Exceptional Circumstances Assistance Grant

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FST

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Reason*

Have you confirmed receipt in SID?*

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Student informed of extra evidence/decision/payment arrangement in SID?*

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Notes

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Name*

First Name

Last Name

Label

Exceptional Circumstances Grant

Please Note: We cannot assess your application unless you provide the last 3 months' up to date bank statements, for all of your accounts, for you (and your partner, if applicable).

To ensure we are able to support as many students as possible, we ask that before making an application for any of our funds that you have explored all other options such as overdrafts, savings and applied for benefits (where appropriate).

If you think you may qualify for one of our funds or are facing financial hardship and are unsure which of the funds is most suitable for you to apply for, please contact us using the MyHull portal.

How to Raise an Enquiry

Please tell us as much as you can about the problems you are facing and details of all other means of support you have explored. Using this information we will be able to advise you which fund would be the most appropriate for you to apply for.

Please be aware that being advised to apply for a particular fund does not guarantee an award will be made and all applications will be assessed using the fund criteria.

If you require benefit advice please contact the Hull University Advice Centre

Personal Details

Name*

First Name

Last Name

Student Number*

University Email*

Phone*

Your Course

Programme of Study*

My course is...*

Undergraduate Full time Undergraduate Part time

Year of Study*

Reason for Grant Request

Please provide full details of the reason for your request*

Must be at least 250 words

Please indicate if you require any further support from Student Services, such as Health and Wellbeing support

Please upload your last 3 months' up to date bank statement for all accounts*

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Do you live with your partner?*

Yes No

Please upload your partner's bank statement covering the last 3 months*

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Have you lost your job due to Covid-19?*

Yes No

You will not be eligible for this grant; we advise you apply for a Short Term Loan

Please upload evidence that you have lost your job or main source of income (not including Student Finance)*

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Have you or your partner been furloughed?*

Yes No

How much do your receive in furlough payments in total?* £

Please provide evidence*

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Have you returned to, or are you living at, your parental home?*

Yes No

Applications from students who are currently living with their parents will be considered on a case by case basis. Please provide any additional information in the ‘reason for your request’ section to support your application.

You will not be eligible for this grant; we advise you apply for a Short Term Loan

Additional Account Statements

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Additional Account Statements

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Additional Account Statements

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Additional evidence 4 - Optional

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Additional evidence 5 - Optional

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Your Bank Details

Please provide details of this below. If your application is denied we will delete these details from our system.

Bank*

Account Holder*

Sort Code*

Account Number*

Declaration

I have provided the last 4 weeks up to date bank statements for myself and my partner (if applicable).*

I agree

By submitting this form, you confirm that you have completed it yourself with information which is true and accurate to the best of your knowledge and belief. You do so knowing that the University may check the accuracy, consistency and completeness of the information (including accessing information in the public domain) and withhold any payments until such issues have been clarified. Giving false information may result in action being taken against you in accordance with our Student Disciplinary Regulations and/or the Fitness to Practice Code (depending on your programme of study). The assessor may make certain assumptions about your income which may result in you receiving a reduced or unsuccessful award. Therefore, it is important you declare all your income streams when making your application. The University also reserves the right to pursue any payments which have been made to you as a result of you giving false information as a debt.

To assist you keeping your information as up to date as possible, you must tell us about any change to your personal circumstance during the application process, or since a previous application was made, e.g. marriage, divorce or family bereavement. You must not accept any payments when you have either withdrawn from your course or are intending to do so in the near future or know that a change in circumstances will affect your eligibility.

I have read the GDPR policy and accept that the information provided will be used in accordance with GDPR regulations.

Signature*

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We are always trying to improve our service, so we would appreciate your feedback. These questions are optional and your answers will have no bearing on the outcome of your application.

How would you rate your experience applying for the Exceptional Circumstances Grant?

How could we improve this process?