid into the Students bank account.

Appeals Procedure

Any appeals to the Bursary Fund awarded must be made in writing to Mrs Hazeldine within 7 days of the notification.

Name*

First NameLast Name

Email:*

username@stedmunds.org

Please tick below the type of claim*

Purchasing through the schoolClaiming money back from a purchase (Transport - Trips/Visits only)

Purchasing through school*

Claiming money back from a purchase*

Course Books (e.g Revision Books)*

Equipment/Materials*

Uniform/Kit (If retailer is not selectable please contact finance team)*

Educational Trips / Visits (These must not be extra-curricular)*

Transport (e.g Bus fare)*

Educational Trips / Visits (These must not be extra-curricular) Refund*

Educational Trips / Visits Receipts

Transport (e.g Bus fare) Refund*

Transport (e.g Bus Fare) Receipts

Bank or Building Society Details

To receive payments, you must have a bank account in your own name that will accept BACS payments. If you do not have a bank account, you will need to open one before completing this form.

Name of Account Holder*

Name of Bank and Branch*

Branch Address*

Sort Code*

Account Number*

Roll Number (if applicable)

Please sign below to confirm that there have been no changes to your financial situation since you originally applied for the 16-19 Bursary Fund and that all the information submitted is correct.

Signature of Learner

Date