Holiday Grants Application Form

Holiday Grants Application Form

Introduction

Section A: Personal Details

Details of the person with the disability
Details of contact if different to above
How many people live in your household?
Please list people who are living with you

Section B: Criteria/Eligibility

THIS MEANS: 'A physical or mental impairment that has a substantial and long-term effect on your ability to do normal daily activities. Note: 'Substantial' means more than minor or trivial, e.g. It takes longer than usual to get dressed. Long-term means for 12 months or more. e.g. a breathing condition that develops as a result of a lung infection.
Disability evidence will be requested at the next stage, such as a letter from a doctor, hospital, social worker or some other medical professional dated within the last 12 months. A copy of your patient notes is acceptable as long as it states the disability. (WE CANNOT ACCEPT DLA/PIP AS EVIDENCE BECAUSE THIS DOES NOT CONFIRM THE DISABILITY.)

SECTION C: PROPOSED HOLIDAY

Please note that grants are only for the ACCOMODATION part of a holiday and are awarded for household family members and, if necessary, a carer attending the holiday. Payment is made directly to the holiday venue/organisation by bank transfer. We will NOT pay grants directly to applicants.
Please list everyone going on holiday
If the cost of the holiday is more than the amount of the grant, please advise how will you pay for the shortfall (Other funding applications, Social Services, Funding yourself)

SECTION D: YOUR SITUATION

SECTION E: INCOME DETAILS

Please write in the weekly/monthly amount you receive for each benefit/source of income. Please include amounts for ALL household members that receive benefits/income. If no benefit is received, please put in '0'.

Maximum file size: 33.55MB

If we are able to proceed, evidence of all your benefits will be required such as letters from the benefit agencies and copies of 1 month's bank statements - dated within 3 months. This requirement is for all adults (18+) in your household.
PLEASE NOTE THAT IF YOU HAVE ALREADY BOOKED AND PAID FOR A HOLIDAY, WE WILL NOT BE ABLE TO AWARD YOU A GRANT. tHE GRANTS THAT WE OFFER ARE MODEST GRANTS BETWEEN £250 and £550.

DECLARATION

I confirm the information provided in this application is true and complete and I agree to The 3H Foundation's terms and conditions. These can be found on our website or requested separately.
I understand that providing false or misleading information may result in my application being automatically rejected.
I understand that in order to comply with the Data Protection Act 2018 and for The 3H Foundation to administer my/our application, I/We give permission for you to keep this information on file.
All your personal data will be kept confidentially by 3H for a time deemed necessary. 3H will forward your personal data to the necessary parties who will have been made aware of their obligations to abide to all aspects of the new data regulations and particularly in respect of confidentiality and safe keeping.
We will require you to complete a post holiday questionnaire to aid future grants and support fundraising.
We may use feedback or details to help improve our service, report back to donors or for promotional purposes using a first name or initial only. Please let us know if you prefer your comments not to be used.
I give permission for The 3H Foundation to publish any photographs and/or comments in newsletters, leaflets, on their website and/or for reporting back purposes. (This will be in first name format only)
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