WOMEN’S RIGHT TO CHOOSE FUND 2009/2010

WHO CAN APPLY

The Women Right to Choose Fund is open to students registered at the LSE.
Unfortunately we do not accept applications from private individuals (non-registered
students).

PURPOSE OF THE FUND

The fund is intended to assist expectant students to provide pre birth cost before the
child is born or cost for termination.

If you choose to proceed with the pregnancy, we will contribute to one off costs such
as a buggy, cot etc.

If you choose to terminate your pregnancy, we will be willing to contribute towards

the cost if it is reasonable to do so, and you are unable to access the NHS
service/treatment.

Please note that the maximum award £500 per student per academic year.

USE OF FUNDS AWARDED

Please note that the funds awarded are given on the basis that it will be used solely
for the purpose for which it was given. Should the Student’s Union become aware
that the funds are used for any other purpose we will seek to recover the full sum.

CONFIDENTIALITY

The application is assessed by staff of the Advice Centre and, if subjected to

reconsideration, by the reconsideration Panel only. The information that you provide
on the application form and during the interview will be treated as confidential and not
be shared with any other persons unless you give us permission to discuss the
application with a relevant 3rd party, where necessary.

Full details of our Confidentiality Policy detailing how your information will be treated
can be obtained upon request.

WHAT YOU HAVE TO DO

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Please carefully read the guide to filling in the form enclosed before you complete your
application form.

The following documents must be returned to room E297;

1. Completed Form
2. 3 months recent bank statements
3. Copy of current certificate of registration
4. Additional supporting documents including medical evidence.

You must return your form in person so that an interview can be arranged for
you.

WHAT HAPPENS AFTER APPLICATION IS SUBMITTED

When the application and supporting documents are submitted, an appointment will
be agreed for you to be interviewed by an Adviser.

The interview will take the form of a short discussion with an adviser. Information
shared at the meeting is kept entirely confidential. If you feel uncomfortable about
discussing your situation at interview please talk to an adviser at the Advice Centre
about your concerns.

If you need to change your interview time please let us know as soon as possible.
(Room E297 or Tel: 020-7955-7145 or E-mail: SU.Advice-Centre@lse.ac.uk

AFTER INTERVIEW

An Adviser will do the initial review of the application, and, after being satisfied that all
relevant documentation is in place, will pass the application to the ACC Panel for
consideration.

DECISIONS OF THE PANEL

The Panel meets twice a week to consider applications.

Within 3 working days of the applications being submitted to the Panel, you will be
notified of a decision.

If granted, the awarded sum is paid directly to the applicant in the form of a cheque.
The cheque would normally take an additional five working days to produce.

RECONSIDERATION OF DECISIONS

If you are not happy with the decision of the Panel, then you may make a written
request to the Manager of the Advice and Counselling Centre for the matter to be
reconsidered.

LSE STUDENTS’ UNION WRTC FUND APPLICATION FORM

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Personal Details

1. Surname:

__________________________________________________________

2.Firstname: _________________________________________________________

3a: LSE Registration number: _____________________________________________

b: Home or Overseas for fees: ___________________________________________

4. Term time Address: ___________________________________________________

_____________________________________________________________________

5. Telephone number:____________________________________________________

6. E-mail Address: ______________________________________________________

7. Age: _____________ 8. Male/Female

9. Do you have a husband/wife/partner? YES/NO

10. If yes, is he/she with you in London? YES/NO

11.If yes, what is your partner’s net annual income? ______

12.How many dependent children are with you in London? ______

13. What are their ages ___________

Course details
14. Course Title: _______________________________________________________

15. Undergraduate/Postgraduate 16. Full-time/Part-time

17. How long does the course last? _________

18. What year of the course are you in? _______

Academic year dates are the date you registered until the end of your academic year
(normally end of June or end of Sept.) Please work out the number of weeks this covers
normally 39 or 52 (take away the number of weeks when you are not paying living costs in
London e.g. vacations and/ or add any extra weeks before the start of the course for pre-
sessional English course or looking for accommodation).

Please answer questions in this page if your application is for termination.

GP details;

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Name …………………………………………………………………………….

Address…………………………………………………………………………..

Telephone:……………………………………………………………………….

Fax………………………………………………………………………………..

Email………………………………………………………………………………

Have you had counselling?

When is the termination due?

How many weeks is the pregnancy?

Do you have a letter of medical support?

Do you have documentary proof of pregnancy?

Which hospital do you intend to do the procedure?

Address

Telephone

Contact

Cost:

Medication …………….

Consultation …………..

Other……………………..

Total……………………..

For students that prefer not to use National Health Service (NHS), we suggest they
consider using the service of Marie Stopes.

Please note the information above is taken to enable the SU Advice Centre the
assess application. It will be treated as confidential. If for any reason we need to
contact a third party, we will inform you first before making any contact.

Please use the space below to address any relevant issue not covered in the
application and which the SU Advice Centre may need to know in making
award.

This may include Pre Birth Cost.

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