<p> STUDENT ASSISTANCE FUND 2015/2016</p><p> The Student Assistance Fund is co-funded by Irish Government and European Union under the European Social Fund Human Capital Investment Operational Programme 2014-2020 – ‘Investing in your Future’  Online applications must be complete prior to submission of form SAF 2.1 and supporting documents. Incomplete applications will not be considered.  Return your completed SAF 2.1 form and supporting documents to Room A101, St Patrick’s Campus, Dublin City University, Dublin 9 Deadlines:</p><p>Online Application + Supplementary Application Form SAF 2.1 </p><p>Monday 19 th October @ 5.00pm</p><p>Please complete form and return to (after you have completed the online application form):</p><p>Room A101, St Patrick’s Campus, Dublin City University, Dublin 9 - Queries to: [email protected]</p><p>To Be Completed By Student Student Name: Student Number: Which categories of assistance are you applying for? (Max. of 2 Categories)* 1. Rent 2. Heat/Food/Living Expenses 3. Books and College Supplies 4. Travel 5. Medical 6. Emergency</p><p>Notes:  If there is a family breakdown or extenuating circumstances and you are under 23 and financially independent, please advise this office.</p><p> In the case of separation/divorce or a death of a parent/guardian and you are unable to provide income details, please provide evidence of the situation. E.g. copy of separation papers, copy of death certificate.</p><p> All students must submit supporting documents to supplement their online application. </p><p> If you have not applied online, please do so before submitting this form</p><p>SAF 2.1 Supplementary Application Form COMPULSORY</p><p>Section 1: Partner’s/Parent’s/Guardian’s/Spouse’s Income Details Occupation Spouse/Guardian 1/Parent 1 Amt per week/month/year? Occupation Partner/Guardian 2/Parent 2 Amt per week/month/year? Other Income Amt per week/month/year? No. of dependent children No. of children in higher education</p><p>Section 2: Student’s Annual Budget * </p><p>Academic Year - *Multiply monthly incomings x 9 or multiply weekly incomings x 36 Income - 9 Months (€) (€) SUSI € Carers Allowance € Scholarship/Bursary/Award, etc. € Health Board Payments € Allowance from parents/guardian € Charitable Support € Allowance from partner/spouse € Childcare Support € Lone Parents Allowance € Maintenance Support € Back to Education Allowance € Income from Employment € Disability Allowance € Access Grant € Rent Allowance € Summer Work Savings € Family Income Supplement € Other € Total Income </p><p>Expenditure - 9 Months (€) Rent/Mortgage € Childcare € Daily Transport to College € Car Tax € Transport at Weekends € Car Insurance € Gas/Electricity/Oil € Medical Insurance € Groceries/Food € Extra-Curricular Activity € On/Off Campus Meals € TV Licence € Internet € Bin Charges € Phone/Mobile € Water Charges € Medication € Other € College Materials € Total Expenditure € College Books € </p><p>Reason for applying ______</p><p>Section 3: Supporting Documents </p><p>SAF 2.1 Supplementary Application Form </p><p> Depending on what student category you are in will depend on what supporting documentation you will need to submit.  If you have applied to SUSI, you do not need to provide proof of income for your family. If however you are declined from SUSI at a later date, you will need to provide proof of income for your family. </p><p>Student Assistance Fund Documents Required Students under 23 on the January 1st 2015 Supporting Documents Choose one or more from A, B and C (for parents/guardians) A. PAYE - P21 or P60 for 2014 B. Welfare - Social Welfare Statement for 2014 C. Self Employed - Notice of Assessment for 2014 Student that provides a letter for confirmation of Susi Grant are not required to submit any of the above Grant Applicants Copy of letter from SUSI confirming grant for 2015/2016 All Applicants 2 months bank statements (student) </p><p>Student’s over 23 on/before January 1st, 2015 Supporting Documents Choose one or more from A, B and C (for student and/or partner) A. PAYE - P21 or P60 for 2014 B. Welfare - Social Welfare Statement for 2014 C. Self Employed - Notice of Assessment for 2014 Student that provides a letter for confirmation of Susi Grant are not required to submit any of the above Grant Applicants Copy of letter from SUSI confirming grant for 2015/2016 All Applicants 2 months bank statements (student) </p><p>If your family income is over the threshold but changes have occurred in 2015, please provide evidence of the following as well as the above.</p><p>Supporting Documents Choose one or more from A, B and C A. P45 B. Social Welfare Receipts C. Last 3 months payslips You may be required to provide further supporting documents at a later stage</p><p>SAF 2.1 Supplementary Application Form </p>