Name
*
First
Last
Email
*
Phone
*
Date of Birth
*
DD slash MM slash YYYY
Preferred Pronouns
She/Her
He/Him
They/Them
Course Name
*
Course Year
*
Campus
*
Canterbury
Epsom
Farnham
Student Number
*
What are you applying for? Tick all that apply.
*
Club/Society/Community Membership Fee
Essential Specialist Item
Additional costs as a result of a disability
Costs related to tournament fees
I am from a committee and need support for equipment
Which Club or Society are you applying for?
Eligibility - Tick all that apply.
*
Enrolled UCA student facing financial difficulties.
Receiving Maintenance Loan or UCA Financial Assistance Fund
Facing financial pressure because of a disability
You are a parent or carer.
You are an international student who is facing additional costs because of your immigration status.
Please provide a clear rationale for applying for support to take part in Students’ Union led sports or activities
*
Please provide details on the circumstances that are preventing you from taking part in your chosen sport/activity.
*
How important is receiving support for you to participate in this activity?
*
Please provide links or further information on needed equipment you are applying for.
*
What is the total amount are you applying for?
*