Need Help in a Crisis S1

Need help in a crisis

We all need a little help sometimes, whilst we may not be able to help everyone all of the time, we will do what we can. You can use this form to apply for a little help, please let us have as much information as you can. If you have any difficulties completing this form, please give us a call between 9am-5pm on 0330 094 5645 - We aim to get back to you within the same or next working day.
PLEASE NOTE: Applications to this fund are restricted to care leavers.
Why do we need to confirm your former care status?

Whilst we would love to be able to support everyone, we do need to make sure that the charity’s funds and resources have reached our intended beneficiaries; care experienced adults.

I would like to proceed, what do I need to do next?
- Choose how you would like to confirm your former care status.
- Complete the registration form below.
You can use any of the below options:
Please provide us with their details below:
Name of Local Authority you were in care with
Local Authority name
Name of Social Worker / PA
Name of Social Worker/PA
The Social Worker / PA telephone number if known
If the Social Worker / PA telephone number is unknown, please write 'Unknown'
The Social Worker / PA email address if known
If you do not know the email address of your Social Worker/PA, please enter mail@nomail.com
Are you submitting this enquiry on behalf of someone else?
Do you have a Social Worker, PA, Support Worker, Advocate, Friend or Colleague supporting you?
Contact_Type_Text_DNM
Contact_Type_DNM
Contact_Type3_DNM
Primary_Enquiry_Type_Stage1
Enquiry_Name_Stage1
Should be Empty:

Need help in a crisis