Love Your Neighbour Fund Application

All applications should preferably be completed by a professional referrer (for example Citizens Advice, Family Support Worker, Home School Link worker, Health visitor, Housing Support Officer). 

If you are applying directly as an individual, contact details of a referrer should be included on the application as we may need to contact them to discuss your application.  If you do not have a referrer we may ask you to speak to our Community Money Advice team before we process your application.

Generally we will pay suppliers directly for any awards given. All awards are discretionary, and each application will be considered subject to qualifying criteria. 

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Email *
APPLICANT DETAILS
Full name *
Phone number *
Email address *
Home address *
Post Code *
How many adults and children in household? *
Are you or your partner in employment?
REFERRER DETAILS
Name of referrer
Referrer job title
Phone number
Email address
INFORMATION ON YOUR APPLICATION
What specific item or need are your applying for *
What is the estimated cost? *
What other charities have you contacted regarding this and what was the outcome? *
Please outline applicant's current situation with as much detail as possible to support your application. Include income and outgoings / benefits received and the main reasons the grant is needed *
Any other information we should know? 
Name of person completing this form *
A copy of your responses will be emailed to the address you provided.
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