Winter Support Campaign

This winter we aim to help as many families as possible with our Winter Support Campaign. As a small charity with a finite amount of money and resources, we will be directing support to those who need it the most across Yorkshire. As teachers we ask you to be mindful of this when deciding which families to put forward for support.

We understand that this form asks for information that you as teachers may not know (example - size of siblings clothing). If you need to speak to the family or caregiver, please be mindful to manage expectations as filling in this form does not guarantee they will be eligible for support. We will contact YOU at a later date to confirm the outcome of your application and the next steps.

Thank you for taking the time to fill in this form, we know you are extremely busy and your hard work never goes unnoticed. We hope that with our support children will arrive at school warm, dry and ready to learn.

What you'll need to nominate a family for a parcel

You must be a teacher or staff at the school
One child in the family must attend your school
You need to be able to tell us how many children are in the family/household, their age(s) and clothing size(s)
Some information about the family/household circumstances

Ways in which we can help ...

Subject to approval, each family/household can receive any of the below support for all children under the age of 16 within their family/household

Winter Support Application Form

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Winter Support - Office Only

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YCC Staff Email

Enter the

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Internal Staff Notes

For staff use only: Include any relevant internal notes or observations that will aid in providing support to the family. Click the PLUS SIGN (+) to add another note to the list.

Staff Name

Note

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Application Status

if you change the status of the application you must add a note to the list section below.

Voucher ID

Main School Contact

This section collects essential information about your school. Please provide accurate details to ensure smooth communication regarding the support process.

First Name

The first name of the teacher or staff member making the recommendation.

Last Name

The last name of the teacher or staff member making the recommendation.

School Name

The name of the school where you work e.g. Greenlands Primary

School Region

This helps us decide which teams are best suited to support you.

School Address

The full address of the school e.g. Greenlands Lane, Townforth, Leeds LS20 1TW. Please bear in mind that support items (clothing and gifts) will be delivered to schools where they should be distributed to the families.

Email

An email address where we can contact the teacher or staff member making the recommendation.

Phone Number

A phone number where we can reach the teacher or staff member making the recommendation.

Alternate School Contact

Email

An email address where we can contact the teacher or staff member who can help in the absence of the primary contact

Phone Number

A phone number where we can reach the teacher or staff member who can help in the absence of the primary contact

Winter Support Family Details

Tell us about the family. Each child will receive gifts and clothing support, so only one recommendation per family is needed. Don't worry if you don't have all the details. Just do your best and tell us what you know.

Family Name

Please enter the the FIRST INITIAL followed by SURNAME of a caregiver or family contact. Any support items will be labelled with this persons name so they can be distributed later.

Child One

Child's Name	Child's Age	Actions

There are no Children.

Family Circumstances

Please tick the boxes that apply to the family who will receive the support. Don't worry if you don't have all the details. Just do your best and tell us what you know. Does the family struggle to provide any of the following:

Shelter (they have slept rough for one or more nights)

Food (they have had fewer than two meals a day for two or more days a week)

Heating for their home (they have been unable to heat their home for five or more days in a month)

Lighting for their home (they have been unable to light their home for five or more days)

Clothing and footwear (appropriate for the weather)

Basic toiletries (such as soap, shampoo, toothpaste and a toothbrush).

Additional Circumstances

Please tick the boxes that apply. Has the family been affected by any of the following:

Family & Income

Please tick which of these the family currently receives. This helps us to understand who we are helping and if there is more we can do.

Does the child or young person receive Disability Living Allowance (DLA)?

Does the child or young person receive Personal Independence Payment (PIP)?

Is the household in receipt of any of the following benefits?

Attendance Allowance

Carers Allowance

Carers Credit

Employment Status

What is the employment status of the primary caregivers in the household? *As a charity we increasingly find working parents in need of financial support to meet the most basic needs of their children. This information will be used for the purpose of research.

Safeguarding Concerns

In the last 6 months, has this child or children raised any safeguarding concerns?

Safeguarding Register

Are any of the children in the household on or have been on a safeguarding register?

Additional Educational Needs

Does this child or children have any additional educational needs i.e. Autism, Dyslexia, ADHD?

Their Story

We ask that you include a brief case study of the child(ren's) circumstances. Given the volume of applications we anticipate receiving, this information will help us to determine which children will benefit from support the most. Knowing the stories behind our beneficiaries also helps us to secure funding from our donors. Any identifiable information will ALWAYS be removed before a story is shared with donors.

Their Story

A brief description of the child(ren's) circumstances.

Important Statements

Case Studies

Case studies are critical to our fundraising efforts and help give others the confidence to seek support. PLEASE NOTE that Yorkshire Children’s Charity may use the stories and audio clips provided on various platforms (e.g. social media, websites, and print). If we do, rest assured that we will ALWAYS use pseudonyms, and any identifiable information about the child or family will be altered. Please tick the box if you wish to be opt out from this.

Opt out

Further information

Please tick if you believe that this family would be willing to speak with Yorkshire Children’s Charity and share their stories, including photographs. It would greatly support our mission. Further correspondence, including an additional form, will be sent out before any information is used.

You can contact this family

Name

This field is for validation purposes and should be left unchanged.

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