Study Abroad Bursary Application Form

1. Name: *This question is required.

2. Full term-time address: *This question is required.

3. Keele ID (this is on your KeeleCard): *This question is required. This question requires a valid number format.

4. Course: *This question is required.

5. Are you liable to pay £9,000 tuition fees? (If you are paying less than this you are not eligible for the bursary. This is regardless of whether you are paying Keele directly or receiving a tuition fee loan)

6. Have you been accepted onto Study Abroad? *This question is required.

Would you be studying abroad in... (Full year students are not eligible to receive the bursary)

Please tell us the reasons you are applying for the Study Abroad Bursary. Include in your answer if any of the following apply to you:

-Are you the first in your family to go to university?
-Are you in receipt of DSA (Disabled Students' Allowance)?
-Are you a care leaver?
-Are you classed as an independent student? *This question is required.

Are you in receipt of a Maintenance Grant or Special Support Grant? *This question is required.

If you are in receipt of a Maintenance Grant or Special Support grant, how much do you receive?

Please state whether you are the first in your family to go to university. In this case, by 'family' we mean your parents, guardians or siblings

Signature: I confirm that all of the information in this application is correct to the best of my knowledge. I attach a copy of my current financial notification from Student Finance England. *This question is required.

Please provide a copy of your SFE financial notification here. *This question is required.

File: {{filename}} delete

Please submit evidence that you receive Disabled Students' Allowance (if applicable)

File: {{filename}} delete

Please submit evidence that you are a Care leaver (if applicable)

File: {{filename}} delete

Please provide any additional information here.

File: {{filename}} delete

Study Abroad Bursary Application Form

Page One