Wadham College Academic-related grant application form

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IMPORTANT:
1. Students registered with the University's Disability Advisory Service may apply for support towards academic-related costs of equipment (up to £200 per annum), photocopying and consumables (up to £50).

2. DO NOT use this form for Fast Track language course reimbursement applications; please see 'Support for Language Centre Programmes' on the College website (Undergraduate Finance page) for details & application form.

3. If you wish to apply for more than one grant at the same time, please submit a separate application for each grant. Be sure to make a note in each application of the other grant applied for.

1.1. First (given) name

2.2. Last (family) name

3.3. Student number (max. 7 digits)

4.4. Are you an undergraduate or a graduate student?
Please indicate Graduate if you are a medical student in the 4th year or above.

Undergraduate

Graduate

5.5. Course title/subject

6.6. Year of course (e.g. 1, 2 etc.)

7.7. Name of College Tutor / Advisor

8.8. Are you registered with the University Disability Advisory Service, and applying for support towards equipment, photocopying or consumables?

Yes

9.9. Proposal for which support is requested and its relevance to your degree work (briefly!). Please give dates and places if applicable, and whether it relates to a compulsory part of the course.

Your answer should be no more than 400 characters long.

10.10. Breakdown of costs in list form (details of individual items e.g. fees, books, fares)

11.11. Total costs

12.12. Total amount requested

13.13. Have you applied for support from any other funding sources, internally or externally?

Yes

14.14. If yes, please indicate which sources of funding you have applied to, and when you expect the result.

15.15. Date submitted

Dates need to be in the format 'DD/MM/YYYY', for example 27/03/1980.

(dd/mm/yyyy)