Berkley Hardship Grant

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PART ONE: APPLICANT'S PERSONAL INFORMATION

dd/mm/yyyy



Postal Address

PERSONAL INFORMATION

Information gathered in this section will not affect your application.  It is taken for demographic reporting only.  It is not accessible to the assessors considering applications.

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PART 2: CARE SECTOR EMPLOYMENT

This part of the application asks for details of your employment with Berkley, please note this will be checked with Berkley. To be eligible for the grant you must:


         Be currently employed with Berkley in residential social care

         If a bank worker, you must have worked an average of 24 per week in the previous three months




Berkley employment details 

dd/mm/yyyy

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PART 3: HOUSEHOLD INCOME AND SAVINGS

Household Make Up


Banking Information
Please provide banking details.  This will make it easier for us to pay your grant quickly if you are successful. Please your current account details and not a savings account.
Please just enter the numbers without spaces or dashes
Please just enter the numbers without spaces or dashes

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PART FOUR: CIRCUMSTANCE AND NEED

DESCRIPTION OF NEED

Below are some common costs that we can support:


Payments will be made directly to the applicant. 

·       Daily Living Costs

·       Increase in utility bills

·       Increase cost of grocery shopping

·       Travel expenses/fuel costs

·       Rent/ Mortgage repayments or arrears

·       Increase in childcare costs

·       Car repairs

·       White goods or household items

·       Home repairs 

PART FIVE: SUPPORTING DOCUMENTS

p PLEASE ONLY SUBMIT YOUR APPLICATION IF YOU HAVE ALL SUPPORTING DOCUMENTS READY TO SUBMIT. BY NOT SUBMITTING ALL DOCUMENTS YOU WILL BE DELAYING THE ASSESMENT OF YOUR GRANT


Please provide supporting documentation that supports your grant request eg:

  • evidence of increased bills / expenditure or missing payments
  • evidence of debt or loans;
  • evidence of arrears with rent or bills;
  • credit card balance docs;
  • Fit note from GP
  • Invoices for any goods or services
  • other evidence of a specific cost (school uniforms, shoes, and essential household stuff / repairs etc);




If you are unable to upload your documents, please send your supporting documents:

·      By email:  grants@thecwc.org.uk

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PART SIX: OTHER POTENTIAL SOURCES OF HELP

We may be able to identify further help for you from other organisations. Additional occupational benevolent funds are a potential source of financial help.

PART SEVEN: REFERRING SOURCES



PART EIGHT: CARE QUESTIONNAIRE AND SECTOR MONITORING

This questionnaire is optional and will not be factored into the grant assessment.

 

Information gathered in this section helps CWC increase our understanding about the ways we can improve the services we offer. Your responses will be anonymised.



If you are struggling with debt you can contact Step Change or your local Citizens Advice Bureau for free advice


If you are struggling with your mental health, The Care Workers' Charity offers care workers up to ten free counselling sessions. To apply for the support please click here






PART NINE: CASE STUDY INFORMATION

Case studies are an important way in which we raise awareness of CWC and illustrate the positive impact of our work. It also helps our fundraising efforts, which enables us to grow and help more people. 


 

Participation in the case studies is optional. Your decision will not be factored into CWC’s grant assessment. 

 

PART TEN: CONSENT AND DECLARATION

CONSENTS

Your information will remain confidential and only be held or disclosed to assist with your application. The Care Workers Charity processes personal data in accordance with the General Data Protection Regulation and you have a right to request access and/or erasure of your personal data. Please refer to our Privacy Policy to learn more about how and why we use your information.