PLC Bursary Application

Form 2024-2025
PLC BURSARY FOR DISPLACED PERSONS
(UKRAINE) SCHEME 2024
About this Application Form

The PLC Bursary for Displaced Persons (Ukraine) Scheme will be in place for the
2024/2025 academic year and is aimed specifically at persons who have been granted
temporary protection under section 60 of the International Protection Act 2015 and who
would like to participate in a SOLAS-approved full time post leaving certificate (“PLC”)
course in their local Education and Training Board.

The scheme is being administered by the awarding authority, Student Universal Support
Ireland (SUSI) on behalf of the Department of Further and Higher Education Research
Innovation and Science. This financial support in the form of a bursary of €6,115 (non-
adjacent) or €2,575 (adjacent) and will be paid in monthly instalments to qualified
persons who attend a SOLAS approved PLC course in the 2024/25 academic year.

Adjacency rules have been introduced in the 2024 Scheme. An applicant will be eligible
for a bursary at either the adjacent or non-adjacent rate. Adjacency is the distance
between a student’s normal residence and the institution where the approved course
takes place.

The adjacent bursary shall be payable in the case of any student whose normal
residence is under 30 km from the approved institution (29 km or less) which the
student is attending. The non-adjacent bursary shall be payable in all other cases (30
km and over).

The Bursary is open to students starting year one of an approved PLC course or
progressing into the second year of an approved two-year course.

Any person who wishes to apply for a bursary under this Scheme, must complete and
submit this application form.

How to Complete this Application Form

 Please use black ink and write in block letters.

 Answer all questions. If a question or section does not apply to you, please
enter ‘N/A’ (Not Applicable).
 Questions with an asterisk symbol (*) must be answered.
 Please answer in English.
 Before you begin, you will need:
o Your Personal Public Service Number (PPSN).

Documents Required to Support your Application

 You must send with your application:

o a copy of the document from the Department of Justice which confirms
you have been granted temporary protection under section 60 of the
International Protection Act 2015.
o Evidence of previous education in the State
 SUSI may request further documentation from you following receipt of your
application.
 Please note that SUSI can only complete the assessment of your application once
all documentation has been received.

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How to Submit this Form

 Return your completed application form and supporting documents by post to SUSI,
PO Box 12209, Freepost FDN7608 Dublin 4. Please note: No postage stamps are
necessary for delivery

What Happens Next?

 SUSI will assess your application.

 Once your application has been assessed, you will receive a letter by post
detailing the outcome.

Administrative Review

 If you are not satisfied with the outcome of your application, you can
request an administrative review by emailing [email protected]
within 14 days of the date on your outcome letter. Please include your
name, U number and reason for review in your email.

Need Help?

 If you need further advice or support, please contact SUSI by email at

[email protected]

Application Form Glossary

Student Universal Support Ireland (SUSI)

SUSI is Ireland’s national awarding authority for all further and higher education grants.
SUSI administers the PLC Bursary for Displaced Persons (Ukraine) Scheme 2024 on
behalf of the Department for Further and Higher Education, Research, Innovation and
Science.

Personal Public Service Number (PPSN)

A PPSN is a unique reference number that helps you access social welfare benefits,
public services and information in Ireland. It is always seven numbers followed by either
one or two letters. For information on how to apply for a PPSN, visit www.gov.ie/ukraine

Back to Education Allowance (BTEA)

BTEA is an education Scheme for people in receipt of certain Social Protection payments
who wish to pursue a full time second level or third level course of education.

You are not eligible for the PLC Bursary for Displaced Persons (Ukraine) Scheme 2024 if
you are in receipt of or will receive a BTEA payment.

Vocational Training and Opportunities Scheme (VTOS)

VTOS is an educational opportunities Scheme which aims to provide unemployed people
with education and training opportunities that will help them find a job and to prepare
people to go to paid employment or to further educational opportunities.

You are not eligible for the PLC Bursary for Displaced Persons (Ukraine) Scheme 2024 if
you are in receipt of or will receive a VTOS payment.

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U Number
When SUSI receives your application, you will be assigned a unique application number
beginning with U. This is called a U number.

Reminder: Please answer all questions in English

Section A
Applicant’s Personal Details

A1. Name:*

A2. Surname:*

A3. Personal Public Service Number (PPSN):*

A4. Date of Birth:*

dd/mm/yyyy

A5. Address in State:*

A6. Eircode (if known):

A7. Telephone Number:*

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A8. Email Address:*

A9. Mother’s Birth Surname

Section B
Permission to Remain in the State Details

B1. Have you been granted temporary protection under section 60 of the International
Protection Act 2015 by the Minister for Justice?*

Yes No

Section C
Department of Social Protection Payments Details

C1. Are you receiving or will you receive a Back to Education Allowance (BTEA)
payment?*

Yes No

C2. Are you receiving or will you receive a Vocational Training and Opportunities Scheme
(VTOS) payment?*

Yes No

Important Note: If you answer no to questions C1 and C2 but subsequently receive a

BTEA or VTOS payment, you must inform SUSI by emailing [email protected]

Section D
Course and College Details

D1. College Name:*

D2. Course Name:*

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D3. Course Code (if known):

Section E
Previous Education Details.

E1. Have you previously completed a course at further or higher education?

Yes No

If Yes E1, was your previous attendance on a Yes No

PLC course in the State?

If Yes E1, was your previous attendance on a Yes No

undergraduate course?

If Yes E1, was your previous attendance on a Yes No

postgraduate course?

E2. Please provide details of

your previous education,
including the institution name
and qualification received.

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E3. Have you previously attended and not completed a course at further or higher
education in the State?

Yes No

If Yes E3, was your previous attendance on a Yes No

PLC course in the State?

If Yes E3, was your previous attendance on a Yes No

undergraduate course in the State?

If Yes E3, was your previous attendance on a Yes No

postgraduate course in the State?

E4. Please provide details of

your previous education,
including the institution name
and qualification level and
the dates you attended the
course.

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Section F
Distance to your Institution

F1. Is the distance to your institution 30km or more?

Yes No

If Yes to F1, Please provide the following documentation for proof of address.

 A household utility bill (Printed online utility bills are accepted)

 An official letter or document
 A bank statement
 Property lease or tenancy agreement
 Correspondence from an insurance company regarding an insurance policy
 Letter from Department of Social Protection/Revenue
 Other official correspondence from an Irish state agency
e.g. government departments; HSE; Register of Electors/polling card; CAO; An
Garda Síochána; Public / Private hospitals, Residential Tenancies Board (RTB) or
third level college, Secondary school/training agency, NCT Reports or reminders,
An Post, TV Licence, National Government Health Screening Programme(s)

Please note failure to provide the above information when F1 is ticked Yes will
result in you automatically being awarded the adjacent rate of grant.

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Declaration

Please confirm the below statements by placing an ‘X’ in the box opposite.

I CONFIRM that I am aware of the SUSI Important Notes for

Grant Applicants available at www.susi.ie

I DECLARE that all information that I may provide in relation to

this application is full, complete and accurate in every respect.

Consent to Data Processing

Please confirm the below statements by placing an ‘X’ in the box opposite.

I UNDERSTAND that the personal data I provide in my application

will be retained and processed by SUSI in accordance with the
SUSI Privacy Statement and the SUSI Data Protection Statement
available at www.susi.ie

I CONSENT to the processing of my personal data by SUSI for the

purposes of the PLC Bursary for Displaced Persons (Ukraine)
Scheme 2024.

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Before Submitting your Application

Please ensure you have completed all of the following before submitting your application.

I have fully answered all questions.

I have completed the Declaration and Consent to Data Processing.

I have enclosed a copy of my letter from the Department of Justice
confirming I have been granted temporary protection under section
60 of the International Protection Act 2015.

I have enclosed evidence of previous ed in the State as declared in

E3 of the application form
I have included evidence of my address (if over 30kms or more from
the institution being attended)
I have signed and dated my application.

Signature: ____________________________

Date: ____________________________

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