2021-2022 Application Form:
16-18 Bursary/Discretionary Financial Support
19+ Discretionary Learner Support
Please read the guidance notes carefully to ensure that you meet the criteria and are eligible to apply for the fund, before completing this form. If applicable, you will need to upload document evidence for all members of the household mentioned in the form so please ensure you have electronic copies of these ready before you begin. We estimate this form will take 15-30 minutes to complete.
For the bursary to commence at the beginning of the academic new year please submit this form by 9th July 2021. Any application received after this date will not be assessed by the start of term. We ask any late applicants to be patient whilst we work through their forms at a very busy time in the academic year.
symbol by them are mandatory.
Section 1: Personal Details
Please enter your firstname
Please enter your surname
Please complete section 2 OR section 3
Section 2
Vulnerable Bursary Eligibility –Priority Group 1 - Personal Circumstances
Please select which of the following applies to the student :
If the student has a Social or Support Worker, please write their name and telephone number below. In doing so you give permission for Bexhill College to share with them or a representative from your Local Authority Social Care Team, information regarding your progress and attendance.
Section 3
Discretionary Bursary and Free College Meals Eligibility – Priority Groups 2, 3 & 4
Household Income - Do you receive any of the following benefits? Please tick where applicable.
Section 4
Document Upload
The evidence you will need to provide us is listed below. Please take a photo or scan and click Browse
Eligibility Category Evidence Required
Your (parent(s)/carer(s)) are currently in receipt of one of the following benefits:
  • Income Support*
  • Income-based Job Seeker’s Allowance
  • Income-based Employment and Support Allowance (ESA)
  • Universal Credit*
  • Guaranteed Element of State Pension Credit
  • Support under part VI of the Immigration and Asylum Act 1999
*Vulnerable student
Letter/email confirming entitlement to benefits from one of the following:
  • Job Centre Plus
  • Department for Work and Pensions
  • Your Local Authority
  • or Universal Credit payment showing breakdown (3 most recent monthly award statements)
If this evidence is older than 3 months, please also provide a bank statement which shows a payment of each benefit going in to your parent’s/carer’s bank account within the last 3 months
2 Child Tax Credit with a gross annual household income of less than £28,000 A full copy of HRMC Tax Credit Award for the period April 2021 to March 2022 showing 2020/21 income
3 In care or care leaver Social Worker letter
To upload files, click the Browse button and find the files you would like to upload. You can upload multiple files by pressing the CTRL button and clicking on each file individually.
Funding Available. Please tick as required. *
We may not be able to give all support requested as we have limited funds.
You have applied for financial assistance and should your application be successful any assistance given, not paid by internal transfer, will be paid directly into your bank account.
If you do not have a bank account, you will need to open one as we cannot make payments into another person’s bank account. These details can be given to the Student Services Officer at the start of the term.

Section 5
This form must be submitted by the parent(s) or carer(s) (or in the case of Section 2 where a student is living independently the student to submit)
  • I certify that I have read and understood the 16-18 Financial Guidelines
  • I/we certify that the information given is correct, to the best of my/our knowledge, and I/we undertake to inform the college immediately if I, the student, decide to leave my course or if there is any change of circumstances. I/we understand that if the student leaves their course of study before completion, the College will reclaim any monies/kit/equipment/materials allocated.
  • I/we understand that any monies given for specific purposes such as trips will need to be paid or deducted from future payments if the student does not attend.
  • I/we understand that the student is expected to maintain attendance at 100% and to meet expectations with regard to behaviour and homework/coursework as set out in the Student Contract and College Code of Conduct.
  • I/we will notify Student Services immediately if I/we receive a bursary or some other form of assistance from another source (including benefits) after submitting this application.
  • I/we understand that Bexhill College’s administration of Student Support is registered under the Data Protection Act and that personal information which I have declared will be stored on computer and may be verified against other information which I have passed on to other public bodies.
  • I understand that if I am found to have given false information on this form then any award made to me will have to be reduced, cancelled or repaid.
  • I/we understand that it may be necessary to use and share information on this form with other departments in the College and our funding agencies.
Parent/Carer information:
Privacy Notice and Declaration
The information you provide on this form will not be passed to any other organisation and will only be used to assess your eligibility for an award from the Bursary scheme. You are not required to sign this form, however, the submission of the form is an agreement that you have understood the College General Privacy notice on our website and the conditions laid out in the Bursary Guidance notes. The submission of this form is also a declaration that the information given on the form is correct and complete to the best of your knowledge and belief.