To create a new online application account, enter your personal details below. Please use an agency e-mail address that you will have permanent access to as our main method of contact with you will be via e-mail.
Please note that it is the responsibility of the referring agency to adhere to Data Protection regulations and to obtain consent from the potential beneficiary for the confidential information contained in the application form to be disclosed.
Information given will be treated as strictly confidential unless it is apparent that a safeguarding issue needs to be addressed. In such cases any information of concern will be shared with appropriate health and social care professionals.
Our main purpose is to make grants to fund or part-fund short breaks for those of any age, living in England and Wales.
Learn more about us
telephone: 020 8502 9339