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APPLICATION FOR FINANCIAL ASSISTANCE - Charis Grants

APPLICATION FOR FINANCIAL ASSISTANCE - Charis Grants

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ENERGY EFFICIENCY ADVICE FROM npower<br />

For advice on how to use less energy and reduce bills,<br />

call npower’s energy efficiency helpline free on:<br />

0800 02 22 20<br />

This service is available from Monday to Friday (8am until 6pm) and Saturday (9am until 5pm)<br />

APPLYING TO THE FUND AGAIN<br />

• If your application is successful and you receive an award from the Fund to clear your debt, you cannot re-apply for a period<br />

of two years.<br />

• If you are accepted onto the Fund’s Provisional Award Scheme but your award is not confirmed you can re-apply six months<br />

from the date of the letter informing you of the Fund’s decision.<br />

• If your application is unsuccessful and you are not accepted onto the Fund’s Provisional Award Scheme you can re-apply if<br />

your circumstances change.<br />

MONITORING IN<strong>FOR</strong>MATION (THIS PART WILL BE DETACHED BE<strong>FOR</strong>E ASSESSMENT)<br />

Please tick as appropriate<br />

Are you Female Male<br />

Are you registered disabled Yes No<br />

What do you consider your ethnic origin to be<br />

WHITE<br />

British Irish Any other White background<br />

MIXED<br />

White & Black Caribbean White & Black African White & Asian Any other Mixed background<br />

ASIAN OR ASIAN BRITISH<br />

Indian Pakistani Bangladeshi Any other Asian background<br />

BLACK OR BLACK BRITISH<br />

Caribbean African Any other Black background<br />

CHINESE OR OTHER ETHNIC GROUP<br />

Chinese<br />

Any other Ethnic Group<br />

<strong>Charis</strong> <strong>Grants</strong> Ltd. provides independent management of the npower Energy Fund.<br />

PAGE 8 MARCH 2013

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