Individual Grants Referral Form

Please ensure that you have given instructions to the applicant. They will need provide to complete the Individual Grants Application Form. They will also need to email or post their latest bank statements at alawson@waltoncharity.org.uk

Click to download the Referral Form.

SECTION 1 - Referring Organisation Details
Name *
Name
SECTION 2 - Applicant’s Details
Current address, including postcode *
Current address, including postcode
Health & disability
Are there any concerns regarding lone working?
SECTION 3 – Support Required
Household Funding
Transport Funding
Funding for Children & Young People
Vocational Funding
SECTION 4 – Statement & Other Support

By signing this form you are acknowledging our Privacy Statement and sharing protocol which can be found at: www.watoncharity.org.uk/privacy

 

CONTACT DETAILS

Amina Lawson
0203 328 0246 
alawson@waltoncharity.org.uk

Walton Charity
Charities House
1&2 The Quintet
Churchfield Road
Walton on Thames
Surrey, KT12 2TZ