Awards and Fellowship Scheme Nominations Form

Adult Childcare Support Application Form 2022-23

This form cannot be saved and returned to so please make sure you have everything you need before you start the application.
Information collected on this form is requested to allow us to fulfil our contractual obligations in relation to the distribution of support funds for childcare. We may use the information to contact you directly in relation to your application. All your information will be kept securely. For further information on Data Protection at Morley please refer to our Privacy Notice at www.morleycollege.ac.uk. Please refer to our Financial Assistance for Students policy for full details and conditions.
This fund can support the cost of childcare for children aged between 1-5 years for full time care and from 5 years to 11 years for part time care. The maximum amount is £55 per day per child
The college can support up to 3 children per student. Students in receipt of free childcare will be expected to use these hours to cover study time before claiming funding from the College.
The college supports weekday, daytime childcare when you are timetabled to be at college or on a college related placement whether online or in person. We will not cover weekends or evenings
Providers must be Ofsted registered. Payments for childcare costs will be made directly into the bank account of your childcare provider by BACS transfer every 2 weeks No payments will be made for half terms, Christmas or Easter holidays. Please note that it remains your responsibility to pay for any periods or amounts not previously approved and to pay the full cost of childcare should you stop attending regularly or withdraw from your course of study. We will not pay any notice periods, so please make sure if you are changing childcare providers you are able to cover this cost yourself
Once this form has been submitted we will contact your childcare provider for their information. Once they have returned their details we will send you a formal letter stating the amount of childcare we will pay.
Please note, funds are limited and eligibility for the fund does not guarantee a grant will be made.
To receive support from this fund, you must be in receipt of a means tested benefit or earn less than £25,000.
Eligible learners: You must be over 19 on 31st August 2022 and enrolled on an applicable accredited course(s). Evidence will need to be uploaded with your application.
Personal details
Student Reference Number*
Student Name*
First Last
Date of birth*
DD slash MM slash YYYY
Address*
Street Address Address Line 2 City Postal Code
Email*
Enter Email Confirm Email
Mobile Phone*
Course Details
Course Code(s)*
Course Title(s)*
Campus
Please confirm the days and times you attend college for classes. If you are claiming for a placement as well please also tick the days / times and upload proof in the Evidence of Wages, Benefits or any other income section*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Monday Start Time*

: Hours

Minutes

AM/PM
Monday End Time*

: Hours

Minutes

AM/PM
Tuesday Start Time*

: Hours

Minutes

AM/PM
Tuesday End Time*

: Hours

Minutes

AM/PM
Wednesday Start Time*

: Hours

Minutes

AM/PM
Wednesday End Time*

: Hours

Minutes

AM/PM
Thursday Start Time*

: Hours

Minutes

AM/PM
Thursday End Time*

: Hours

Minutes

AM/PM
Friday Start Time*

: Hours

Minutes

AM/PM
Friday End Time*

: Hours

Minutes

AM/PM
Your Child(ren) Details
Please note the Childcare fund can provide support for a maximum of 3 children per student. You will need to provide their birth certificates or passports.
Child 1 Name:*
Child 2 Name:
Child 3 Name:
Child 1 Date of Birth:*
DD slash MM slash YYYY
Child 2 Date of Birth:
DD slash MM slash YYYY
Child 3 Date of Birth:
DD slash MM slash YYYY
Child(rens) Passport (s) or Birth cerificate (s)*
Please upload a passport or Birth Certificate for each child
Drop files here or

Max. file size: 2 MB.
Childcare Provider Information
Please provide a contact name and email address for us to contact your childcare provider
Childcare Provider Contact Name*
Full Name, not company please
Childcare Provider Email Address*
Enter Email Confirm Email
Details of Financial Circumstances. We need to know about your household circumstances. Please answer all of the following questions, the answers go towards determining your eligibility for the fund.
All information provided in this section of the form will remain confidential. Please provide full details of what money you receive each month. All relevant documents to support what you are saying. E.g. bank statements, benefit letters etc. will need to be uploaded below. Income should be for all family members.
Wages:
Please enter Monthly Wage, if nothing please put £0
Benefits:
Please enter Monthly Amount from Benefits, if nothing please put £0
Any Other Income:
Please enter Monthly Amount, if nothing please put £0
Monthly Household Income Documentation
What Type of Evidence you are going to upload*
- Universal Credit – Latest 3 Months of award Statements downloaded from the DWP
- ESA -Full Letter & Supporting Bank Statements, dated within 3 months
- JSA Full Letter & Supporting Bank Statements, dated within 3 months
- Employment – Latest 3 Months Pay Slips – Income less than £25,000 annually
- Self Employment – most recent SA302 – Income less than £25,000 annually
- Other
Evidence of Wages, Benefits or any other income, and also details of placement from the school or nursery if applicable including dates and times*
We need to see evidence of your household income as indicated above. Please upload 3 months of wage slips or 3 months of benefits statements. or any other information which is relevant. You can upload more than 1 item of evidence. Your application will be delayed if you do not attach copies of the documents which support your claim.
Drop files here or

Max. file size: 2 MB.
Evidence of Advanced Learner Loan (only applicable if you have applied for a loan for your course)
Please upload evidence of your approved loan, if your loan is not approved you won’t receive any childcare support until it is approved.
Drop files here or

Max. file size: 2 MB.
Declaration
You must agree to all conditions below*
- I understand my attendance needs to be 90% or above to receive support.
- I understand support will be removed if my conduct or behaviour is in breach of College Rules & Regulations
- I understand that this support is intended as a contribution towards costs.
- All documents in support of my application have been uploaded.
- I will inform student services if I withdraw from or change my course, or if there are any changes to my college timetable or childcare requirements
- If I am granted assistance I understand that it is my responsibility to inform the Department for Work and Pensions about any learner support payments, as this payment may affect eligibility for some state benefits.
Student Signature, please type your full name*
Please enter today's date*
DD slash MM slash YYYY
For further advice & information: student.finance@morleycollege.ac.uk
Morley College London
Morley College London, Chelsea (SW10 0QS) North Kensington (W10 5QQ) Waterloo (SE1 7HT) T: 020 7450 1889 E: enquiries@morleycollege.ac.uk W: www.morleycollege.ac.uk Morley College Limited is a company limited by guarantee. Registered in England No. 2829836. Registered charity No. 1023523.

Awards and Fellowship Scheme Nominations Form

Adult Childcare Support Application Form 2022-23

This form cannot be saved and returned to so please make sure you have everything you need before you start the application.

This fund can support the cost of childcare for children aged between 1-5 years for full time care and from 5 years to 11 years for part time care. The maximum amount is £55 per day per child

The college can support up to 3 children per student. Students in receipt of free childcare will be expected to use these hours to cover study time before claiming funding from the College.

The college supports weekday, daytime childcare when you are timetabled to be at college or on a college related placement whether online or in person. We will not cover weekends or evenings

Once this form has been submitted we will contact your childcare provider for their information. Once they have returned their details we will send you a formal letter stating the amount of childcare we will pay.

To receive support from this fund, you must be in receipt of a means tested benefit or earn less than £25,000.

Personal details

Course Details

Your Child(ren) Details

Childcare Provider Information

Details of Financial Circumstances. We need to know about your household circumstances. Please answer all of the following questions, the answers go towards determining your eligibility for the fund.

Monthly Household Income Documentation

Declaration

For further advice & information: student.finance@morleycollege.ac.uk

Morley College London