Is the application urgent?(Required) If the grant needs to be paid out in under 30 days e.g. cases of terminal illness; please let us know and we will try to help where we can.
It is urgent It is important, not urgent
Urgency Please explain why it is urgent.
Medical Condition(Required) Please tell us about the child's/young person's condition and how it effects their daily life?
Hobbies & Interests We would love to hear more about the child/young person's hobbies, interests and achievements?
Equipment(Required) Please select from the drop down the equipment you are applying for
Outdoor Equipment Outdoor play equipment (e.g. swing & climbing frame) Sports Equipment (specialist) IT Equipment Communication Aid Monitor / Alarm Tablet (combined with communication software) Mobility & Transport Car Seat Harness / Walking Reins Standing Frame Trike (Specialist) Walkers - Innowalk* Walkers / Gait Trainers Wheelchair - Beach Wheelchair - Manual Wheelchair - Powered Wheelchair - Sports Powered Wheelchair - Sports Manual Wheelchair Power Add-On Devices Sensory Equipment Sensory equipment (bubble tubes, fibre optics, lights, toys) Weighted Blankets / Vests Bathroom Equipment Air Spa Bath Attachment Bathing Equipment Shower Chairs / Equipment Specialist Bath Toilet Equipment Bedroom Equipment & Furniture Profile Bed Sleep Systems / Pods / Spaces Specialist Bed (not profile) Specialist Cot Specialist Mattress Tough Furniture Travel Pods / Cot Personal Medical Equipment Defibrilators Electrotherapuetic Suits Hearing Aids / Hearing Aid Accessories Oxygen Generator / Concentrator Airway Clearance System Around the Home Air Conditioning Unit (portable) Ceiling Track Hoist Exercise / Therapy Equipment Lifts (non-permanent) Specialist / Orthopaedic Seating Travel Hoist Miscellaneous Arm Supports Eating Assistants Lycra Suits / Second Skin Scoliosis Suit Splints Other
Previous Funding(Required) Has the child/young person received funding from Yorkshire Children's Charity before?
They haven't received funding before They have received funding before
Previous Funding Details Please can you provide details of any previous Yorkshire Children's Charity funding?
What is the employment status of the primary caregivers in the household? Single primary caregiver who is employed full time Single primary caregiver who is employed part time for more than 16 hours per week Single primary caregiver who is employed for less than 16 hours per week Single primary caregiver who is not in employment Two primary care givers who are both employed full time Two primary care givers who are both employed part time for more than 16 hours per week Two primary care givers who are both employed for less than 16 hours per week Two primary care givers who are both not in employment One primary care giver who is employed full time and one who is employed part time for more than 16 hours per week One primary care giver who is employed full time and one who is employed part time for less than 16 hours per week One primary carer who is employed full time and one who is not in employment One primary care giver who is employed part time for more than 16 hours per week and one who is employed part time for less than 16 hours per week One primary carer who is employed part time for more than 16 hours per week and one who is not in employment One primary carer who is employed part time for less than 16 hours per week and one who is not in employment
Will this funding expire? Is this funding for a limited period of time?
Yes. This funding is time limited No. This funding is not time limited
Message Is there anything else you'd like to say, or is there anything else you'd like us to know that could help with the application?
Documents(Required) - Healthcare professional reference (with detail)
