Online Form
Proceed
{"views":[{"type":"intro","toolbar":null,"title":null,"pageName":"wba_OnlineApplicationRegister","messagePropertyId":"vw_register","form_groups":[{"type":null,"title":null,"referenceTo":"f84a5712-51c8-4f07-aacc-05f88a9b117f","messagePropertyId":"vw_sec_begin","isTemplate":null,"form_field_sets":[{"type":"standard","referenceTo":"24e18eea-7d8c-486a-a928-db754fa73497","messagePropertyId":null,"form_fields_store":null,"form_fields":[{"values":null,"value":"<p><u><span style=\"font-size:18px\"><span style=\"font-family:tahoma,geneva,sans-serif\"><strong>Please read the following before completing the form</strong></span></span></u></p>\n\n<p> </p>\n\n<p><strong><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\">Please read the following before completing the form</span></strong></p>\n\n<p><strong><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\">Calderdale Flood Emergency Fund: Grants for individuals and families </span></strong></p>\n\n<p><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\">Grants may be made for charitable purposes to relieve hardship in Calderdale caused directly or indirectly by storms and flooding. Funded by donations from individuals, businesses, charitable trusts/organisations and funds from Community Foundation for Calderdale</span></p>\n\n<p><strong><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\"> </span></strong></p>\n\n<p><strong><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\">Who can apply</span></strong><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\">: individuals or families to relieve emergency situations</span><strong><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\">(One application per Household) </span></strong></p>\n\n<p><strong><span style=\"color:rgb(136, 134, 134); font-family:arial,sans-serif; font-size:9pt\">What can you apply for:</span></strong></p>\n\n<p><u><span style=\"font-size:14px\"><strong><span style=\"color:rgb(136, 134, 134); font-family:arial,sans-serif\">Upto £200.00 (Max)</span></strong></span></u></p>\n\n<p><span style=\"color:rgb(136, 134, 134); font-family:arial,sans-serif; font-size:9pt\">Goods or services to relieve initial emergency situation </span></p>\n\n<p><span style=\"color:rgb(136, 134, 134); font-family:arial,sans-serif; font-size:9pt\">Financial Recompense: (claiming money back for goods/services already bought) </span></p>\n\n<p><span style=\"color:rgb(136, 134, 134); font-family:arial,sans-serif; font-size:9pt\">Costs of relocation</span></p>\n\n<p><span style=\"color:rgb(136, 134, 134); font-family:arial,sans-serif; font-size:9pt\">Help with high insurance excess</span></p>\n\n<p> </p>\n\n<p><u><span style=\"color:rgb(33, 33, 33); font-family:calibri,sans-serif; font-size:11pt\">We may consider other costs, if your requirement doesn’t fit under any of these categories, please contact us</span></u></p>\n\n<p><strong><span style=\"color:rgb(136, 134, 134); font-family:arial,sans-serif; font-size:9pt\">How much can you apply for?</span></strong></p>\n\n<p><strong><span style=\"color:rgb(136, 134, 134); font-family:arial,sans-serif; font-size:9pt\">£200.00 Maximum</span></strong></p>\n\n<p><strong><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\">Priority </span></strong><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\">will be given to households with people over 70, children under the age of 5, people with low incomes, people with physical or learning disabilities or mental health needs, people who are uninsured or </span><span style=\"color:rgb(136, 134, 134); font-family:arial,sans-serif; font-size:9pt\">whose insurance excess is very high.</span><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\"> After priority cases have been funded we will assess other applications received.</span></p>\n\n<p><strong><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\"> </span></strong><strong><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\">We will not normally fund:</span></strong><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\"> People who are fully insured(unless the excess is very high and we may help with this); </span></p>\n\n<p><span style=\"font-size:14px\">By submitting this form you agree to allow Community Foundation for Calderdale to retain your personal data on its database. All information will be held in accordance with GDPR and data protection regulations. We will use this information to help us assess your application and administer any grant we award. We may share your personal information with Calderdale Council and other local voluntary providers of services in order to co-ordinate the provision of services to victims of flooding. If you do not wish us to hold your information, please contact us on 01422 438738.</span></p>\n\n<p><span style=\"font-size:14px\">You agree to us contacting you directly, a) if any more funds become available and b) as part of a reiew and evluation of grants.</span></p>\n\n<p><span style=\"font-size:14px\">You also agree that the information you have provided is correct. The Foundation reserves the right to reclaim any money which has been paid as the result of fraudulent or misleading claims.</span></p>\n\n<p><u><span style=\"color:rgb(33, 33, 33); font-family:calibri,sans-serif; font-size:11pt\">If you have any trouble in completing this form or are unable to complete the form, please contact us on 01422 349700 or </span></u><a href=\"mailto:grants@cffc.co.uk\"><span style=\"color:rgb(51, 52, 53); font-family:calibri,sans-serif; font-size:11pt\">grants@cffc.co.uk</span></a><u><span style=\"color:rgb(33, 33, 33); font-family:calibri,sans-serif; font-size:11pt\"> </span></u></p>\n\n<p><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\"> </span><span style=\"color:rgb(136, 134, 134); font-family:tahoma,sans-serif; font-size:9pt\">If you are unsure about any of the above or have any other queries, then please contact The Grants Team on 01422 349700 or e-mail </span><a href=\"mailto:grants@cffc.co.uk\"><span style=\"color:rgb(51, 52, 53); font-family:tahoma,sans-serif; font-size:9pt\">grants@cffc.co.uk</span></a></p>\n","type":"outputtext","suppressValidation":null,"required":null,"referenceTo":"df91b285-f828-46ea-bd0c-43939fbb16f2","numbr":null,"validation":null,"styleClass":null,"style":null,"size":null,"placeholder":null,"options":null,"multiple":null,"message":null,"maxLength":null,"label":null,"helpText":null,"editable":null,"data":null},{"values":null,"value":null,"type":"checkbox","suppressValidation":null,"required":true,"referenceTo":"Online_Grant_Application__c.Registration_Agreement_Understood__c","numbr":null,"validation":"val-chk","styleClass":null,"style":null,"size":null,"placeholder":null,"options":["I agree that I have read and understood the above"],"multiple":null,"message":null,"maxLength":null,"label":null,"helpText":null,"editable":null,"data":null}]}],"displaySeparator":true,"description":null},{"type":null,"title":null,"referenceTo":"25353a36-5552-4441-8189-c52ae93bb31d","messagePropertyId":"vw_sec_email","isTemplate":null,"form_field_sets":[{"type":"standard","referenceTo":"c105fd1c-da2b-49fa-8463-f2b62a939bc4","messagePropertyId":null,"form_fields_store":null,"form_fields":[{"values":null,"value":null,"type":"text","suppressValidation":null,"required":true,"referenceTo":"Online_Grant_Application__c.Registration_Email__c","numbr":null,"validation":"val-eml","styleClass":"section-content-field-itext","style":null,"size":null,"placeholder":null,"options":null,"multiple":null,"message":null,"maxLength":"255","label":null,"helpText":null,"editable":null,"data":null},{"values":null,"value":null,"type":"hidden","suppressValidation":null,"required":false,"referenceTo":"Online_Grant_Application__c.Applicant_Id__c","numbr":null,"validation":null,"styleClass":"section-content-field-itext","style":null,"size":null,"placeholder":null,"options":null,"multiple":null,"message":null,"maxLength":"40","label":null,"helpText":null,"editable":false,"data":null},{"values":null,"value":"Grant Application - Individual","type":"hidden","suppressValidation":null,"required":true,"referenceTo":"Online_Grant_Application__c.Import_Type__c","numbr":null,"validation":null,"styleClass":null,"style":null,"size":1,"placeholder":null,"options":null,"multiple":false,"message":null,"maxLength":null,"label":null,"helpText":null,"editable":false,"data":null},{"values":null,"value":"Flood Damage","type":"hidden","suppressValidation":null,"required":false,"referenceTo":"Online_Grant_Application__c.ProjectName__c","numbr":null,"validation":null,"styleClass":"section-content-field-itext","style":null,"size":null,"placeholder":null,"options":null,"multiple":null,"message":null,"maxLength":"255","label":null,"helpText":null,"editable":false,"data":null},{"values":null,"value":"Hidden and Emerging Need","type":"hidden","suppressValidation":null,"required":false,"referenceTo":"Online_Grant_Application__c.Additional_program_specific_information3__c","numbr":null,"validation":null,"styleClass":"section-content-field-itext","style":null,"size":null,"placeholder":null,"options":null,"multiple":null,"message":null,"maxLength":"255","label":null,"helpText":null,"editable":false,"data":null},{"values":null,"value":"Advance people's physical and mental health, wellbeing and safety","type":"hidden","suppressValidation":null,"required":false,"referenceTo":"Online_Grant_Application__c.IMPACT_category__c","numbr":null,"validation":null,"styleClass":null,"style":null,"size":null,"placeholder":null,"options":null,"multiple":null,"message":null,"maxLength":"255","label":null,"helpText":null,"editable":false,"data":null},{"values":null,"value":"9","type":"hidden","suppressValidation":null,"required":false,"referenceTo":"Online_Grant_Application__c.Primary_outcome__c","numbr":9,"validation":null,"styleClass":null,"style":null,"size":null,"placeholder":null,"options":null,"multiple":null,"message":null,"maxLength":"255","label":null,"helpText":null,"editable":false,"data":null}]}],"displaySeparator":true,"description":null}]},{"type":"intro","toolbar":null,"title":null,"pageName":"wba_OnlineApplicationRegisterConfirm","messagePropertyId":"vw_registerConfirm","form_groups":[{"type":"formgroup","title":null,"referenceTo":"87b35a65-c65b-4d8d-b286-dd721bef05dc","messagePropertyId":"vw_sec_registration_confirmation","isTemplate":true,"form_field_sets":[{"type":"standard","referenceTo":"36530b99-df07-430a-b3be-82211845e045","messagePropertyId":null,"form_fields_store":null,"form_fields":[{"values":null,"value":"<p><strong><span style=\"font-size:14px\"><span style=\"font-family:tahoma,geneva,sans-serif\">An e-mail has been sent to: {{Online_Grant_Application__c.Registration_Email__c}}.</span></span></strong></p>\n\n<p><span style=\"font-size:14px\"><span style=\"font-family:tahoma,geneva,sans-serif\">You have been sent an e-mail that contains instructions on what to do next to begin the application process. This should arrive in the next few minutes.</span></span></p>\n\n<h4><span style=\"font-size:14px\"><span style=\"font-family:tahoma,geneva,sans-serif\"><strong>Important</strong></span></span></h4>\n\n<p><span style=\"font-size:14px\"><span style=\"font-family:tahoma,geneva,sans-serif\">Please check your SPAM/Junk e-mail folder if you do not receive this e-mail in the next few minutes. If after checking your SPAM/Junk e-mail folder, the e-mail has not arrived within 30 minutes then please go back to the delivery agent's website and try again.</span></span></p>\n\n<p><strong><span style=\"font-size:14px\"><span style=\"font-family:tahoma,geneva,sans-serif\">If after attempting a second time the e-mail still does not arrive, please contact The Grants Team on <a href=\"mailto:grants@cffc.co.uk\">grants@cffc.co.uk</a></span></span></strong><strong><span style=\"font-size:14px\"><span style=\"font-family:tahoma,geneva,sans-serif\"> or ring on 01422 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If your enquiry is very urgent please email </span></span><a href=\"mailto:grants@cffc.co.uk\" style=\"color: rgb(7, 130, 193); font-family: sans-serif, Arial, Verdana, "Trebuchet MS"; font-size: 14px; background-color: rgb(255, 255, 255);\">grants@cffc.co.uk</a></p>\n\n<p><span style=\"font-size:14px\"><span style=\"font-family:tahoma,geneva,sans-serif\"> </span></span><span style=\"font-size:14px\"><span style=\"font-family:tahoma,geneva,sans-serif\">Please note that this email is an automated notification, which is unable to receive replies. </span></span></p>\n\n<div> </div>\n\n<div><span style=\"font-size:10px\"><span style=\"font-family:tahoma,geneva,sans-serif\">Charity Registration No:</span></span><span style=\"font-family:monospace; font-size:12.675px\">1002722</span></div>\n\n<div><span style=\"font-family:tahoma,geneva,sans-serif; font-size:10px\">Quality Accredited by UK Community Foundations to standards endorsed by the Charity Commission</span></div>\n\n<div><span 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