Guidance Notes for Applicants
Kay's Endeavours offers grants to adults who have a cancer diagnosis and are being treated at St Bartholomew's Hospital. The charity's aim is to provide funding for measures which will improve the quality of life of the patient and / or their family. It will not provide funding for medical treatments.
Our aim is to make the application process as simple and quick as possible, while collecting enough information for us to assess each application and manage our funds appropriately.
Section 1: Personal Details
Please provide your full contact details. We ask your date of birth to establish that you are over 18 and in the event that we need to contact your medical team for supporting information.
Section 2: Diagnosis
Please tell us about your diagnosis and current health.
Section 3: Consultant / Specialist Nurse details
It would be helpful if you could provide a supporting letter from your medical team. If you are not able to provide this with your application, we would seek to contact the named person to verify your diagnosis and to seek any relevant information to allow us to process your application.
All information provided will be treated confidentially and will not be disclosed to anyone other than the charity's Trustees, who make the decisions on all applications.
Section 4: What assistance do you need?
Please tell us about what help you need to improve your quality of life. This could be a wide variety of things, such as equipment, medical aids, travel expenses, help with bills, social or recreational activities, child care or anything that would make a significant difference to your quality of life. We are not able to fund medical treatments.
Section 5: Total amount requested
Please tell us the monetary value of the assistance requested, when any payments need to be made and who the payments need to be made to. If you have quotations, please include copies with your application.
If we have not made payment within three months of the date you are informed that your application has been successful then we will assume you no longer wish to proceed with the application unless you contact us to let us know why there has been a delay and we will then consider whether to extend this period.
If an applicant dies before payment has been made then we will meet any costs that the charity has agreed to meet which have been incurred prior to their death. If the costs have not been incurred prior to their death then the charity will consider whether it is appropriate to meet the costs which were the subject of the application.
Section 6: Please tell us what difference this assistance will make to you / your family. How will it help you?
This is your chance to tell us more about your circumstances and why you need support. Remember that we need to know how a grant will improve your quality of life.
Section 7: Your financial situation
You do not have to be on a means tested benefit to apply for a grant. Please tell us about your household income, your family composition, any debts you may have, and why you need this grant. If you are receiving benefits, please tell us what you are receiving.
Section 8: Other applications
Please tell us if you have applied to anyone else for this help and the likely time it will take to get this help. This will help us assess your application and its urgency.
Section 9: Signature & Consent to obtain medical information
Please sign and date this application form. In signing, you are agreeing that we may contact your medical team for supporting medical information in relation to your application.
We will treat all information supplied in confidence and will not disclose any medical information provided, other than to the charity's Trustees who make decisions on all applications. You are also agreeing that we can hold and process your data in order to consider your application and, if your application is successful, to help provide the assistance you have applied for and for related purposes including administration and accounting purposes, analysis to help us manage Kay's Endeavours, statutory returns and legal and regulatory compliance.
If you are unable to return a signed copy of the form to us then you can provide a copy of your passport or driving licence and by doing this you will be indicating your consent to the matters set out at 9 above.
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