Student Enablement Fund Application

* I confirm that I am a student:

Yes No

* I confirm that I am over 18 years old:

Yes No

* I am studying at an Institute of Higher Education in the UK (or an Institute of Further Education
affiliated to an Institute of Higher Education):

Yes No

* I am on a course that is at degree level or higher:

Yes No

* My course requires me to study 16 hours per week or more:

Yes No

* Your title:

* First name:

* Surname / Family name:

* Date of birth:

* UK telephone number:

* Email address:

* Confirm Email address:

* Address:

This is your university term time address.
You can check the accurate address and postcode HERE...

* What course are you studying?

* Level of studying?

* Course start date:

* Course end date:

* Course type:

Full time Part time

* University / Institution:

* Brief description of your illness/disability:

* How does this affect your studies?

* What do you want funds for/towards?

A grant must only be used for aids used in conjunction with your studies. We do not approve grants for laptops, PCs, travel, or help towards tuition fees, medication or rent.

* Please describe exactly what you wish to purchase with any bursary made:

If this question is not answered, your application will not be processed.

* Approximate cost of items/help required:

The approximate cost of items for which you require funds. Please note these items should be extra to those needed by other students, i.e. your need for them should be because of your medical illness or disability.

* Please provide details of other funding granted or applied for:

* Have you applied for Disabled Student Allowance?

Yes No

Please give any other relevant information here:

* How did you hear about this fund?

Supporting Evidence

What supporting evidence will be needed?
Your application will be rejected if you do not submit at least one of the three supporting evidence listed below. You can submit as many as you like.

1. Medical letter from your doctor confirming your medical condition or disability, or - if appropriate - a dyslexia report. Note: Medical letter does not need to be detailed; copies of letters from specialists are acceptable.

2. Supporting letter from tutor, welfare adviser, disability officer or equivalent from University. Note: The supporting letter must be dated, on headed paper from the University and confirm attendance on the course.

3. Result of application for DSA.

The approximate cost of items for which you require funds (i.e. computer, note-taking, signing, travel, etc). Note that these items should be extra to those needed by other students, i.e. your need for them should be because of your medical problem.

Please note we can only accept evidence which is uploaded with your application.

* = Compulsory
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