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Bus and Financial Assistance Application Form

Online bus applications are now closed. If you would like to enquire about a place on one of the buses please email transport@qeliz.ac.uk. For financial assistance please email finance@qeliz.ac.uk

Bus Service and/or Financial Assistance Application - 2021/22

Apply for bus service and/or financial assistance

1 Initial Assessment

2 Personal Details

3 Financial Checks

4 Bank Details

5 Bus Details

This application process allows you to reserve a place on the College bus service and/or to apply for financial assistance towards transport and other costs associated with being a student at QE. You can use this form to just apply for a bus pass, just apply for financial assistance or to apply for both at the same time.

Further information about the College Bus Services and Financial Assistance can be found here: https://www.qeliz.ac.uk/life-at-qe/transport-financial-support/ (opens in a new window)

The College Bus pass costs £676 for the year and is payable in 8 monthly instalments of £80 per month plus an initial payment of £36 at the start of the academic year to secure a seat for the year.

All payments/instalments will be collected by direct debit. There is no need to pay anything now but once you have completed this application form, an email confirmation will inform you how to set up your direct debit.

Bus pass applications are allocated on a first come, first served basis so please complete your application by 1st August 2021 to guarantee your place on the bus. Financial Support applications can be made anytime but please submit by 24th September 2021 if you would like your support to start or to be backdated to the start of the College year.

Latest update re: COVID-19

The College plans to run all bus services from the start of the academic year. All services will run in accordance with any applicable Government guidance on the prevention of COVID-19 infection, including any recommendations on social-distancing, face coverings etc. As you will appreciate, Government recommendations and guidance can change frequently and at short notice. Any requirements due to COVID-19 that are different to normal bus operation will be communicated to you separately.

We will now ask you some initial questions about what you are applying for to ensure we collect the right information from you.
If your total household income (including all benefits) is less than £35,000 per year you may be eligible for assistance towards College transport and other costs. Please select the appropriate option below:
Total household income*
including salary, all benefits, Universal Credit and any other income
As your income is greater than £35,000, you are not eligible for financial assistance. If you would like to apply to use the College Bus Service then please select from the options below. If not, this application process is complete and you can close this page.
Would you like to apply for a bus pass?*
Would you like to apply for financial assistance?*
Would you like to apply for a pass to use a College bus?
You can now close this page.

Student Details
Student Surname*
Student Forename(s)*
Student Date of Birth*
Date Format: DD slash MM slash YYYY
Student Reference Number*
Parent/Carer Details
Parent/Carer Title (Mr, Mrs, Ms etc.)*
First Name of Parent/Carer*
Surname of Parent/Carer*
Home Telephone Number
Mobile Telephone Number
Email Address for correspondence*
Enter Email Confirm Email

Correspondence regarding this application will be emailed to this address
Address
Parent/Carer
Address Line 1*
Address Line 2
Town/City*
County
Postcode*

Financial Assessment
Please ensure you submit all the required information. Incomplete applications will not be processed until all evidence is received.
Which of these items or services would you like to apply for?
- Free College meals for household incomes less than £16,190 per year
- Student Bursary for household incomes less than £25,000 per year
- Transport Bursary for students living more than 2 miles from College and household income less than £35,000 per year
Trip/Visit/Examination re-sit details
If you're applying for financial help towards the cost of a College trip or exam re-sits, you must provide details and cost.
Household Income*
Please provide household income for tax period 6th April 2020 - 5th April 2021.
You will need to attach evidence of your household income below.
Please include ALL pages when providing evidence

Proof of income includes:
- TC602 Tax Credit Award Notice dated after 1st April 2021
- P60 dated after 1st April 2021
- Universal Credit Statements- 3 consecutive months, showing the amount received and how the award is made up
- Proof of benefit dated within the last 3 months, showing the amount received
Don't worry if you don't have electronic copies of your evidence, you can use your mobile phone or tablet to take photos and upload these.
Drop files here or
Proof of income must be submitted before 20th September 2021 to be eligible to payment from the start of your course. Late applications will not be backdated.
Are you or your parent(s)/guardian(s) in receipt of Social Security or other means tested benefits?*
Please upload evidence of above benefits
Drop files here or
Are you or your parent(s)/guardian(s) in receipt of any other type of financial support, i.e., maintenance/CSA payments?*
Please upload evidence of above financial support
Drop files here or
Are you in local authority care, a care leaver or living with foster parents?*
Please upload a letter from your local authority to confirm your care status.
Have you been resident in the UK for the last 3 years?*
Country of origin*
Date of entry to the UK*
Date Format: MM slash DD slash YYYY
Are you an asylum seeker?*
Country of origin*
Date of entry to the UK*
Date Format: MM slash DD slash YYYY
Do you live within North Yorkshire?*
If you live in North Yorkshire you must apply to your Local Authority for financial assistance with travel costs, and if you are eligible, a bus pass may be available at a reduced rate. If NYCC refuses your application for support, you can apply to the College for assistance. Please provide proof of NYCC’s refusal or if you don't have this, contact NYCC to apply for assistance.
NYCC Refusal Evidence
Please see the following link to our 2021-22 Financial Assistance Terms and Conditions:
College 2021-22 Financial Assistance Terms and Conditions
Please check the box below to confirm you have read these terms and conditions
- I have read and fully understand the above terms and conditions for financial support

Student Bank Details
Financial assistance payments must be paid into a bank account in the STUDENT'S NAME. If a student does not have a bank account they will need to open one first and then provide us with the information detailed below. Make sure the bank account can accept BACS direct credits. You can check this with your bank or building society. Sorry, but we can’t pay into Post Office Card accounts.
Account Holder
Name of bank/building society
Sort Code
Account No.
Building society roll number (if applicable)
Bank/Building Society evidence
You must enclose an account statement, letter or form from your bank or building society that shows your name, sort code, account number, roll number (if applicable) and home address. We are unable to make bursary payments without proof of the students bank account.
Drop files here or

Bus Details
Please fill in the following details to reserve a place on one of the College buses. Please note that you will not be required to pay for anything at this stage but we will email you with details on how to pay for your bus pass in due course.
Please see the following link to our 2021-22 College Bus Timetable:
College 2021-22 Bus Timetable
Select a bus route*
Select your Bedale Pick-up point*
Select your Sedgefield Pick-up point*
Select your Stockton Pick-up point*
Select your Richmond Pick-up point*
Select your Bishop Auckland Pick-up point*
Select your Teesdale Pick-up point*
If you have selected to apply for financial assistance and are successful in securing a free pass you will not be charged the following fees, but we still need you to select payment options below to allow the assessment to take place.
Payment Details
You can either:
- pay in full (£676.00 x 1) or
- pay an initial payment of £36 followed by 8 instalments of £80 which will be debited from your account on the 8^th of each month from October 2021 to May 2022
Payment choice*
Are you sure you want to pay in one single installment in September? If not, please select to pay in 8 installments
Please read the College’s Bus Details and Conditions of Use for the bus service and confirm acceptance with the check-box below before proceeding.
I have read and accept the College conditions of use for the bus service.*
- Accepted (YOU MUST ACCEPT BEFORE SUBMITTING)

Students

Staff

Parents

Bus and Financial Assistance Application Form

Bus Service and/or Financial Assistance Application - 2021/22

Student Details

Parent/Carer Details

Address

Financial Assessment

Student Bank Details

Bus Details

Payment Details

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