Part-time Fee Waiver Application Form 2013-14

Welcome to the University of Sheffield Part-Time Fee Waiver application form.

We are now accepting applications for Part-time Fee Waivers 2013-14.

YOUR DETAILS:

Title: (Mr/Miss/Ms/Mrs) (required)

Full Name: (required)

Date of Birth: (required)

Marital Status: (eg. Single, Married, Divorced) (required)

Home Address: (required)

Email Address: (required)

Nationality: (eg. Home, EU, International) (required)

Please note International Students are NOT eligible for part-time fee waivers and should not complete this form.

Undergraduate Registration/Admissions Number: (required)

Please tick this box to confirm that your course is 60 credits or more (required) In order to be eligible for the fee waiver, you must be studying at least 60 credits.

Yes, my course is 60 credits or more

Do you already have an Undergraduate degree level qualification? (required)

Have you applied for a Fee Loan and awaiting a notification letter? (required)

What is your Household Income? (required)
Please include any income that is from benefits or paid employment for you, your partner or your parents if they still support you.

Check List of Evidence Required

Below is a checklist of evidence that you are required to supply with your application in order for us to assess your eligibility. Please provide the following documents as soon as possible and tick the boxes below confirming you will provide this information. If you have any questions please e.mail ptfeewaivers@sheffield.ac.uk for assistance.

Evidence of where you live, and who you live with (required)

A copy of your Council Tax letter OR
A copy of your rent agreement / mortgage statement OR
A copy of your Electoral Enrolment Form

Proof of Main Source(s) of Household Annual Income (ie P60, 3 months' wage slips, Benefit letter) (required) This is the Household Income for you, and if applicable, your Partner or Parents. If the household income can be seen on your bank statements, please provide the most recent 3 month’s statements and highlight the income.

Proof of Main Source of Household Income

Confidentiality

Applications are only seen by the Financial Support Team and Financial Help Advisory Panel, if necessary.

Monitoring

To enable us to improve our publicity for Part-time Fee Waivers, please state where you heard about this scheme. Please choose only one as appropriate:

At Interview with 'TILL' Staff
University Web Pages
Booklet or Leaflet
Other

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.

*I have read all the documentation included with this application, and 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 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/parent (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.

I agree to the terms and conditions set out above. (required)

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.