Graduation Support Fund application form

Name

First name

Last name

P number

Date of birth (dd/mm/yyyy)

Email

Phone number:

Term time address

Address Line 1

Address Line 2

City

County

Postcode

Country

Course title

Course code

Fee status

UKEUOverseas

Confirm place booked at the January 2024 ceremonies (please tick)

Confirm

Confirm if in receipt of Student Finance England funding (tick all that apply)

Tuition fee loanMaintenance loanMaintenance grantNHS bursary

Please detail if you have been in receipt of any hardship funding before:

Please outline the reason for your application detailing any financial pressures or exceptional circumstances you may face that could prevent you from attending your graduation in January 2024 (between 400 and 500 words)

I CONFIRM DOCUMENTARY EVIDENCE WILL BE SUBMITTED IN PDF FORMAT IN SUPPORT OF MY APPLICATION TO academicawards@dmu.ac.uk: (please tick)*

Confirm

I ACKNOWLEDGE THAT IF MY APPLICATION IS SUCCESSFUL IT IS MY RESPONSIBILITY TO COMPLETE THE ROBE ORDER FORM THAT I WILL BE SENT AND SUBMIT TO academicawards@dmu.ac.uk BY THE DEADLINE DATE. (please tick)

Confirm

Upload documentary evidence

Data Protection Act 1998

The University collects information about students for various administrative, academic and health and safety reasons. Due to data protection legislation we need your consent before we do this. Since we cannot operate the University effectively with processing information about you we need you to sign the following consent clause.

I agree to De Montfort University processing personal data contained in this form or other data which the University may obtain from time to time from me or other people whilst I am a student. I agree to the processing of this data for this application.

I agree

I have read and fully understood the Data Protection Act 1998 statement above.

Confirm

I confirm that I have registered and confirmed my attendance on the online graduation booking system

Confirm