Ask for Support Ask For Support - Step 2 "*" indicates required fields The following page contains a form that gathers information we require in order to process your application.This information is required for the following purposes: Place of residence - so that we can communicate with you and so that we can ensure that relevant products and service are delivered to the correct location Previous grants and applications - so that we can establish .....please explain the reason for this as I am unsure? Health and disability information - health and disability information is often the main aspect of an application and it is important that we understand this so that we can make the appropriate decisions regarding any support you my need. Financial information - Our service focus on alleviating financial hardship and we use this information to ensure that applicants qualify for our support. Evo Foundation understand the importance of protecting personal data, and are committed to : Ensuring that your information is stored securely only shared with people and organisations associated with the processing of your application only processed for the purposes of delivering our services kept no longer than necessary. For further information on the above activities and you rights as a data subject please see our Privacy Policy. If you need to reference the Grant Scoring Matrix for help with your application - this can be found here.Consent* I Consent to the information detailed above, to be gathered and processed by Evo Foundation, for the purpose for processing and managing my application for support.*Applicant DetailsEmail* Enter Email Confirm Email Please use the same email address as used in your initial application.House/flat number & street*0 of 255 max characters Town / City*0 of 255 max characters Postcode*0 of 255 max characters Type of grant* Educational Financial Governing Body*0 of 255 max characters House/flat number & street*0 of 255 max characters Academic Year*0 of 255 max characters Desired grant value (£)*0 of 255 max characters Has the applicant applied for any Government benefits for assistance?* Yes No Please include information*0 of 255 max characters Please list any other Charities, Trusts and/or Local Authorities the applicant has already applied to for financial assistance and give the results of that application*0 of 1500 max charactersHealth & DisabilitiesApplicant’s health problems and/or disabilities*0 of 1500 max charactersFinances - IncomeSalary after tax0 of 255 max characters Pension0 of 255 max characters Child Maintenance0 of 255 max characters Rent/Lodger Income0 of 255 max characters Other Income0 of 255 max characters TOTAL (Please complete)0 of 255 max characters Finances - Benefit IncomeUniversal Credit0 of 255 max characters Income Support0 of 255 max characters Jobseeker’s Allowance0 of 255 max characters Child Benefit0 of 255 max characters Sickness & Disability Benefit0 of 255 max characters Maternity/Paternity Pay0 of 255 max characters Housing Benefit0 of 255 max characters Bereavement Allowance0 of 255 max characters Working Tax Credit0 of 255 max characters Child Tax Credit0 of 255 max characters Council Tax Reduction0 of 255 max characters Any Other Benefits - please specify0 of 1500 max charactersTOTAL (Please complete)0 of 255 max characters Finances - SavingsBank/Building Society0 of 255 max characters Post Office Accounts0 of 255 max characters Premium Bonds0 of 255 max characters Saving Certificates0 of 255 max characters Stocks and Shares0 of 255 max characters PEPs, ISAs0 of 255 max characters TOTAL (Please complete)0 of 255 max characters Finances - Monthly Expenditure - HomeRent/Mortgage0 of 255 max characters Service Charge0 of 255 max characters Council Tax0 of 255 max characters Water0 of 255 max characters Gas/Electric/Oil0 of 255 max characters Landline Telephone0 of 255 max characters Mobile Telephone0 of 255 max characters TV Licence0 of 255 max characters TV Package/Sky/Streaming Services0 of 255 max characters Broadband0 of 255 max characters Buildings Insurance0 of 255 max characters TOTAL (Please complete)0 of 255 max characters Finances - Monthly Expenditure - LivingFood & Supplies0 of 255 max characters Clothing & Footwear0 of 255 max characters Laundry & Dry Cleaning0 of 255 max characters Health Costs Prescriptions0 of 255 max characters Glasses/Contact Lenses0 of 255 max characters Bank Fees0 of 255 max characters TOTAL (Please complete)0 of 255 max characters Finances - Monthly Expenditure - TravelPetrol/Diesel0 of 255 max characters Vehicle Tax0 of 255 max characters Vehicle Insurance0 of 255 max characters Publc Transport0 of 255 max characters TOTAL (Please complete)0 of 255 max characters Finances - Monthly Expenditure - Family & PetsSchool costs0 of 255 max characters Hobbies0 of 255 max characters Child Care/Maintenance0 of 255 max characters Vet Bills/Insurance0 of 255 max characters Subscriptions0 of 255 max characters TOTAL (Please complete)0 of 255 max characters Finances - Monthly Expenditure - OtherPlease list any other expenses0 of 1500 max charactersFinances - DebtsNumber of Debts0123456Debt 01 - Name / Type0 of 255 max characters Debt 01 - Value0 of 255 max characters Debt 01 - Monthly Payment0 of 255 max characters Debt 02 - Name / Type0 of 255 max characters Debt 02 - Value0 of 255 max characters Debt 02 - Monthly Payment0 of 255 max characters Debt 03 - Name / Type0 of 255 max characters Debt 03 - Value0 of 255 max characters Debt 03 - Monthly Payment0 of 255 max characters Debt 04 - Name / Type0 of 255 max characters Debt 04 - Value0 of 255 max characters Debt 04 - Monthly Payment0 of 255 max characters Debt 05 - Name / Type0 of 255 max characters Debt 05 - Value0 of 255 max characters Debt 05 - Monthly Payment0 of 255 max characters Debt 06 - Name / Type0 of 255 max characters Debt 06 - Value0 of 255 max characters Debt 06 - Monthly Payment0 of 255 max characters Supporting DocumentsPlease supply supporting financial and/or medical documents. Drop files here or Select files Max. file size: 15 MB, Max. files: 10. Consent* I certify that all the statements I have made in this application are true and correct (apart from any statement to the contrary in the application). I undertake to inform you of any changes in my circumstances that might affect any decision to grant me relief. I realise that I shall be liable to prosecution and that I will be required to make repayment to you if I have wilfully stated anything which I know to be false or do not believe to be true. I consent to the personal data contained in this application form being processed and maintained by the evo Foundation for the purposes of administering any application for an allowance or grant from charitable funds, in compliance with the General Data Protection Regulation (GDPR).*CommentsThis field is for validation purposes and should be left unchanged.