A ROE BURSARY APPLICATION FORM
Please complete all sections of this application form. Applications are considered on a rolling basis. Please email your application to academic.registrar@oriel.ox.ac.uk when complete. The Internal Policy and Process for applications for the A Roe Bursary is provided at the end of this form. Please read the policy before completing the application. Please direct any queries to the Academic Registrar at academic.registrar@oriel.ox.ac.uk
PART I: PERSONAL INFORMATION
Full Name
Term of Application (e.g. MT24)	Application date
Course (e.g. BA History)
Year of Study (e.g. 2nd)	1st 2nd 3rd Other (please specify):
Previous A Roe Bursary awards	Term/year	Amount
Term/year	Amount
Term/year	Amount
Previous Student Financial Support (SFS) awards	Term/year	Amount
Term/year	Amount
Term/year	Amount
PART II: BURSARY INFORMATION
Do you have evidence of a diagnosed disability? This could include, but is not limited to: Medical Certificate or Doctor’s Letter from a UK physician. A Student Support Plan (SSP) from the University Please append evidence of your diagnosed disability with your application.	Yes (append to application) No
If you do not have a formal diagnosis and are unsure what materials to provide, please contact the Academic Registrar (academic.registrar@oriel.ox.ac.uk) who can assist with documentation advice.
Are you eligible for the Disabled Students’ Allowance (DSA) provided by the UK Government?	Yes No Unsure
If eligible, have you applied for the DSA?	Yes (if successful, please provide details below) No
Please provide details of the outcome of your successful DSA application:
Reason for Application Please explain why you are applying to the A Roe Bursary. Please append any relevant documentation which evidences your reason(s) for applying.
Amount requested Please state the amount you are requesting. Please note that the maximum award is £500.	£
Confirmation of data sharing with Development Office The Development Office would like to be notified of the items bought with the bursary fund for fundraising communications; no names or identifiable traits will be provided. Please indicate whether you would be happy for the Development Office to be notified of the item(s) bought following a successful award.	Yes No

A Roe Bursary

Internal Policy and Process

This policy relates to the A Roe Bursary.

The A Roe Bursary was established by Dr Anthony Roe, a former Oriel student, who donated the bursary’s funds with the aim of supporting students reading any subject with disabilities at the College, helping to ease any challenges posed by their disability.

The Bursary Fund supports students with covering costs related to their diagnosed disability – both physical and mental disabilities. This could include, but is not limited to, the DSA’s upfront cost of £200 for purchasing a computer; specialist computing equipment; safety devices for individuals with sensory loss; and mobility equipment for College accommodation.

The Bursary Fund does not contribute towards the cost of a private medical diagnosis of a physical disability or Specific Learning Difficulty (SpLD). Additionally, for larger sums, if the student is eligible for DSA funding, they would be expected to investigate this option first. Please note that the Bursary Fund can contribute the initial £200 the DSA request for purchasing a computer (see 3.).

Applications are considered by the Academic Registrar on a rolling basis. The Academic Registrar will prepare an annual report on spending for the College’s Equality, Diversity and Inclusion Committee.

All applicants must provide evidence of their diagnosed disability. The evidence could come in the form of a Medical Certificate, Doctor’s Letter from a UK Doctor, or a Student Support Plan created by the Disability Advisory Service. If you have questions about the documentation you can provide, please contact the Academic Registrar (academic.registrar@oriel.ox.ac.uk).

All enrolled Oriel students—undergraduate and postgraduate—who are currently on a course of study at the College are eligible to apply.

The maximum award is £500.

The Treasurer holds delegated authority for overseeing the management of this bursary fund. As the bursary fund concerns students with a disability, a protected characteristic under the Equality Act 2010, the College’s Equality, Diversity and Inclusion Committee will hold oversight of spending through the Academic Registrar’s annual report. However, this Committee hold no delegated authority, and instead performs an advisory role.

This policy will be reviewed as necessary.

VERSION CONTROL

A Roe Bursary Internal Policy and Process

Version	Reason for amendment	Further notes
v.1	This is the original version.