Application for free tuition of Course in 2019-2020 Please complete the form below with your details. Your name:*College Student NoI confirm that I would like to claim full free tuition for:Name of course:Start date of course: Date Format: DD slash MM slash YYYY Cost of course:What type of work are you looking for?How will this course help you find a job?Please tick all that apply to you:1. Low Income Wage I confirm I am working and I earn less than £16,009.50 annual gross salary full time equivalent (gross pay is all pay before stoppages i.e. Tax, National Insurance NI, etc) AND I confirm I am employed and cannot contribute towards the cost of co-funding fees Evidence to be supplied and verified: One Wage slip dated within the last 3 months. OR Current employment contract that states gross annual salary full time equivalent. OR Letter on letter-headed paper from employer stating annual gross salary full time equivalent. OR Universal Credits Statement Please tick evidence supplied2. In receipt of one of Job Seekers Allowance Employment Support Allowance (ESA) In Receipt of Universal Credit AND unemployed or earn less than £338 (individual claim) OR earn less than £541 per month (household claim) 3. Studying to get into employment or progress into more sustainable employment (course you are studying must be on Local Labour Market Need - ask staff for more detail): I earn less than £338 per month (individual claim) OR £541 per month (household claim) AND in receipt of one of the following: Means-Tested Council Tax Support Personal Independence Payment (PIP) National Insurance No.*I declare that if my circumstances change from the above as at the start date of the course I will inform New College and pay the tuition fee due or withdraw my application for the course.* Agree Date: Date Format: DD slash MM slash YYYY
