CHILDCARE BURSARY APPLICATION

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Data Protection Regulations

How Long we Keep your Personal Information
During your time with Centrepoint, we need to keep your personal information in line with our current retention periods. This is until your 35th birthday (or your 75th birthday if you are a Looked After Child).

Your Data Rights
Your data rights include access to your personal information and how to complain if you are not satisfied with how we process your personal information. For more information on how to exercise your data rights please read our Privacy Notice for Young People here: https://centrepoint.org.uk/privacy/young-people or contact dataprotection@centrepoint.org

Equality and Accessible Formats
If you need this information in alternative formats, such as a different language, large print or audio, please contact us at bursary@centrepoint.org where we will provide support where reasonably possible.

I understand that my personal information will be processed for the purposes set out as above and as detailed in our Young Peoples' Privacy Notice.

Privacy Agreement

*Tick to confirm* - I have read the information above

*Tick to confirm* - I understand the information above

*Tick to confirm* - I consent to Centrepoint contacting me in the future regarding my bursary for monitoring and impact purposes. I understand that I can withdraw my consent at any time by contacting bursary@centrepoint.org.uk or dataprotection@centrepoint.org.uk

Name and Contact Information

Full Name

Date of Birth

Contact Number

Preferred Method of Contact

Are you currently supported by social services?

Are you a Refugee / Asylum Seeker?

Address and Keyworker Details

Are you currently being supported by a Centrepoint Service?

Centrepoint Service Name

What is Your Current Address

Most Recent Key Worker's Name

Most Recent Key Worker's Telephone Number

Name of Person Submitting the Application

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Please add each item you would like support with below. To add multiple items, click "Add another response" in the bottom right corner.

REQUESTED ITEM

Description

Please state what the item is (e.g. Backpack for College)

Hyperlink

Please provide a link to where this item can be purchased

Item Cost

Please enter the cost of this item. You don't need to enter the £ sign

To add another item, please click "Add another response" in the bottom right corner of this box

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ADDITIONAL INFORMATION

Application to support?

How has your time been at Centrepoint? Is there anything that stands out, for example programmes you have engaged with

What are your Long-Term Goals?

SUPPORTING DOCUMENTS

So that we can quickly process your application, please upload any documents that help to support this application. For example, this could be a learning agreement, letter of acceptance to a course or a job offer.

To add multiple documents, please click "Add another response" below

Please Upload a Document