BIPOC Access Bursary Application

Form
We offer a small number of bursary places to reduce cost barriers for people who identify as BIPOC.We know money can be a tender topic. This form is not a judgement. It simply helps us allocate a small number of bursary places as fairly and gently as we can. Please answer only what you can. Estimates are fine. Prefer not to say is always okay. Your information is confidential and only seen by the admin team. Places are limited, so we prioritise people on low income and or means tested benefits. If this is not you, you are still welcome to apply. Please tell us what you can realistically contribute, even if it is a partial amount.
Name

First NameLast Name
Email
example@example.com
Which room are you after*

Single Room (Shared Bathroom) £625Single Room (Ensuite) £765
This bursary covers 50 percent of the Standard/ Full cost. Are you applying for a 50 percent bursary place*

YesNoNot Sure
If you can contribute more than the remaining 50 percent, what amount could you realistically pay right now. (Optional estimates are welcome)
Are you currently on low income and or means tested benefits ?*

YesNoPrefer not to Say
If yes, which applies*

Universal CreditJobseeker’s AllowanceESAPIPHousing BenefitPrefer not to sayOther
In a few sentences, what is making the cost a barrier right now. (Short answer is fine)*
The next two questions help us allocate limited places fairly. Please answer only what you can. Prefer not to say is always okay and will not automatically rule you out
Housing : Please tell us*
Do you have access to savings or investments you could draw on right now*
Is there a small way you might like to contribute back, if you feel resourced
If needed, could you share light touch proof of benefits (We only ask for proof in a small number of cases, and we will be discreet and flexible)

YesNoThis would be hard for me to provide
Should be Empty: