Financial Contingency Fund Application FormSeptember 2020 - June 2021

For College use onlyDate Stamp:

Jan

30,

2020

Section A: Residential Status Please tick all relevant boxes.

Asylum seekers are not eligible to apply for this fund.

1. Have you been a resident in the UK, Switzerland, the EU/EEA for 3 years prior to the first day of your course?

Yes ☐ No ☐ If the answer is no you are not eligible to apply for FCF funding.

2. Have you been granted Indefinite Leave to Remain / Humanitarian Protection? Yes ☐ N/A ☐

3. If you have ticked yes to question 2 please state your country of origin __________________________________

and your date of entry to the UK, Switzerland or the EU/EEA*:

*You will need to provide us with your passport (which has been stamped by Immigration) and/or

yourHomeOfficedocuments.

You need to apply for FCF for each academic year. Your FCF application is means tested on household income which must be less than £20,000 per year for students to qualify. The fund opens on 3 June 2020 and is allocated on a first come first served basis.If you need help completing this form ask a Student Services staff member.

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Section C: Your Course Details Please tick all relevant boxes.

5. What is your main area(s) of study?

Course ________________________________________________________________ Level ________________

Start date Full Time ☐ Part Time* ☐

*You need to be studying at least one course that is over 275 hours to be eligible for funding.

Campus: Gorseinon ☐ Tycoch ☐ Llwyn y Bryn ☐ Jubilee Court, Fforestfach ☐ Kingsway ☐

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4. Mr ☐ Miss ☐ Mrs ☐ Ms ☐ Dr ☐ Other _________

Surname: ______________________________________

Forenames: ____________________________________

House number and street: _________________________

______________________________________________

Locality: _______________________________________

Town or city: ___________________________________

Postcode: _____________________________________

Home Tel: ____________________________________

Mobile No.:____________________________________

Male ☐ Female ☐ ______________________________________

Date of birth:

Marital status: Single ☐ Married ☐

Living with partner ☐

Student ID: ___________________________________

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Section B: Student Details Please tick all relevant boxes.

Section D: Your Request for FCF Support Please tick all relevant boxes.

6. The FCF can contribute to any kit essential for your course. It can also cover a DBS check (if required by your

course), a bus pass and contribute to childcare costs. You cannot claim for course fees. The fund is allocated

on a first come first served basis.

Do you require a bus pass? Yes ☐ No ☐

If you have a child/children, do you require help towards funding Nursery costs, while you

are studying in college?*

Yes ☐ No ☐ If yes provide the following information along with a copy of each child’s birth certificate:

Child’s name: _______________________________ Date of birth

Child’s name: _______________________________ Date of birth

Child’s name: _______________________________ Date of birth

Child’s name: _______________________________ Date of birth

*YoualsoneedtocompleteanadditionalchildcareagreementformavailablefromStudentServices.

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Section E: Household Details and Evidence Required

Name Occupation Age Relationship to Student

7. The FCF is means tested on household income. The household income must be less than £20,000 per year for

students to qualify. Please enter the details of all household members, their occupation, age and relationship to you.

You must supply the original evidence below so we can assess the household income.

Source of Income Evidence Required

Income Support (IS) or Job Seekers Allowance (JSA) or Employment Support Allowance (ESA) or Universal Credit

Relevant benefit letter, showing name, address and amount of benefit received and 2 months’ recent bank statements.*

Proof of Earnings Last two months’ wage slips, your Tax Credit Award Notice TC602 (TCAN) 2019/2020 or Universal Credit letter and two months’ recent bank statements.*

Pension Letter confirming pension amount and two months’ recent bank statements.*

Self Employed or Private Business Certified annual accounts or Tax Credit Award Notice TC602 (TCAN) 2019/2020 or Universal Credit letter or Self Assessment Tax return and two months’ recent bank statements.*

Plus evidence of any other benefits or income received.

*Bank statements must be stamped by your bank if not original.

Data Protection:

Gower College Swansea collects information about all of our students for various administration, academic and health and safety reasons. Our use of information is controlled by the Data Protection Act 1998.

Information you provide on this application form will be passed to DFES Department for Education and Skills, which is registered under the Data Protection Act 1998.

The registration is primarily for the collection and analysis of statistical data but it also allows the Council to share information with other organisations for the purpose of detecting fraud.

Further information about the use of data is available from the Gower College Swansea Management Information Unit.

I declare that the information provided on this application form is true.

I understand that giving false information, or failing to disclose all relevant information, may lead to rejection of my application for Financial Contingency Fund (FCF) support, and that I may be subject to disciplinary or legal action by Gower College Swansea and my funding withdrawn.

I agree to give Gower College Swansea any additional information to enable the college to process my application.

I will inform the Gower College Swansea Student Funding Team immediately should there be any change to my financial circumstances, address, or status as a student.

In the event of my attendance falling below 80%, failing to meet course deadlines, failing to attend examinations, or withdrawing from the programme of study named on this form, I understand that FCF payments may be withheld, I may be subject to reassessment or required to repay all or part of my award.

In the event that I receive FCF support on an interim basis (after I have applied for but before I have received EMA or WGLG funding), I understand that I may be required to repay all or part of my FCF award after I receive EMA or WGLG funding.

You must return all books, items of equipment and bus passes that have been funded via the Financial Contingency Fund, before you leave college. Failure to do this may result in any future applications to the College being refused.

If Gower College Swansea gives me support to which I am not entitled, I will repay any overpayment.

In accordance with the Data Protection Act 1998, when signing this form I give permission for Gower College Swansea to release my information to DFES, and other third parties where necessary.

Student Signature: _____________________________________________ Date:

Plus the signature of a parent, guardian or carer if you are under 18 on the 01/09/2020

Signed: _______________________________________________________ Date:

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Section F: Declaration

For students studying at Tycoch, Llwyn y Bryn,

Kingsway or Jubilee Court please return this

application form to:

Student Funding Team Gower College SwanseaTycoch Campus Tycoch Road Sketty Swansea SA2 9EB

01792 284010

For students studying at Gorseinon please return

this application form to:

Student Funding Team Gower College SwanseaGorseinon CampusBelgrave RoadGorseinonSwansea SA4 6RD

01792 890774/890758

Section G: Return this Form

OFFICIAL USE ONLY

Date Enrolment verified ☐ Proof of income ☐ FCF criteria met ☐

Approval: Amount Signature Date

Student Funding Assistant £

FCF Finance Officer £

Learner Services Manager £

Panel Decision Yes ☐ No ☐

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Gorseinon Campus 01792 890700 | Tycoch Campus 01792 284000

info@gcs.ac.uk | gcs.ac.uk

OFFICIAL USE ONLY

Jan

30,

2020

Financial Contingency Fund application forms – Privacy Notice

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Privacy Notice Introduction The Financial Contingency Fund (FCF) you are about to apply for is funded directly by the Welsh Government. Taking part in this programme is dependent on you providing personal data. Gower College Swansea will be the data controller for the personal information it receives. Gower College Swansea will use this data to carry out its public task in the administering and monitoring of the Financial Contingency Fund. What will Gower College Swansea use your information for? Gower College Swansea will use your data for determining your eligibility to receive Financial Contingency Fund funding in acordance with the Financial Contingency Fund scheme guidelines published by Gower College Swansea. It will also be used in statistics and research relating to the Financial Contingency Fund by Welsh Government. Any statistics published by the Welsh Government are anonymised, meaning that individual learners cannot be identified. Your rights and choices Under the General Data Protection Regulation (GDPR) you have the right to: � access the personal data Gower College Swansea holds on you � require Gower College Swansea to rectify inaccuracies in that data � object to processing on grounds relating to your particular situation (in some circumstances) � restrict processing (in some circumstances) � have your data erased (in certain circumstances) � lodge a complaint with the Information Commissioner’s office (ICO) who is the independent regulator for data protection How long will Gower College Swansea keep your information? Gower College Swansea will hold the personal data collected for a period of six year after the end of the academic year to which any FCF funding is allocated. Contacts For further information about the information which Gower College Swansea holds and its use, or if you wish to exercise your rights under the GDPR, please see contact details below: Data Protection Officer, Gower College Swansea, Tycoch Road, Swansea,SA2 9EB dpo@gcs.ac.uk To contact the Information Commissioner’s Office, please see details below: Wycliffe House, Water Lane, Wilmslow, Cheshire,SK9 5AF

029 2067 8400 (Wales helpline) or 0303 123 1113 (UK helpline) https://ico.org.uk/ Notifications of changes If we are going to use your data in a different way from that stated at the time of collection, you will be notified. All of Gower College Swansea’s processing will be in compliance with the extant data protection legislation. Updates to the privacy notice will be available on our website. Click here for a full copy of the Privacy Notice www.gcs.ac.uk What personal information about you is collected and used by Gower College Swansea? Some of the data collected about you will be personal data as defined in the General Data Protection Regulation which includes: Personal Data

• Residential Status • Surname • Forename(s)

Financial Contingency Fund application forms – Privacy Notice

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• Address • Postcode • Telephone number • Mobile telephone number • Gender • Date of birth • Marital status • Student Identification number (generated by the College) • Course and level of study • Names of children • Date of birth of children • Surname and Forename of other household members • Occupation of other household members • Age of other household members • Relationship of other household members to the student applying for funding

This personal data will be used to determine your eligibility for the FCF. This data is held by Gower College Swansea and may be shared with Welsh Government on request. Financial information In additon, you have been asked to provide sight of personal financial information to allow Gower College Swansea to determine the level of household income as set out in the application form. The College does not retain copies of this financial information. How will your data by used by the Gower College Swansea?

• For administration purposes, to ensure the data we collect about you is stored correctly, securely and to a high standard of quality

• To help make decisions on current and future policies for post-16 learning

• To help the Welsh Government allocate and monitor funding

• To give auditors the information they need to do their job

• To assist Welsh Government in producing anonymised analysis and research. This will allow Welsh Government to make future improvements to the use of funds.

• To produce anonymous official statistics

• For ad-hoc requests for analysis from stakeholders and the general public and third parties commissioned by

Welsh Government.

• By third party contractors working on research and evaluation commissioned by the Welsh Government.

• By other researchers who may access anonymised data with the approval of Welsh Government

Data Sharing Agreements Gower College Swansea will have a formal data sharing agreement in place whenever we share your personal data with a third party. Part of the agreement means the third party will have to sign a confidentiality agreement in relation to your data to show that they operate satisfactory information security procedures and that destroy their copies of your data when it’s no longer needed. They can only use your data for the reason they sign up to and nothing else. All copies of data transfers are logged and recorded. Security Arrangements for your data held by Gower College Swansea The data Gower College Swansea collects about you will be stored in an access controlled secure system which is regularly tested for safety and integrity.