Application – Support Funds 2026 "*" indicates required fields FacebookThis field is for validation purposes and should be left unchanged.Type of applicationIs this funding for an individual or a group?* Individual Group Beneficiary DetailsThis part of the form should be filled in by the person who will receive the grant so that they understand what happens to the information they provide.Beneficiary name* First Last Age*This is for our records and will not affect your application. Under 16 16-24 25-35 36-55 55 or older Gender* Male Female Non-Binary Prefer not to say Your current situation* Rough sleeping Sofa surfing Using night shelters Using a church shelter In a refuge In a foyer scheme In short-stay supported housing Receiving floating support In dispersed housing In temporary accommodation eg B&B Living with a host Other What made you homeless?*Tick all that apply Asylum seeker Benefit sanctions Bereavement Care leaver Delay in benefits / Universal Credit Fleeing abuse Eviction Lost a job Mental health issues Physical illness Prison leaver Not eligible for benefits Not eligible for council support Relationship breakdown with partner Relationships breakdown with relative(s) Substance misuse Unable to pay rent / rent arrears Other – please use box below OtherPlease provide more details on your circumstances and how you became homeless?*Your grantChurch Homeless Charity gives small grants for anything that will help you to rebuild your life. Grants can be for clothing, identity papers, hobbies, training, travel, work clothes and equipment, volunteering expenses, a rent deposit, household goods or furniture. We are limited to giving a maximum of £200 for each individual grant, and £400 for each group grant. Please see our page /applyforfunding/ for more grant guidelines. Type of Funding*Please note: Resettlement grants are any costs that pertain to moving into a new home. They are the last grant that an individual can apply for from CHC. Personal Support is any other grant. More specific info can be found in grant application guidance on previous page. Group activity is any grant that benefits more than one individual.ResettlementPersonal SupportGroup ActivityType of funding* Gardening Food and nutrition Health and fitness Outreach (Volunteer expenses such as street buddies) Art and music Number of participants expectedPlease enter a number from 1 to 10000.Duration of activitieseg a 2-hour session every month for six months; one class a week for three months.Amount of funding*Please enter a number greater than or equal to 1.Maximum £200 for individuals.Check all that apply*Still fill in the box below with all details. Household Goods Clothes Essentials Group Activities Utilities and Bills Debt Phone Other Electronics Decoration Carpets and Blinds ID Hobbies Travel Costs Education Moving Costs Disability Support Other What will you use this grant for?*What is the positive outcome that you expect to see?*Cost breakdown*Please be as specific as possible. Asking for more than the cost of your listed items may be queried. We cannot fund rent arrears with Riverside, if your grant is for arrears please state which housing provider it is for. Do not send us receipts, but please keep them in a safe place in case our auditors do a spot check.Beneficiary feedbackWe would like to contact you (the beneficiary) in one months’ time to find out whether the grant has been useful. Please provide details of the best way to contact you.Email PhoneAny other ways we may contact you eg Instagram, Twitter, FacebookSign here (Beneficiary Name) – type your full name*Beneficiary signature. We will use the information you give us in this form to process your application. We may also use it to report back to our funders and donors, and in public information and marketing in print and online. If we do so we will make it anonymous. Please see our Privacy Policy (churchhomelesstrust.org.uk/privacy-policy) for more information about what we do with data.Today's date* Day Month Year Support Worker Contact DetailsThis part of the form ensures we can pass the funding to the correct finance department or make further enquiries if necessary.Name* First Last Email* Enter Email Confirm Email PhoneApplication approved by line manager* I have approval Their email* Enter Email Confirm Email Organisation*[Please select]Riverside Care and SupportOther organisationName and Area Code*C4WS Homeless Project – (LON 217)HOPE Worldwide – (LON 201)Kurdish And Middle Eastern Women's Organisation KMEWO – (LON 513)Housing Justice Hosting Project / Destitution Fund – (LON 200)Selig Suffolk Trust – (SUF 216)Anira House LQBTQ+ Crisis Shelter – (LON 373)ID Essence – (SUS 202)Wycombe Homeless Connection – (BUK 381)The Four Streets Project – (SUS 486)West Yorkshire Destitute Asylum Network (WYDAN) – (YKW 223)The Whitehaven Foyer – (CUM 487)Accommodation for Work – (SUS 488)One Roof Homes – (LEC 211)SHP King George's – (LON 369)The Hope Centre – (SOM 372)Leeds Destitute Asylum-seekers Support (LEDAS) – (YKW 215)NEWway Project – (LON 521)Emmanuel House Night Shelter – (NOT 213)Name and T2 Code*If your scheme is not on this list, or the T2 code is incorrect, please contact us to update your details. The T2 code tells Riverside Finance where to disburse the money once we transfer it to them, so is essential.Please select your schemeA Bed Every Night – Q961E – (MAC 380)Bracken Court – Q148E – (YKW 507)Cangle Foyer – Q511E – (SUF 425)ClearView & Trippett St – Q111E – (YKE 337)The Crossings – Q682E – (YKE 338)Eden Rural Foyer – Q995E – (CUM 5322)Elizabeth Court – Q696K – (KEN 414)Lily Smith House – Q559E – (KEN 377)Marie House – Q136E – (YKW 432)Newbury House – Q360E – (MAC 387)Newton House – Q669E – (GLO 327)NSAP Rochdale – Q988E – (MAC 504)Old Tea Warehouse – Q549E – (BUK 335)Project 394 – Q364E – (MAC 401)The Quays – Q553E – (KEN 419)Regent House – Q560E – (KEN 416)Railway Road Project – Q184E – (MAC 355)Sefton Family Service – Q963E – (MER 359)Shepherd Court – Q425E – (MAC 458)South Lakes Foyer – Q996E – (CUM 323)Springhill Close – Q922E – (YKW 408)The Springs – Q703E – (CAM 316)Russell Raywell Street & St Ambrose Court – Q106E – (YKE 340)The Stages Academy – Q127E – (YKN 409)Centre 28 – Q115E – (YKE 341)Terry Street Resettlement – Q110E – (YKE 510)Towers Point – Q562E – (KEN 417)Townsend Gardens – Q444E – (WMD 304)Vaughan House – Q537E – (SUR 330)Marsh Way House – Q137E – (YKW 433)Young Families Service – Q130E – (YKW 434)Carlisle Foyer – Q993E – (CUM 480)Liverpool RSAP – Q987E – (MER 479)Powerhouse – Q182E – (MER 356)Keys To Succeed – Q990E – (YKE 383)Number 5 Hub – Q975E – (SUR 457)Guildford HOST – Q907K – (SUR 333)St Saviours – Q536E – (SUR 331)Chapter Street – Q624E – (LON 361)Queen Mary Hostel – Q625E – (LON 375)Booker House – Q651E – (WIL 430)Pimlico Pathway – Q956E – (LON 392)Swindon Young Parents Accommodation – Q919E – (WIL 438)Medway Move On – Q989E – (KEN 421)Rough Sleeper Initiative – Q628E – (LON 376)Springboard Bond Street Prestwich House and Dispersed – Q180E – (MAC 506)Bevatone House – KS40505 – (LON 492)Westmoor House – KS48032 – (LON 493)Artemis House – KS37214 – (LON 497)Camden 16/17 – KS37213 – (LON 498)Cliff Road – KS37532 – (LON 499)Hackney Young Persons Service – KS43264 – (LON 518)Honor Lea – KS47077 – (LON 517)Swindon Young Parents Accommodation – Q919E – (WIL 438)Brydon Court – Q354E – (MAC 379)The Whitehaven Foyer – Q992E – (CUM 481)Homeless Families Unit – Q139E – (YKS 522)Bolton House – Q179E – (MAC 351)Blackmore House – Q495E – (LON 422)Cosford Garth & Young People's Intensive Support – Q109E – (YKE 509)Hilltops House – Q618E – (LON 368)Peabody Court – Q859E – (LON 367)GLA – Camden 9 – P905E – (LON 526)GLA DV Units – P905E – (LON 527)GLA – LNT Programme – P905E – (LON 528)GLA – RSAP Outreach Service – P905E – (LON 529)Camden The Crescent (ISH) – KS37208 – (LON 525)Address* Street Address Town / City County Post Code This field is hidden when viewing the formScheme T2 Code
