Bursary Form

Step 1 of 8 - Section 1: Personal Details

Student Ref (if know):

Name:(Required)

First Name(s) Surname

Address:(Required)

Street Address Address Line 2 Town/City County Postcode

Date of Birth:(Required)

Age on 31 Aug 2025:(Required)

Mobile:(Required)

Telephone:

Email:(Required)

Third party permissions

If you are happy for us to talk about your award with somebody else (e.g. a family member, friend or support worker), please provide their information below:

Name:

Relationship to you:

I certify that the above information and financial details are correct and complete and show my/our income from all sources.
I understand that funding is limited and not guaranteed
I understand that I am responsible for all childcare costs incurred if I do not attend or if I withdraw from my course.
I confirm that I am not on a New Deal scheme (except New Deal for Lone Parents).
I agree to notify my college of any change in my circumstances which may affect my eligibility for funding as soon as this occurs; I understand that failure to do this may mean that TEC Partnership will request repayment of my award.
I understand that The TEC Partnership will claim back all or some of the award made to me if I have given misleading or inaccurate information intentionally. I recognise that false statements can leave me open to prosecution.
I understand that financial assistance is dependent upon academic achievement, behaviour, and full attendance, which will be monitored. Should this be unsatisfactory or I withdraw from my course early, any future payments may be reduced and I may be asked to pay back some or all of my award.
I understand that payments in any form are my responsibility and will not normally be replaced if lost, stolen, forgotten, damaged, destroyed or misused.
I understand that any funding I am allocated is for my current course only and that a new application will be required for progression/additional courses.
I am not undertaking a higher education course in this academic year.
I understand that funding is for 2025-26 only and is not guaranteed for future years.
I understand that The TEC Partnership reserves the right to review and adjust my award and entitlement through-out the year and can make in-year changes to awards.
I understand that it is my responsibility to tell the Department for Work and Pensions about any bursary support that I receive, as bursary payments may affect eligibility to some benefits.

Signed(Required)

Date:(Required)

Please note HE learners should not use this form and should contact the relevant bursary team to complete a HESF form.