You can always press Enter⏎ to continue

Carers Resilience Enablement Grant Form 

Hi there, please fill out and submit this form.
  • 1

    The Carers Resilience Enablement Grant is commissioned by Cornwall Council and NHS Cornwall & The Isles of Scilly ICB. It is a grant to aid unpaid informal carers in unforeseen or emergency circumstances that prevents them from fulfilling their caring role, where they do not have the means to provide the resource or meet the expense themselves.

    For example:

    • The repair or replacement of essential domestic equipment.
    • Other urgent domestic need.
    • To fund the provision of private care equipment.
    • To enable a carer and, if required, the person they support to access an urgently needed break in Cornwall, where they would otherwise not be able to.  
    Press
    Enter
  • 2

    Funding requests must fall within the maximum award permitted for each category:

    Repair or replacement of essential domestic equipment; funding for private care equipment; other urgent domestic need Your support worker will advise you of the current allocation for the item you require (we use a reasonable cost comparison)

    Urgent local break in Cornwall for carer and, if required, supported person, where you feel unable to continue with the caring role without a break

    Max £150 per person
    Press
    Enter
  • 3

    Funding requests must fall within the maximum award permitted for each category (continued):

    • Activities/items must clearly and directly benefit unpaid, informal carers and/or the person they support.
    • Applications must demonstrate that items will facilitate the caring role or that the activity will promote the health and wellbeing of carers or will provide opportunities for a break.
    • Carers must live permanently in Cornwall.
    • Repairers/ suppliers used should be based in Cornwall if possible.
    • Carers must be referred and endorsed by a recognised service supporting carers. These are Cornwall Carers Service, Inclusion Matters. If you do not already have a support worker please call our Advice Line on 01736 756655
    • Applications must clearly explain why you are unable to afford this item yourself and why there are no other suitable funding options.
    • Listed costs must be submitted with your application
    • Applicants must agree to complete the feedback form attached to this application and provide receipts for funding received. Grant monies received for items to facilitate the caring role must be spent and feedback forms and receipts forwarded within one month of receipt of funding and breaks must be taken within 3 months of receipt of funding and feedback reports and relevant receipts forwarded when the break is taken
    • The grant must be spent for the approved purpose and failure to do so could result in a request for funds to be returned. If your circumstances change and you wish to amend your original activity, you must notify us at grants@cornwallrcc.org.uk, detailing the proposed change and await approval by before proceeding with the new activity.
    • If you have applied to this grant before, we must have received a feedback report and relevant receipts from you before we can process your application. If you have not already submitted your report and receipts, please send with this application.
    Press
    Enter
  • 4

    Exclusions (what this grant cannot pay for):

    • Activities/items that do not clearly and directly benefit carers and aim to improve their health and wellbeing.  
    • Amounts that are considered to be excessive for the item requested e.g. a specific colour, brand or model that makes the item more expensive 
    • Debt consolidation, fines, penalties. 
    • Travel expenses, unless under exceptional circumstances. 
    • Personal items, e.g. haircut, clothing, groceries etc 
    • Items and activities already paid for or taken cannot be reimbursed through this grant. 

     

    Press
    Enter
  • 5

    CRCC complies with the EU General Data Protection Regulations and the Data Protection Act 2018.  By completing this form and signing the declaration/agreement section, you understand that we will securely store your personal information on our database, or in the form of paper records, for recording and monitoring purposes or showing CRCC’s work across Cornwall & IOS (when personal details would not be used).  The information provided on your application form may also be shared with the grant funder, Cornwall Council.  


    If you wish to see a copy of the information we hold about you, or to exercise any of your other data subject rights, please forward your request to the Compliance Manager at dataadmin@cornwallrcc.org.uk or call 07715 799395 


    Our full privacy statement is available on request and can be viewed on our website at  Cornwall Carers Service

    Press
    Enter
  • 6

    If you are unhappy with the panel's decision

    If you do not agree with the decision made by the grant panel please contact the grant manager.  who will of course want to resolve any issues quickly and efficiently.  
    Please email: Jayne.price@cornwallrcc.org.uk

    Press
    Enter
  • 7
    Press
    Enter
  • 8
    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
    Press
    Enter
  • 9
    Press
    Enter
  • 10
    Press
    Enter
  • 11
    Press
    Enter
  • 12
    Press
    Enter
  • 13
    Please do not include any specific medical diagnosis as we cannot hold this information under data protection laws
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 14
    Press yes if you would like us to send you information about Cornwall Carers Service or no, if you do not wish to be sent information about the Cornwall Carers Service.
    Press
    Enter
  • 15
    Press
    Enter
  • 16
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 17
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 18
    Please list each item in the following format: Name of Item, Cost. (Please include the total cost of all items in a separate line as "Total Cost: £") Please include webpage/screenshot link if applicable.
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 19
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 20
    Please tick all that apply
    Press
    Enter
  • 21
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 22
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 23
    Please list each item in the following format: Name of Break or Activity (Including accommodation details, if applicable), Number of Participants, Cost of Break/Activity. (Please include the total cost of all items and/or activities together on a separate line) Please include evidence below eg. screenshot/quote etc
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 24
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 25
    Press
    Enter
  • 26

    Please ask your referee to complete a reference form via online or a Word Document. Unfortunately, we are unable to accept applications without this endorsment. If you do not have a support worker, please call our Advice Line on 01736 756655.

    Press
    Enter
  • 27
    Press
    Enter
  • 28
    Press
    Enter
  • 29
    Clear
    Press
    Enter
  • 30
    Press
    Enter
  • Should be Empty:
Question Label
1 of 30See AllGo Back
close