Trinity College Dublin Bursary, Exhibitions and Awards Application Form

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Trinity College Dublin Bursary, Exhibitions and Awards Application Form All completed application forms should be returned with all backup documentation the following email address: ug_hardship@tcd.ie All sections A to E must be completed. No applications can be processed if the privacy statement is not signed and if the relevant backup documentation is missing. Privacy Statement This form together with all supporting documentation are submitted on the understanding that the data contained therein are used solely for the purposes of the consideration of Bursary/Award/Benefaction specified. The data will be retained in a secure location for the period of a student s registration in College, together with an additional period of thirteen months following graduation. Thereafter, all data will be erased. Further details on the data protection regulations pertaining to these materials can be found at http://www.tcd.ie/privacy/. You are asked to read these carefully and indicate your consent below to the submission of all documentation relevant to your appeal subject to these regulations. Signed: Date: SECTION A Student Information Student Number: First Name: College Email: Term Address: Date of Birth: Surname: Telephone: Year of Study: Course: SECTION B Bursary, Exhibitions or Awards Information Name of Bursary, Exhibition or Award you are applying for: PLEASE NOTE: You should complete a separate form for each bursary, exhibition or award that you are applying for and ensure you are eligible by reading the criteria carefully.

SECTION C Financial Information Please specify yes/no below Yes No Have you applied for & been granted financial assistance from the Senior Tutor s Office this year or in previous years? Are you in receipt of Local Authority Grant? Are you in receipt of Social Welfare? Please give MONTHLY income in Euros below: Your own monthly income If under 23 when you started in TCD, Monthly income for mother/guardian (including Social Welfare payments) If under 23 when you started in TCD, Monthly income for father/guardian (including Social Welfare payments) Monthly income for Spouse/Partner (including social welfare payments) SECTION D Backup Documentation Back-up documentation must be provided with all applications as follows: P21 for self and if applicable parents/guardians/spouse for previous year 1. Social Welfare payment statements or receipts or proof 2. 3 months bank statements (most recent) for self and if applicable parents/guardians/spouse NO APPLICATIONS WILL BE ASSESSED UNLESS ALL THE RELEVANT BACKUP DOCUMENTATION IS SUBMITTED AND THE PRIVACY STATEMENT IS SIGNED AND DATED: You can request your P21 online using the PAYE Anytime service. Once logged on to PAYE Anytime, select the relevant prior tax year, then select 'Request a (P21) Balancing Statement' and follow the on-screen instructions. You can also request a P21 by forwarding your P60 (and, if relevant, a P60 for your spouse) for the tax year to your local Revenue office and asking for a P21 I declare all the above particulars in this application are in every respect true to the best of my judgement and belief Student Signature: Date:

SECTION E Application Letter Please give written statement as to why you feel you should be considered for this Bursary. You should ensure your statement explains how and why you meet the criteria for the Bursary, Exhibition or Award. (You can attach a letter separately if you prefer).

Further Information All bursaries require proof of financial hardship, however there are additional requirements attached to some. For more information on these bursaries, exhibitions and awards see https://www.tcd.ie/senior_tutor/financial%20assistance/ JOHN F. CHAMBERS LENNOX BURSARY John F. Chambers, B.A., B.SC. (1948) was a mature student from Sligo who worked at night to pay for his studies at Trinity College. The shareholders and staff of Lennox Laboratory Supplies, together with his family and friends, have endowed a bursary dedicated to John s memory. An annual award will be made to one or more needy students studying science. Application letters should be addressed to the Senior Tutor, along with application form and backup documentation not later than 31 October. All documentation should be scanned and sent as one file to ug_hardship@tcd.ie. The value of award is 1,904.60. DOWNES EXHIBITION This exhibition is awarded by the Department of Religions and Theology, in consultation with the Financial Assistance Committee, to a student of narrow means pursuing the course in world religions and theology. Application letters should be addressed to the Senior Tutor, along with application form and backup documentation not later than 31 January. All documentation should be scanned and sent as one file to ug_hardship@tcd.ie. Value of fund is 2,000. LAW STUDENTS QUATERCENTENARY FUND This fund was established in 1992 by a gift from solicitor graduates of the College, through Mr Adrian P. Bourke, then President of the Incorporated Law Society of Ireland. The income is available to assist students studying law who may be in need of financial assistance. Application letters should be addressed to the Senior Tutor, along with application form and backup documentation not later than 31 January. All documentation should be scanned and sent as one file to ug_hardship@tcd.ie. The award will be made by the Law School in consultation with the Student Support Officer/Senior Tutor. MACKAY WILSON FUND This fund was established in 1913 by Robert Mackay Wilson and his wife Elizabeth Jackson Wilson for the benefit of women students of limited means resident at Trinity Hall. Grants are made to one female student of good character each year, and for one year only. A student may not receive a grant from this fund until she has completed the first year of her course in the University. Applications must be supported by a recommendation from the applicant s tutor. documentation not later than 31 May. All documentation should be scanned and sent as one file to ug_hardship@tcd.ie. MINCHIN BURSARY This bursary was established in 1982 from a bequest received under the will of G. R. N. Minchin (see also Minchin prize). Undergraduate students of the College (except those reading mathematics and/or physics) are eligible to apply for the bursary, which is awarded annually in three parts in Hilary term. Application letters should be addressed to the Senior Tutor, along with application form and backup documentation not later than 31 January. All documentation should be scanned and sent as one file to ug_hardship@tcd.ie. The awards will be made by a committee consisting of the Senior Dean, the Senior Tutor, the Junior Dean, Head of Sport and Recreation and Student Support Officer (UG). In making the awards, the committee will have regard to the criteria of academic merit, athletic prowess, and financial need. If no applications are received, the committee will consult with the Financial Assistance Committee with a view to finding suitable candidates. No student may hold the award more than once. Value of each part 2,000.

JEAN MONTGOMERY FUND This fund was established in 1950 by subscription in memory of Miss Jean Montgomery, Lady Superintendent of the Kitchen 1919-48. Free commons for two undergraduate students of narrow means is provided. documentation not later than 31 May. All documentation should be scanned and sent as one file to ug_hardship@tcd.ie. FREDERICK PURSER UNDERGRADUATES FUND This fund was established in 1911 by gifts from John Purser Griffith and Mrs Griffith in memory of Frederick Purser, Fellow 1879-1910, with the object of helping some Sophister students of limited means who have shown promise in their previous course, so as to enable them to derive the most benefit possible from the teaching of the Sophister years, whether in arts or in the professional schools, and to save them as far as may be, from being compelled to divert their energies into other activities in order to obtain the necessary means of livelihood. documentation not later than 31 January. All documentation should be scanned and sent as one file to ug_hardship@tcd.ie. The awards will be made by the Frederick Purser Committee. OWEN SHEEHY SKEFFINGTON MEMORIAL AWARDS This fund was established in 1973 from funds contributed in memory of Dr Owen Sheehy Skeffington. The annual award takes the form in alternate years of a maintenance grant (2015) and a travelling scholarship (2016) of approximately 2,000. The maintenance grant will be awarded to a Senior Freshman or Junior Sophister student of French in Trinity College, criteria for the award being a combination of academic promise and financial need. For details of the travelling scholarship see Miscellaneous Awards. Application in the first instance should be made to the Head of French. STUDENT PARENT GROUP JACKIE AKERELE FUND This fund was established in 2006 from monies contributed by her family, colleagues and friends in memory of Jackie Akerele with the object of helping student parents with childcare expenses or facing unforeseen difficulties. documentation not later than 31 January. All documentation should be scanned and sent as one file to ug_hardship@tcd.ie. The awards will be made by the Senior Tutor and the Undergraduate Student Support Officer in the Senior Tutor s Office, on recommendation from the student s tutor. The main criteria will be the student s financial situation and childcare needs. If no applications are received, the Financial Assistance Committee will be consulted with a view to finding a suitable candidate. Value, one or more awards with a total value of 700. TAVERNERS CRICKET SPORTS BURSARY This bursary was established in 1993 by the Museum Players and other Taverners cricketers on the basis of funds raised during the quatercentenary year. One bursary of 356 will be awarded each year to a needy student, preferably one who has demonstrated sporting prowess within the University. Application letters should be addressed to the Senior Tutor, along with application form and backup documentation not later than 31 January. All documentation should be scanned and sent as one file to ug_hardship@tcd.ie. The award will be made after consultation with a representative of the Museum Players, the Senior Tutor and the Head of Sport and Recreation. JOHN BENNETT FUND This fund was established in 1957 by a bequest from Mrs C. P. Bennett in memory of her husband, formerly headmaster of the High School, Dublin. The accruing interest is paid annually to a deserving student, nominated by the Governors of the Erasmus Smith Schools, who must have been a pupil of the High School continuously for three years prior to entering the College. Interested students should contact the High School directly. Value, 750 a year.