For support with study costs – 19+ Learners 

Please only complete this form if your household income is less than £25,000:

  • £0 - £20,000 may be eligible for study costs, fee support and childcare support (if required)
  • £20,001 - £25,000 may be eligible for study costs (if required)

For more information on Financial Assistance please contact Student Services.

Please complete all sections of this form. If you do not know your student number this can be added at a later time.


Section 1 – Course Details

Are you a new Middlesbrough College student or a returning student?

Course type

Section 2 – Student's Personal Details

Address must match that on income evidence & College enrolment system.


Gender assigned at birth

Section 3 – Residential Status

Have you been a resident in the UK / EEA for the last 3 years?

Are you an unaccompanied Asylum Seeker?

Section 4 – Home Status

Who do you live with?


Section 1 - Income

Do you have a taxable household income of less than £20,000?

Do you have a taxable household income of less than £25,000?

Have you applied for an Advanced Learning Loan (if required for your course)?

Do you claim any of the following benefits?

Do you claim any of the following benefits?

If none, please state 'none'
In order to assess this application proof of income must be provided, please see below examples of evidence you can provide: 
  • Universal Credits (most recent payment statement showing full breakdown)

  • Income Support** 

  • P60 2020-2021
  • Job Seekers Allowance**
  • Last 3 wage slips (paid monthly)
  • Employment Support**
  • Last 4 wage slips (paid weekly / fortnightly)
  • Working / Child Tax Credit Award Notice (headed Tax Credit Award April 2021-April 2022 and will show income for 2020-2021 on page 2 or 3)
  • Pension Guarantee**
  • Local Authority letter if you are in or have Left Care

** this can be either a letter dated within 3 months stating you are in receipt of the benefit or alternatively you can provide a bank statement dated within 3 months showing your name and address along with 3 or more payments being paid into your account.

Please email copies of all evidence to  Please call Student Services on 01642 333606 if you experience any problems.


I will abide by College Regulations. To the best of my knowledge, everything I have declared on this form is both true and complete. I will inform Student Services if anything changes with my personal circumstances including household income. I understand that I may be asked to provide evidence of continued eligibility to fee remission. I agree to Middlesbrough College processing personal data, including “sensitive” personal data (ethnicity, disability, etc.) contained on this form or other data that the College may obtain from me or other people, whilst I am a student. I agree the processing of such data for any purposes connected with my studies or my health and safety whilst on the premises or for any other legitimate reason.
I understand that any fraudulent claims will be investigated.
I understand that once a written offer is received, any financial assistance is subject to satisfactory attendance, behaviour and performance, and if the conditions are not adhered to, funding may be withdrawn and I may be liable to repay any payments made or return any equipment the College has funded.

Please ensure that you (and your parent/guardian as noted) have answered each section and signed the form. Please email copies of all evidence to  Please call Student Services on 01642 333606 if you experience any problems.

If you do not have an email address you can hand a copy of your evidence into Student Services at the College (please
do not post the application and evidence to us). You can submit the application at any time but payments will only commence once you have enrolled, we have checked and approved your eligibility and you are attending classes. 

Following receipt of your application, you will be informed of the outcome of your application by email or text in due course.