Participant Grant Application Form

Who are you applying for?*

Yourself

Someone Else

Are you, or the person you are applying for, currently an adaptCARE participant?*

Yes

No

Which of the below categories describes you best:*

I am a person with a disability

I am a family member or friend of a participant in the disability sector

Other

If you are filling in this application form on behalf of someone else, do they know that you are submitting this application in their name?*

Yes

No

Not Applicable

By ticking this box you agree to the Terms and Conditions*

I Agree

Participant Grant – Application Form