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* Town / City* Postcode* Type of grant* Educational Financial Governing Body* House/flat number & street* Academic Year* Desired grant value (£)* Has the applicant applied for any Government benefits for assistance?* Yes No Please include information* 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*Health & DisabilitiesApplicant’s health problems and/or disabilities*Finances - IncomeSalary after tax Pension Child Maintenance Rent/Lodger Income Other Income TOTAL (Please complete) Finances - Benefit IncomeUniversal Credit Income Support Jobseeker’s Allowance Child Benefit Sickness & Disability Benefit Maternity/Paternity Pay Housing Benefit Bereavement Allowance Working Tax Credit Child Tax Credit Council Tax Reduction Any Other Benefits - please specifyTOTAL (Please complete) Finances - SavingsBank/Building Society Post Office Accounts Premium Bonds Saving Certificates Stocks and Shares PEPs, ISAs TOTAL (Please complete) Finances - Monthly Expenditure - HomeRent/Mortgage Service Charge Council Tax Water Gas/Electric/Oil Landline Telephone Mobile Telephone TV Licence TV Package/Sky/Streaming Services Broadband Buildings Insurance TOTAL (Please complete) Finances - Monthly Expenditure - LivingFood & Supplies Clothing & Footwear Laundry & Dry Cleaning Health Costs Prescriptions Glasses/Contact Lenses Bank Fees TOTAL (Please complete) Finances - Monthly Expenditure - TravelPetrol/Diesel Vehicle Tax Vehicle Insurance Publc Transport TOTAL (Please complete) Finances - Monthly Expenditure - Family & PetsSchool costs Hobbies Child Care/Maintenance Vet Bills/Insurance Subscriptions TOTAL (Please complete) Finances - Monthly Expenditure - OtherPlease list any other expensesFinances - DebtsNumber of Debts0123456Debt 01 - Name / Type Debt 01 - Value Debt 01 - Monthly Payment Debt 02 - Name / Type Debt 02 - Value Debt 02 - Monthly Payment Debt 03 - Name / Type Debt 03 - Value Debt 03 - Monthly Payment Debt 04 - Name / Type Debt 04 - Value Debt 04 - Monthly Payment Debt 05 - Name / Type Debt 05 - Value Debt 05 - Monthly Payment Debt 06 - Name / Type Debt 06 - Value Debt 06 - Monthly Payment 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).*PhoneThis field is for validation purposes and should be left unchanged.