Financial Assistance Application Form Y9 Step 1 of 5 20% CommentsThis field is for validation purposes and should be left unchanged.This form is ONLY for learners starting Y9 in September 2025I understand(Required) that this form is ONLY for learners starting Y9 in September 2025 You will be required to provide evidence of your household income, examples include: Universal Credit. Income Support. Income-based Job Seeker’s allowance. Income related employment and support allowance. Child tax credit and/or Working Tax Credit. Guarantee element of the State Pension Credit. Support under Part VI of the Immigration & Asylum Act 1999. Earnings from employment, self employment or any other income. Disability-related benefits. I understand(Required) that I am required to upload evidence when I submit this form LearnerLearner Name(Required) First Last Date of birth(Required) DD slash MM slash YYYY Learner Address(Required) Street Address City County Postcode Parent/CarerParent/Carer Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Date of birth(Required) DD slash MM slash YYYY National Insurance number(Required)Parent/Carer Address(Required) Street Address City County Postcode Email(Required) Enter Email Confirm Email Mobile Telephone(Required)Home Telephone Below are examples of relevant evidence of household income; evidence of these must be uploaded with this form. If no evidence is supplied we will be unable to process your application.Please confirm if you receive any of the following:(Required) Free School Meals Universal Credit. Income Support. Income-based Job Seeker’s allowance. Income-related employment and support allowance. Child tax credit and/or Working Tax Credit. Guarantee element of the State Pension Credit. Support under Part VI of the Immigration & Asylum Act 1999. Earnings from employment, self employment or any other income. Disability-related benefits. Do you have the supporting documents available to upload?(Required) Yes No Please Note - Failure to provide supporting evidence at this stage may result in delays to the process.File(Required) Drop files here or Select files Max. file size: 32 MB. 100% Support Learner is in receipt of Free School Meals 65% Support Learner is living in care Learner is leaving or has recently left care Parent is disabled and receiving both Employment Support Allowance and Disability Living Allowance Gross annual household income is less than £20,000 45% Support Gross annual household income is between £20,001-£25,000 25% Support Gross annual household income is between £25,001-£27,500 Which level of support are you applying for?(Required) 100% 65% 45% 25% 100%(Required) I confirm that the learner is in receipt of Free School Meals 65% - Please tick which applies to you(Required) The learner is living in care The learner is leaving or has recently left care The parent is disabled and receiving both Employment Support Allowance and Disability Living Allowance Gross annual household income is less than £20,000 45%(Required) I confirm that the gross annual household income is between £20,001-£25,000 25%(Required) I confirm that the gross annual household income is between £25,001-£27,500 Data Protection I understand that the information provided is subject to the provision of the Data Protection Act 2018 and may also be shared with members of an independent appeals panel if necessary. We take spam very seriously and any personal information we collect from this website will be used in accordance with the Data Protection Act 2018 and other applicable laws. For more information about our privacy practices please read our privacy policy for further information on how we store and use your information.