Sanctuary Award Application Form Sept 2019 entry Application deadline 5th July 2019 1
Section 1 - Personal details We will use the information you provide in section 1 to contact you about your application. Please ensure you include your name as you would wish to see it, for example on a certificate. 1.1 Title (eg. Mr, Miss, Mrs, Dr etc): 1.7 Address: 1.2 First Name/Given Name(s): 1.3 Surname/Family Name: 1.4 Cardiff Met Reference/Student Number: (found on offer letter) ST 1.5 Date of Birth: (DD/MM/YYYY) Postcode: 1.8 Phone Number: 1.9 Email address: 1.10 Nationality / Country of Origin 1.6 Gender: Male Female Prefer not to say Other Section 2 - Educational Details 2.1 Which course have you applied to study at Cardiff Met? 2.2 Have you received a conditional or unconditional offer for this course? Conditional Unconditional If you have a conditional offer, please state the conditions below: 2.3 If you have previously studied at higher education level in the UK or overseas, please indicate how many years of study you have previously undertaken. I have never studied at this level before or 1 year 2 years 3 years 4 years 5 years 2
Section 3 - Eligibility for the Sanctuary Scholarship We will use your answers in this section to help determine whether you meet the eligibility criteria for the Sanctuary Scholarship in relation to your current immigration status. 3.1 What was your date of arrival in the UK? 3.2 Please select the category that best describes your immigration status in the UK. Please tick one box only. A) I am awaiting a decision on my application for asylum OR I am in the appeals process B) I have been granted Discretionary Leave to Remain (DLR) or Limited Leave to Remain C) I have been granted Humanitarian Protection (HP) AND Indefinite Leave to Remain (ILR) D) I have been granted Humanitarian Protection (HP) for an initial period of 5 years limited leave and intend to apply for Indefinite Leave to Remain (ILR) E) I have been granted refugee status AND Indefinite Leave to Remain (ILR) F) I have been granted 5 years limited leave as a refugee and intend to apply for Indefinite Leave to Remain (ILR) G) My application for refugee status has been finally determined as refused OR I am submitting a fresh claim Or applying for judicial review H) I am the family member of one of the above and my application is dependent on their application/my leave has been granted in line with their leave. 3.3 If you have selected option H, please confirm which of the categories A-G applies to your family member. (If you have not selected option H, please state Not Applicable here) Section 4 - Support 4.1 Family/household details. Please describe your living circumstances. Living with parents Living alone Living with friends Living with other family Living with partner/spouse Section 95 NASS accommodation Section 4 NASS accommodation If your living arrangements will change whilst you study, please confirm what your living circumstances will be. 4.2 Is there any additional support you think you may require during your studies? eg. Disability support, counselling etc. 4.3 Have you applied for or have you been awarded any other form of loan, funding or scholarship for example from a charity or other organisation? Yes No If you have ticked Yes please provide details below 3
Section 5 - Personal Statement for the Sanctuary Scholarship 5.1 Reason for wanting to study at Cardiff Metropolitan University. What are your ambitions for the future and how would the Sanctuary Scholarship help you to achieve these ambitions? 5.2 Interruptions to previous education - How has your education been affected by your personal circumstances? Please outline the particular barriers you have faced in continuing your education and provide details of any steps you have taken to try to overcome these barriers. 5.3 Immigration status - Please provide details of your current immigration status in the UK 5.4 Scholarship and support needs - Please briefly outline your financial circumstances. Unfortunately, the university cannot provide funding to support your living costs and accommodation. Explain how you have financially supported yourself in the UK up until now and how will you support yourself at university. Here you can also provide details of any benefits or allowances you receive to buy food and essential items. 4
Section 6 Referee Details 6.1 Referee s Name 6.2 Name of organisation 6.3 Referee s role in organisation 6.4 Referee s relationship to the applicant 6.5 Please attach a completed reference letter from your referee along with your application. Your reference letter must be on letter headed paper and signed by your referee. Please see guidance notes for further details. 5
Section 7 Declaration All decisions made by the university are taken in good faith based on the statements made on your scholarship application, your course admissions application and your referee s supporting statement. If the university discovers that you have made a false statement or have omitted significant information from your application form, for example regarding your qualifications, the university may reject your application. Please tick all the boxes below to confirm you have read the statements and agree with each one. I acknowledge that this is a competitive process and that submitting an application for the Sanctuary Scholarship does not guarantee that it will be successful. I confirm that I have read the eligibility criteria and that I am eligible to apply for this scholarship. I agree that if I am accepted, I will notify the university immediately if my circumstances change before or during my course of study, particularly in relation to my immigration status. I have completed all of the required sections of this application form. I will supply copies of all required evidence to support my application, including Home Office letters and other documents that confirm my current immigration status in the UK. I confirm that the information given in this application is true, complete and accurate and that no information or documents requested have been omitted. I confirm that I have attached a signed reference. I consent to the processing of my data by the university for the purpose of dealing with this application. I consent to give permission to the university to verify my immigration status with the UK Visas and Immigration department of the Home Office. I confirm I have read and agree to the above declaration. The submission of this application constitutes my personal certification that the details are correct. Please enter your details below to confirm this. Your signature: Date: Please send this completed application along with copies of your supporting documents to: sanctuaryaward@cardiffmet.ac.uk or post them to: International and Partnerships Office Cardiff Metropolitan University 200 Western Avenue Llandaff, Cardiff, CF5 2YB The deadline for your application and evidence to reach the university is 5th July 2019. Incomplete applications will not be considered. 6