DCF Application 2024 (parent/guardian)

Grant Application - David Chilcott Fund

PARENT/GUARDIAN VERSION
Who can apply?

The David Chilcott Fund has been set up to assist disadvantaged children and young people to attend Christian holidays and conferences who, without financial help, would be unable to attend.

The funding covers:
- Children aged between 6-18 years old
- Attendance at a child or youth-based UK holiday, camp or conference with a Christian faith-based focus
The funding does NOT cover:
- Attendance at Christian holidays or conferences that are open to all ages
- Attendance at school residentials or family holidays, camps, events or festivals
- Attendance at activities organised by a church or group of churches
NB: Any bursaries awarded will be paid directly to the organisation running the residential.

NB: Bursaries are always given on the understanding that, should any recipient(s) be unable to attend, then the money for their holiday(s) will be returned for future applications.

We appreciate that due to the cost-of-living challenges that every family in the UK is facing, finances are tough for many. We would love to be able to give a bursary to every young person, however, as the fund is limited, we must prioritise the bursaries to those with the greatest financial need.
This form is to be completed by the parent/guardian of the young person. If you are applying as a non-relative eg: Youth Leader, please click on this link to complete the alternative form:

Grant Application - David Chilcott Fund - (non-relative version)

Please complete the following to help us understand your situation more so that we can fairly distribute our bursary funds to those in most need. Some of the questions below may seem intrusive, or may make you feel unqualified for the bursary, but please do not worry - we just want to understand your circumstances sufficiently to manage our funds correctly. As a registered charity, we are required to show that our handling of funds is clear, transparent and fair.

NB: If you have more than one young person - please complete a separate form for each. (Combined applications with more than one young person on this form will be rejected).
What is your relationship to the young person on this form?*
Section 1: Parent/Guardian Details
Full Name*
Address*
Enter address including Postcode
✉ Email Validator (enter your email address)*
📞 Phone / 📱Mobile Number*
Eligibility Criteria:
Are you in receipt of any means-tested State Benefits or free school meals?*

YesNo
Please select all that apply.*

Income-based Jobseeker’s AllowanceIncome-related Employment and Support AllowanceIncome SupportPension CreditTax Credits (Child Tax Credit)Tax Credits (Working Tax Credit)Housing BenefitCouncil Tax SupportSocial Fund (Sure Start)Social Fund (Maternity Grant)Social Fund (Funeral Payment)Social Fund (Cold Weather Payment)Universal Credit.Free school mealsOther
Are you reliant on food banks?*

YesNo
Number of adults in the household who are working (Full-Time or Part-Time)?*

None12Other
Number of adults in the household who are NOT working*

Not Applicable - all adults are working12Other
Please provide the reason for any adult(s) not working*
Number of adults in the household who are on Minimum Wage*

None12Other
Have you previously received a grant from The David Chilcott Fund?*

YesNo
Supporting Information:
Please detail why you are in need of financial assistance to send your child on this holiday. (The information you provide here is what we use to discern the value of any bursary awarded so please give as much information as you can.)*
How did you hear about The David Chilcott Fund?*

Youth LeaderHoliday / CampChurchFamily or FriendApplied previouslyOnlineOther
Section 2: Young Person & Holiday Details
Name of young person*
DOB*

DayMonthYear
Date of Birth)
Gender

MF(rather not say)
Organisation (running the holiday)*
Holiday Title*
Holiday Start Date*

DayMonthYear
Date
Holiday End Date*

DayMonthYear
Date
Website of holiday
Holiday Type?*

Child/Youth-based Christian HolidayChild/Youth-based CampChild/Youth-based ConferenceOther
As the funds are limited and we want to be able to help as many children/young people as possible, the maximum amount awarded per applicant will usually be up to one third of the cost of the holiday. However, please use the 'Additional Information' box below, if there are exceptional circumstances that you would like to be taken into consideration.
Holiday cost (£)*
Amount of funding requested from DCF Bursary fund (£) *
NB: A reason will be needed in the 'Additional Infomation' box below, if your funding request is more than 1/3 of the holiday cost.
Amount of cost you will be personally contributing (£) *
Additional Information
Please use this space to enter any exceptional circumstances you would like CRNet to take into consideration, if you are requesting more than 1/3 of the cost of the holiday from the DCF bursary fund.
Have you applied to any other organisation/bursary fund for financial support towards the above holiday?*

YesNo
Name of other organisation/bursary fund(s) applied to for funding*
Amount of funding requested/expected from the other organisation/bursary fund(s) if application approved?*
Deadline for making final payment to Holiday organisation*

DayMonthYear
Date
Section 3: Referee (eg: Minister, Youth Leader etc....)

IMPORTANT: We will need to share your information to get confirmation of your Referee's support. By continuing, you permit Christian Residential Network (CRNet) to share all the information submitted, with the referee nominated below.
Referee's connection to the young person(s) on this form*

MinisterYouth LeaderGuardianSponsorOther
NB the referee must NOT be:
- the person submitting this form
- a relative
- employed by the Holiday Organisation
Referee's Name*
Address*
Enter address including Postcode
Phone number (of referee)*
Email (of referee)*
example@example.com
Section 4: Completion & Submission
Privacy & Security

We may share and store your information as required to process your application. A copy will be emailed to your nominated Referee. We will only share your information with others when we have asked for and received your permission, or when compelled by law. We will take all reasonable care to keep all your information secure but we cannot be held liable for any loss that you may suffer if a criminal third party obtains unauthorised access to any data, unless this is solely due to our negligence.
Submission date*

DayMonthYear
Today's date
Now that you have completed this form, just click the 'Submit Application' button and your application will be automatically sent to CRNet, who will acknowledge receipt of your application by email.

Applications for holidays should be submitted a minimum of 30 days before the holiday takes place.
Should be Empty:

Grant Application - David Chilcott Fund

Section 1: Parent/Guardian Details

Eligibility Criteria:

Supporting Information:

Section 2: Young Person & Holiday Details

Section 3: Referee (eg: Minister, Youth Leader etc....)

Section 4: Completion & Submission

Privacy & Security