Funding Request


The application must be completed in one sitting.

After you've applied we will be back in touch shortly regarding your application.

Step 1 - Organisational Contact Details

Organisation Address

Step 2 - Main Person Contact Details

Step 3 - Your Application to Support a Person in Hardship (Your Client)

Address to deliver items

Step 4 - Your Client

Step 5 - The Benefit Funding Could Make

Declaration and Submission

By ticking the box you declare that the applicant has given their authority to act on their behalf. You confirm that the information given in the form is true to the best of your and your organisation's knowledge. It is your responsibility to ensure that the funding is spent appropriately and receipts provided for all purchases which must be made available to us on request.