• Time to Live Grant - Application Form

  • Please complete the sections below, ticking all options that apply. You only need to provide written answers where requested.

    You can apply for a grant of up to £300.

    Please clearly outline exactly what you are requesting funding for, including details of the activity, item, service or experience and the estimated cost.

    Be specific about how you intend to spend the grant. Please avoid general descriptions or listing several possible options, as we need to understand exactly what you are applying for.

    If your application is approved, you will be required to provide receipts as evidence that the grant has been spent on what you outlined in that section.

    If you need help completing the form, please contact SCAS on 01595 743923 or scas@shetland.org to arrange an appointment. We're happy to help.

     

    Important information

    The item, equipment, activity, service or short break you are requesting funding for must not already have been purchased or taken place before your application is approved.

     

    How we use your information

    Your information will be used to assess your application. Anonymised information may also be used for monitoring, reporting and service improvement.

    Your personal information will be stored securely and handled in accordance with data protection legislation.

  • Carer's Details (you)

    Please provide the following information.

  • Section 1. About You (the carer)

  • Which best describes your caring role?*
  • Would you be happy to be added to the SCAS Carers Register?*

  • How does your caring role affect you and your everyday life? Please select all that apply.

  • Mental and emotional wellbeing (select all that apply)
  • Physical health and wellbeing (select all that apply)
  • Financial impact (select all that apply)
  • Relationships and everyday life (select all that apply)

  • Section 2. About the Person You Care For

  • Does the person you care for live with you?*
  • What is the condition or support need of the person you care for? Please select all that apply.*

  • What support do you provide to the person you care for?

  • Please select all that apply. Include tasks you carry out more frequently, take sole responsibility for, or provide additional support with because of the person's illness, disability, additional support needs or other care requirements, beyond what would normally be expected.*

  • Section 3. Your Time to Live Grant Request

    If your application is approved, receipts will be required as evidence that the grant has been spent on the activity, purchase or experience outlined in this section.
  • How do you expect the Time to Live Grant to benefit you? Help us understand how the grant could make a difference to you. (Select all that apply)*

  • Referee

    Please provide contact details for a professional who can confirm your caring role (e.g. social worker, district nurse, school staff member, voluntary sector worker, or other healthcare professional). We may use these details to verify your caring status if required.

  • Signature & Acceptance

    Payment Details: We do not collect or retain bank account details as part of the application process and will only request them once an application has been approved.
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