Adult & Continuing Education Fees Scholarship 2012-2013 Online Application Form

Welcome to the Online Application area for NUI Galway's Adult & Continuing Education Fee Scholarship Programme 2012-2013

Closing Date for application to this programme is 5pm, Friday 20th July 2012.

There are two steps in this Application Process:
1. Fill in an Online Application Form, see below.
2. Then post in Relevant Supporting Documentation, see below.

1. Online Application:
Please note that you do not have the facility to "save" the application and come back to work on it at a later stage, it must be completed in one sitting, it is recommended therefore, that you scroll down through the form initially and look at it carefully before you start to complete it. Thank you.

(Those marked with * must be answered)

1) Surname (as on Birth Certificate)*:

2) First Name(s)(as on Birth Certificate)*:

3) Date of Birth*:

Format DD/MM/YYYY

4) Address for Correspondence:

Address 1
Address 2
Address 3
Address 4
County:

5) Country of Birth*:

6) Nationality*:

7) PPS Number*:

8) Telephone (Landline):

9) Telephone (Mobile)*:

FORMAT 0866001012

10) Email Address*:

11) Are you currently in receipt of: (please tick the appropriate box)

Job Seekers Benefit
Job Seekers Allowance
One-Parent Family Allowance
Or signing for social insurance contribution credits

12) Following from Q11, please note the Start date:

13) Have you applied for or are you in receipt of any other source of funding for this programme?

Yes

14) If YES Please give details:

15) Programme of Application:
Please indicate which programme you have applied for at NUI Galway in 2012/2013.

Programme Title
Year of Programme (i.e. Year 1, 2 etc):
Programme Fees:

Details of Unemployment Status from Department of Social & Family Affairs

This scheme is designed for students who have recently become unemployed or on reduced working hours (since January 2008), and wish to update their skills and knowledge by participating in a part-time adult education programme under the fees scholarship scheme. Scholarships will constitute a 50% contribution towards programme fees.

How do I qualify?

1. Students must initially meet the minimum entry requirements for their chosen course. Check with the programme co-ordinator for information on eligibility criteria.

2. Students must be registered as unemployed and/or in-receipt of one of the following payments since January 2008.

i. Job-seekers Benefit

ii. Job-seekers Allowance

iii. One-parent family allowance

Applicants must provide a statement from their local Social Welfare Office confirming receipt of the above payments to justify financial support from the University for this scheme. Candidates not meeting the above criteria, but who have recently become unemployed, may also apply. Such candidates will be required to furnish evidence of their unemployment status and will be dealt with on a case-by-case basis.

Applicants should note that all information received will be used for the purposes of selection of students for the Fees Scholarship Scheme only. Under no circumstances will it be disclosed to any other agency or body.

Please note:

1. Candidates are advised to contact their local Community Welfare Office to establish whether receipt of this scholarship would impact upon their entitlements under the Supplementary Welfare Allowances Scheme (ie. rent or mortgage supplement or medical card etc).

2. Applications must be made on an annual basis.

3. Should an applicant’s circumstances of employment change during the course of the programme, their eligibility for the scheme will be reviewed.

The above Supporting Documentation is required to supplement your online application and should be posted to:

Return to:

Martha Higgins
Adult & Continuing Education Office
NUI Galway
Galway

Please ensure the supporting documents are sent as soon as possible after submitting your online application.

Please check that you have answered all questions.
When completed, please press "submit" to send your application, you will then be sent an acknowledgment, so you will know it was successfully submitted.
Best of luck with your application.