Crisis Resilience Fund Application
  • Crisis Resilience Fund Application

    Please complete this form to apply for the Crisis Resilience Fund.
  • How We Use Your Information

     When we record and use your personal information we:

    Only access it when we have a good reason

    Only share it when it is necessary and relevant.

    The information you submit on this application form will be shared with Fylde Council.

    This will ensure you will receive appropriate help and support.

    We share anonymised information with the government showing the number of clients supported. And we don’t sell it to commercial organisations.

    Special Category Data

    To record any information about the following, you will need to give explicit consent. We will only ask about these categories of data when they relate to your enquiry, or for us to try and improve our service or produce anonymous reports for our funders. We will still advise if you do not consent to this, however if any of this information is important to your enquiry (for example health benefits) then this may limit how much we can assist or how much detail we can go into.

     

    As such, please answer yes or no, on whether you give consent for us to hold this information. . 

  • Ethnicity*
  • Health Conditions*
  • Religion*
  • Sexual Orientation*
  • About You

  • Ethnicity*
  • Title*
  • Format: 0000 000000.
  • Is Your Salary*
  • Is Your Partner's Salary*
  • Are you*
  • Do any children live with you*
  • Do any adults live with you?*
  • Type of support you are seeking*
  • If requesting financial assistance, do you need:
  • Presenting Crisis
  • Do you want us to send you further information or support by email if we think it is relevant?
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