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Sherbet Application Form

Before Completing The Application Form, Please Read The Notes Below Carefully.

An enforcement officer or other trusted partner of the Sherbet Foundation may help you complete this form.

The Sherbet Foundation is a registered Charity (No. 1127033) governed by independent Trustees.

An individual subject to enforcement action due to financial hardship can apply to the Sherbet Foundation for an essential household item to help alleviate stress and improve quality of life for them and their family.

How can the Sherbet Foundation Help?

The following list of items can be applied for:

Bed Fridge Electric Cooker
Dryer Matress Freezer
Washing machine Microwave  
Other


why the person wants the grant

Please tell us how you have been affected by enforcement action.  For example if you have been visited by bailiffs please tell us which company and for what sort of debt.  This might be council tax or a county court judgment.

Who can apply for a grant? Families or individuals subject to enforcement action who are given this application form by an enforcement officer.

 
Application for assistance

Please try to provide all the information requested in the Sherbet Grant Application Form. The more information you can tell us about your situation the more the Trustees can help make a favourable decision.

Section 1 Please tell us about yourself and your family

Family Name*
First Name *
Title
Address
Post Code
Telephone
Email    

Who shares your home with you? Tick all that apply:

Wife, husband, civil partner, partner     No one, I live alone
Full name of wife, husband, civil partner of partner    
Children under 16 or still in full time education How many? Ages of Children
Children who have left full time education      
Other adults      
Section 2 are you in debt with the following bills?
    Name of supplier Account number
Gas
Electricity
Water/Sewerage
If you are in debt with your household bills, we may be able to signpost you for help to one of our trusted partners. For more information please email us at
enquiries@sherbetfoundation.com.

If we think we can help we will write to you again with more information.
Section 3 Essential household items

This section is where you must explain how an award from the Foundation will help you. Please provide as much information as possible.

Why do you want help for this item? Please tell us how this need has come about.



How would this item make a difference to you and your family?

How has the applicant been affected by enforcement action? Please explain?

 

Section 4 Declaration to be signed by the applicant

I consent to the personal details I have provided on this form being processed by The Sherbet Foundation as a registered charity in accordance with the Data Protection Act 1998 and as described in the "Filling in the application form" section below.

I understand that the information I have provided on this application form may be shared with trusted partners of The Sherbet Foundation.

I declare that the information I have given on this form is complete and correct to the best of my knowledge. I authorise The Sherbet Foundation to contact me directly about my application about my application at any time and to use my information for the other purposes described in the 'Filling in the application from' section below.

I understand that the decisions of the Trust are final and that there is no appeals procedure.

I am happy to be contacted following a decision on my application by The Sherbet Foundation.

Signature Date Calender
 

Filling in the applicationf form

An enforcement officer or other trusted partner may identify any individual or family that could benefit from a Sherbet Foundation grant and will help any potential applicant to complete this form.
   
When filling in the application form, it is very important that you give us as much information as possible about your circumstances.
   
All the information you provide will be kept in strict confidence and will not be passed to anyone without your permission.
   
Please do not forget to sign the declaration in section 4 above - if you do not sign it, we cannot assess your application.
   
If we think that other organisations might be of interest to you, we may provide you with information about their work or share your details with them so that they can contact you about their services and/or products.
   
Your information may also be used for research and analysis purposes by other organisations.
   

Submitting the application form

Once completed the Enforcement Officer will send your application to:
The Sherbet Foundation, 3-4 Freeport Office Village, Century Drive, Braintree, Essex, CM77 8YG

 

MONITORING INFORMATION (This part will not be part of the Grant assessment) An enforcement officer

You do not have to complete this section if you do not want to. However your answers would enable us to review the members of the community we are reaching.

Are you female male your age
             
Are you registered disabled? Yes No    
If you are not registered disabled, do you consider yourself disabled? Yes No

What do you consider your ethnic origin to be?

White Indian
Irish Pakistani
Black-African Bangladeshi
Black-Carribean Chinese
       
Black-Other Please specify
Other Please specify

   

 




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