APPLICATIONS AND REFERENCES BY EMAIL ONLY TO:

SARAH THOMAS -

LUCY CAVENDISH COLLEGE APPLICATION FORM

COLLEGE GRANTS

Return (BY EMAIL ONLY) to Sarah Thomas in the Tutorial Office ()

by 30th June 2013 accompanied by a reference from your Supervisor / Director of Studies

Surname

/

Forenames

Address

Telephone

Email

Date of Birth / Place of Birth / Nationality / No of Children
Subject / Degree / Start Date / Length of Course
Name of Tutor

INCOME: HOW ARE YOU FINANCING YOUR COURSE?

This plan should not assume that you have been awarded funding by Lucy Cavendish

Category A application – provide current year income ; Category B application – provide next year’s income

Source of Funding

/

Awarding Body, if relevant

/

Amount/Annual

Parents or Partners Support / eg Annual income, or amount promised in financial guarantee / £
Public Funding / eg LEA, Cambridge or Gates Trusts, EPSRC / £
Self Funding / £
Private Loans / eg Career Develoment, Nat West, HSBC etc / £
Students Loans / eg Student Loan, Sallie Mae US Student Loan etc / £
Capital / eg Savings / £
Income / eg Share income, maintenance/mortgage payments / £
Benefits / eg Housing Benefit, Dependents’ Allowance, Childcare Grants etc / £
Other – give details
…………………………………………………………………………………………
………………………………………………………………………………………… / £
£
TOTAL INCOME / £

……..continued overleaf

EXPENDITURE: WHAT ARE YOUR PRINCIPAL OUTGOINGS?

If your financial guarantee has changed dramatically and you are experiencing hardship
please talk to the Student Finance Office or your College Tutor
Category A – provide current year expenditure ; Category B – provide next year’s expenditure

Outgoing

/

Notes

/

Amount/Annual

Rent or mortgage / £
Food and subsistence / £
Travel / £

Household Bills

(if not included in rent) / eg gas, electricity, water, council tax, TV licence / £
Home phone and/or
Mobile phone / £
Childcare / £
Books and other equipment necessary for your course / £
Other – give details, e.g. fees if self funded
…………………………………………………………………………………………
………………………………………………………………………………………… / £
£
TOTAL EXPENDITURE / £
Have you received any College awards from Lucy Cavendish in the past – for example under the umbrella of College Top-Up / Hardship Awards, or George Bidder / Thriplow Trust (for travel, research, conferences, electives). Please give details and amounts.

Award

/

Purpose

/

Amount

£
£
£
£
State the amount of money you are applying for from Lucy Cavendish
(You may leave this box blank if you are unsure of the amount, or you wish to leave the award to the discretion of the Studentship & Bursary Committee. Please bear in mind that these are top-up awards.) / £
Signed (Student)
Signed (Tutor)
Dated