RSF application form

REFUGEE SUPPORT FUND APPLICATION

To make an application, please complete and submit the form below. Or you can download a copy and post it to:
Elmbridge CAN, PO Box 112, East Molesey, KT8 8EN.

Please ensure you complete ALL sections marked with a * or the form will not submit.

WHO IS THE GRANT FOR?

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email address *

Date of arrival into the UK *

BRP/ARC number *

Is the applicant under 16? *

Yes No

Name of referring organisation / individual *

ABOUT THE GRANT

How much are you applying for? *

Please explain what the grant is for - include links to items/websites if possible or an estimate of cost for each item *

How do you think this grant will make a difference to your life? *

Please use this space to provide any other information you think is relevant to help us to assess your application *

Do you need the decision by a specific date? *

Yes No

If yes, when? *

Please confirm whether you are happy for us to contact you to discuss what additional support we may be able to offer. *

Yes No

I would like to receive updates about your work. *

Yes No

Submit

Elmbridge CAN collects personal information when you subscribe for updates, submit a funding application or other enquiry. We will use this information to provide the service(s) requested, maintain internal records and, if you agree, to send you updates about our work and projects or appeals we think might interest you. We will never share your personal information with third parties unless we have your permission to do so or are required by law to do so. For more information explaining how we use your information, please see our Privacy Policy.

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REFUGEE SUPPORT FUND APPLICATION

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