APPLY FOR FINANCIAL ASSISTANCE CHILD'S FIRST NAME CHILD'S LAST NAME CHILD'S BIRTH DATE GENDER Male Female Others Prefer not to sayCHILD'S CURRENT SCHOOL CHILD'S CURRENT SCHOOL YEAR - Select -YEAR 1YEAR 2YEAR 3YEAR 4YEAR 5YEAR 6YEAR 7YEAR 8YEAR 9YEAR 10YEAR 11YEAR 12CONTACT NAME CONTACT NUMBER CONTACT EMAIL ADDRESS CONTACT ADDRESS CHILD'S ETHNICITY ASIAN - BANGLADESHI MIXED ETHNIC BACKGROUND - OTHER ASIAN - INDIAN ASIAN - OTHER BLACK - AFRICAN BLACK - CARIBBEAN BLACK - OTHER CHINESE WHITE - BRITISH WHITE - IRISH WHITE - OTHER MIXED ETHNIC BACKGROUND - WHITE & BLACK CARIBBEAN MIXED ETHNIC BACKGROUND - WHITE & ASIAN MIXED ETHNIC BACKGROUND - WHITE & BLACK AFRICAN ANY OTHER ETHNIC GROUP PREFER NOT TO SAYANY HEALTH CONDITION WE SHOULD BE AWARE OF? ANY ALLERGY CONDITION WE SHOULD BE AWARE OF? DOES YOUR CHILD RECEIVE FREE SCHOOL MEALS? Yes NoDO YOU RECEIVE ANY OF THE FOLLOWING? Income-based Job Seekers Allowance Income Support Income-related Employment and Support Allowance Support from NASS under part 6 of the Immigration and Asylum Act 1999 The guarantee element of Pension Credit Child Tax Credit (with no Working Tax Credit) Working Tax Credit run-on Universal CreditIF YOU ARE IN RECEIPT OF UNIVERSAL CREDIT, IS YOUR NET EARNED INCOME OVER £7400 PER YEAR? Yes No I do not receive Universal CreditIF YOU ARE IN RECEIPT OF CHILD TAX CREDIT, IS YOUR JOINT GROSS ANNUAL INCOME OVER £16,190 PER YEAR? Yes No I do not receive Child Tax Credit.Anything else you would like us to know... I consent to having this website store my submitted information so they can respond to my inquiry I have read and agree to the Terms and Conditions and Privacy PolicySUBMIT
