Care Leaver / Estranged Student Travel Award Application Form

Step 1 of 2

Name

This field is for validation purposes and should be left unchanged.

Full Name(Required)

Your full name including any middle names.

Date of Birth(Required)

Your date of birth in a dd/mm/yyyy format.

Current address(Required)

Street Address Address Line 2 Town / City County Post Code Country

Your address while studying

Please complete if your term-time address is or will be different to your current address

Street Address Address Line 2 Town / City County Post code Country

Mobile number(Required)

Email address(Required)

Enter Email Confirm Email

Student number(Required)

Course you will be studying(Required)

The name of the course you will be studying

Do you hold a conditional or unconditional offer?(Required)

Do you hold a conditional or unconditional offer

Conditional

Unconditional

Please tell us how you are planning to travel to and from campus. If using public transport, please give estimated costs if possible.(Required)

Please tell us how you are planning to travel to and from campus. If using public transport, please give estimated costs if possible.

Please upload proof that you meet the conditions(Required)

Please upload proof that you meet the conditions

Drop files here or

Accepted file types: pdf, doc, docx, jpg, png, , Max. file size: 12 MB.

Please confirm that you meet the conditions and have attached proof by ticking the following(Required)

Please confirm that you meet the conditions and have attached proof by ticking the following

Yes I meet the conditions and have attached proof

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