Trefoil House - Personal Development Grant

PERSONAL DEVELOPMENT GRANT

Please do not use this form if you are applying for a holiday grant.

This grant is given to young people in Scotland under twenty-five years old with special needs, whether mental, social, or physical, that affect their development.

If you would like to first check your eligibility for the award, please complete our eligibility tracker.

If you need to stop filling out your application at any time, this form will not be saved. Please give yourself adequate time to fill out this form. Typically, around 40 minutes.
SECTION 1

Please write the name and details of the child or young person the funds would be used for.

If you are filling out this form for someone else, please look at Section 6.
Name of child/ young person*

First NameLast Name
Child/ young person's date of birth*

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState / Province

Post Code
Is this address the only place of residence for the child/ young person?

YesNo
If you answered yes above, please list alternate address.
SECTION 2

Details of Applicant’s Condition or Disability
What is the child/ young person's disability or condition? *
Please describe what is needed to assist the child/ young person. *
ex: wheelchair, supervision, sensory equipment.
Date when disability was diagnosed (if not diagnosed, are they on a waitlist to be tested?*
SECTION 3

Details of project
What are you applying funding for?*
Please detail what you are applying funding for. ex: wheelchair, sporting or music equipment, tutoring, therapy, extra curricular sessions, etc.
How will the child/ young person benefit from this funding?*
Please tell us how the child/ young person's life will be bettered by receiving funding. ex: improving their social life, ease the work for parents, allow child/ young person to be more independent.
What is the total cost of the project or item?*
How much funding are you requesting?*
Please give exact amount.
Section 4

Supporting documents. Please upload a screenshot or formal quote of the item/ project being applied for. The quote must include the item and price - if there are multiple items included in the total price, these must be included as well.
Upload a quote (.xls, pdf, .jpg...) for the project. If you are using a mobile device and are unable to upload your files, please email your quote(s) to trefoil@wssociety.co.uk

Browse Files

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SECTION 5

Supporting Letters

The Trustees will consider at least two of the following documents, which should be dated within the last 12 months, as support for an application:

Letters or emails written by a professional involved with the applicant’s care or wellbeing (e.g. doctors, nurses, teachers, support workers, social workers).
Child/Adult Disability Payment award letter.
Various DWP assessment reports.
Medical appointment letters.
Medical overview letters (issued by GPs).
Medical referral letters.

If this is not possible please send the letters to Trefoil, The Signet Library, Parliament Square, Edinburgh, EH1 1RF or ask your referees to email trefoil@wssociety.co.uk

References must be received in advance of the stated deadlines or applications will not be considered.
Upload TWO supporting letters.

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Your application cannot be considered without references. If you are using a mobile device and are unable to upload your files, please email your references to trefoil@wssociety.co.uk Cancelof
SECTION 6

Details of Person Completing the Application Form
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone number*
What is your relationship to the child/ young person?*
If the applicant is cared for by a parent, guardian, or someone with power of attorney and you are not this person, please write their name, address, phone number, and how they are related to the applicant.
How did the applicant hear about Trefoil?*
SECTION 7

Declaration

The information you provide in this application form will be held and processed in accordance with the Data Protection Act 1998 and the EU General Data Protection Regulation (GDPR), and will be used by Trefoil to carry out grant processing, analysis, auditing, accounting and evaluation. The information on this form will not be used for any other purpose nor will it be published on our website, and we will not discuss the information on the form with any other agencies or organisations.

I hereby apply for a grant from the Trefoil for the young person and for the purpose as stated above and declare that to the best of my knowledge and belief the above information is true and accurate. I consent to the information being shared among the Trustees.
Signee*

First NameLast Name
Date*

DayMonthYear
Date
Should be Empty:

Section 4