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 taxPensionChild MaintenanceRent/Lodger IncomeOther IncomeTOTAL (Please complete)Finances - Benefit IncomeUniversal CreditIncome SupportJobseeker’s AllowanceChild BenefitSickness & Disability BenefitMaternity/Paternity PayHousing BenefitBereavement AllowanceWorking Tax CreditChild Tax CreditCouncil Tax ReductionAny Other Benefits - please specifyTOTAL (Please complete)Finances - SavingsBank/Building SocietyPost Office AccountsPremium BondsSaving CertificatesStocks and SharesPEPs, ISAsTOTAL (Please complete)Finances - Monthly Expenditure - HomeRent/MortgageService ChargeCouncil TaxWaterGas/Electric/OilLandline TelephoneMobile TelephoneTV LicenceTV Package/Sky/Streaming ServicesBroadbandBuildings InsuranceTOTAL (Please complete)Finances - Monthly Expenditure - LivingFood & SuppliesClothing & FootwearLaundry & Dry CleaningHealth Costs PrescriptionsGlasses/Contact LensesBank FeesTOTAL (Please complete)Finances - Monthly Expenditure - TravelPetrol/DieselVehicle TaxVehicle InsurancePublc TransportTOTAL (Please complete)Finances - Monthly Expenditure - Family & PetsSchool costsHobbiesChild Care/MaintenanceVet Bills/InsuranceSubscriptionsTOTAL (Please complete)Finances - Monthly Expenditure - OtherPlease list any other expensesFinances - DebtsNumber of Debts0123456Debt 01 - Name / TypeDebt 01 - ValueDebt 01 - Monthly PaymentDebt 02 - Name / TypeDebt 02 - ValueDebt 02 - Monthly PaymentDebt 03 - Name / TypeDebt 03 - ValueDebt 03 - Monthly PaymentDebt 04 - Name / TypeDebt 04 - ValueDebt 04 - Monthly PaymentDebt 05 - Name / TypeDebt 05 - ValueDebt 05 - Monthly PaymentDebt 06 - Name / TypeDebt 06 - ValueDebt 06 - Monthly PaymentSupporting 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.