1916 Bursary Application Form

Transcription

1 The 1916 Bursary Fund will award a 5,000 bursary per year of study to 12 first year students from DIT, 7 from IT Tallaght, and 6 from ITB. The programme is open for applications from all first year students who meet the following criteria: All recipients will have to be from under-represented socio-economic groups and must fall in to one or more of the following categories: First time, mature student entrants Students with a disability Irish Travellers Further education award holders Lone parents Ethnic minorities (including programme refugees) How to Apply 1. Read the full Frequently Asked Questions document to ensure you are eligible 2. Fill out the application form and or deliver your completed form to your Institution (contact details at end of document) by Sunday 4 March. 3. Shortlisting candidates may be invited to an informal meeting to discuss their application, depending on the volume of applications. If you have any questions please the contact person for your Institution, listed at the end of this document. All applicants must be in first year of an undergraduate programme to be eligible to apply for this Bursary Fund. Please answer all relevant questions as accurately as possible, as failure to answer all questions may affect the outcome of your application. Please select the Institution you are currently attending: Dublin Institute of Technology Institute of Technology, Tallaght Institute of Technology, Blanchardstown The 1916 Bursary is targeted at students who meet a defined set of eligibility criteria, those who entered DIT/ITT/ITB as a non-eu fee paying student (e.g. International Students, and/or those who require a student visa to remain in Ireland) are not eligible for this bursary Are you paying non-eu fees? Yes No

2 Please select one option below. Are you: A Full-time student Part-time student Repeating Year 1 Please select all criteria that apply to you. You must select at least one. Are you: A Under Represented Socio-Economic Group, see A Mature Student A Person with a Disability, i.e. students with a physical/mobility difficulty; (students who are deaf/hard of hearing or blind/visually impaired will be prioritised) A Lone Parent An Irish Traveller A FETAC/QQI full award holder (level 5) A Member of an Ethnic Minority In the care of the state/tusla (or have previously been so) The next few questions will help us to determine your socio-economic group. Please note that documentary evidence will be required to verify the answers you give. Criteria for determining Socio-Economic Group: Please confirm that you meet the income threshold below (tick) Please tick if relevant: Gross family income below 45,790 in 2016 Are you in receipt of a means-tested social welfare payment in 2017? Do you and/or a parent/guardian hold a valid medical card/gp visit card in 2017? Are you in receipt of any other financial support? If so please give details here:

3 Please tick at least one of the following 3 criteria to proceed: You have attended a designated disadvantaged school (not applicable to Mature students) See Equality-of-Opportunity-in-Schools-/DEIS-Plan-2017-New-DEIS-Schools-List.pdf for more details You live in an area of designated disadvantage (for more details, see: You belong to a group that is under-represented in third-level education, e.g. Non- Manual Workers and Semi, Unskilled Manual Workers Group. For more information, see If you have studied another third level programme or studied at another third level institution before this academic year please give further details, level, dates, etc. Please complete all fields in the below table: First Name Last Name Student Number Date of Birth Nationality Country of Birth Eircode (see if unsure)

4 What Secondary School did you attend? (Not applicable to Mature Students i.e. not applicable to students entering college over the age of 23) Years Attended: Please indicate your main entry route into DIT/IT Tallaght/IT Blanchardstown: HEAR/Access/REACH DARE Both HEAR/DARE Mature Entry Direct Entry from Leaving Certificate/CAO FETAC/QQI Access Foundation Programme Personal Statement: We want to hear about you. In less than 500 words please you please respond to the following prompts: Why are you applying for this bursary and how would you use it? Why did you choose your programme of study? Can you describe the greatest challenges you have faced and overcome in accessing college? What impact would this bursary have on your ability to complete your studies?

5 Please see the Frequently Asked Questions documents for details on what we are looking for in this statement. Reference Please give us the name, and phone number of a staff member in DIT/ITT/ITB who knows you who we can contact in support of your application Your Declaration: Please read each statement below carefully and declare that you agree to them if you would like to be considered for the 1916 Bursaries. I understand that the information supplied in this application is accurate and complete and if I have misrepresented myself or given false declaration I will be ineligible for the 1916 bursary I give permission to DIT/ITT/ITB to use information already provided as part of my HEAR/Access/DARE/SAF application to assist with the assessment of this application I agree to provide additional information as required

6 Your data will be held for a period of ten years in line with statutory legal requirements DIT/ITT/ITB - Data Protection Policy Data Protection Notice Personal information that you submit to these IOTs in connection with the 1916 Bursary Application will be treated in accordance with the relevant IOTs Data Protection Policy. Policy Information is available on the DIT, IT Tallaght and IT Blanchardstown websites. These three IOTs will only process such information in line with the purpose for which you provide it and to the extent necessary to fulfil the requirements attached to this Bursary. The personal data maybe disclosed to staff of these three IOTs in order to assess this application and to deliver support services to you. In addition your personal data may be disclosed to the Higher Education Authority and the Department of Education (the funders of the bursary scheme) where this is required under legislation or for the provision of services I have read and accept the Data Protection notice above: Yes No (If you tick this box, you are withdrawing from the application process) For more information: Shauna Fitzgerald DIT Access & Civic Engagement Office Rathdown House, Grangegorman Lower Dublin 7 P: E: access@dit.ie Colm Downes Access Officer Institute of Technology Tallaght, Dublin 24 P: E: colm.downes@ittdublin.ie Bob Ó Mhurcú Academic Administration & Student Affairs Manager Institute of Technology, Blanchardstown Blanchardstown Road North, Dublin 15 P: E: bob.omhurcu@itb.ie