• Individual Grant Application - Check Your Eligibility

    Use the form below to see if you're eligible for an individual grant. If you are, you will be prompted to complete the full application form, upload documents, and provide consent. You can save and continue later. 

  • We're really sorry!

    You don't meet our standard criteria for funding. If you think we may still be able to help, please don't hesitate to get in touch - email programmes@yorkshirechildrenscharity.org or call 0113 730 3180. 

  • Your Application

    We think it should take you about 45 minutes to finish. You can come back to your form whenever you want for the next 30 days, so you have plenty of time to finish it. Important! Use the Save & Continue Later option at the bottom of the form to get a link you can use when you are ready to finish your application.

  • What you need:

    • Medical reference for the item(s) being applied for
    • One quote if under £2,499 or two quotes if over £2,500
    • Recent evidence of benefit receipt (if applicable)
    • Recent evidence of DLA / PIP receipt (if applicable)
    • A picture of the child & their equipment (if possible)

     

  • Your Details (The Applicant)

  •  -

  • Young Person's Details (The Beneficiary)

  • Beneficiary's Date of Birth*
     - -
    2 digit day, 2 digit month, 4 digit year

  • Your Circumstances

  • Is the household in receipt of a prescribed benefit?*
  • What education support does the child/young person have?*

  • The Grant

    In order to fill out the next two sections you will need a quote from a supplier. This could be a page on a website, but you must provide the cost of the item you're applying for.
  • When will their funding offer expire?*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Documents and Consent

  • What you need:

    • Medical reference for the item(s) being applied for
    • One quote if under £2,499 or two quotes if over £2,500
    • Recent evidence of benefit receipt (if applicable)
    • Recent evidence of DLA / PIP receipt (if applicable)
    • A picture of the child & their equipment (if possible)

     

  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Consent to share your story (any identifiable information will be changed)*

  • Personal Message

  • Should be Empty: