Passwords are case sensitive.
Please ensure you select the correct option. Failure to do so will invalidate your request and it will not be processed. A referral number starts with R- followed by a 7 digit number.
This number must match our records exactly, otherwise we will be unable to help you. Please only put your 7 digit number in this field.
Please ensure that these details are filled in accurately. Thank you.
Enter your full address (including the house/flat number again)
Enter your post code with no spaces. We will only help service users within the CF83 postcode area.
The CARE Project is here to help anyone who is in genuine need. This means that if you have help available to you in the form of family/friends to get food/prescriptions/click and collect deliveries, or you have the financial means to buy your own food, we are not able to help you.
Your food parcel will be made up of food donated by businesses, supermarkets and other charitable enterprises. Some food contained in your parcel may be beyond it’s “Best Before” date, and some food may be frozen prior to its “Use By” date. Food that is past its “Best Before” date is still edible. We will endeavour to ensure that food allergens are labelled where appropriate, but we cannot guarantee that there has been no cross-contamination during the decanting, sorting and preparing of foods. By continuing with this request, you are agreeing that you understand this, and that any food you accept from us becomes your responsibility on transfer.
Please let us know if anyone in your household has any dietary requirements, or whether there are any particular items you desperately need or don’t need Please remember: food is donated to us, so we cannot guarantee stock of any particular item. Also, delivery drivers will not take unwanted food back with them once it has been delivered to you.
e.g Toothpaste, Soap, Toilet Roll, Sanitary products. We DO NOT supply clothes or pet food. Please remember that we CANNOT guarantee that these items will be available when we compile your food parcel.
Once you submit this form, a volunteer will get in touch with you to organise a mutually convenient time to collect the “Click & Collect” food shop and deliver it to you.
We want to allocate a volunteer that is suited to your needs. If you need to talk about something specific, please let us know in this box. It may also be helpful to know a little bit about you, your age, and your interests. This may mean that we are able to connect you with other people in the community. However, please don’t feel you need to fill this box in!
We are working with local pharmacies to deliver prescriptions to people in our area. In agreement with local pharmacists, we have a set procedure for delivery: Your prescription will be delivered the NEXT WORKING DAY once you have submitted your request provided you submit it within our opening hours (Monday-Friday, 9am-3pm). Please do not submit your request if your prescription is not ready for collection. —
Please ensure that these details match your referral details exactly. You CANNOT put in a request for someone else.
This address must match the address on your referral record.
Your food parcel will be made up of food donated by individuals, businesses, supermarkets and other charitable enterprises. Some food contained in your parcel may be beyond it’s “Best Before” date, and some food may be frozen prior to its “Use By” date. Food that is past its “Best Before” date is still edible. We will endeavour to ensure that food allergens are labelled where appropriate, but we cannot guarantee that there has been no cross-contamination during the decanting, sorting and preparing of foods. By continuing with this request, you are agreeing that you understand this, and that any food you accept from us becomes your responsibility on transfer.
As a referral partner, you are able to refer an individual/family to us for assistance. This assistance will last 90 days, at which point we hope that the individual or family concerned will have found a permanent solution to their crisis. If this is not the case, you may refer them again after meeting them to discuss their ongoing needs and assessing them.
The Parish Trust CARE Project will need to gather data about the Service User in order to provide the best service possible, and to report statistics to regulatory bodies and grant funders. We need the Service User’s understanding and consent that we will be in contact with the Service User to ask about their circumstances and how we can help them. We will not be able to offer our help without this consent.
This will be the name of the organisation you work for.
This section helps us to understand the Service User’s needs. Before you continue with the form, you are required to understand the following:
Location of the Service User: Service Users must reside in an area we cover. They cannot claim help from us via another address such as a family member or friend.
Service User’s Reason for Requesting Help: Service Users need to tell you why they have made the decision to seek to be referred to us. You can choose from one of the following options:
We cover areas in the following post codes: CF83, CF3 6, NP10 8. If the service user does not fall into any of these postcodes and is not listed in our list of towns/villages, we are unable to help due to limitations on funding and volunteer numbers.
PLEASE NOTE: The option for “Low Income/Wages” is for those who either are employed but their wages do not meet their general outgoings, or for parents who have an income but are not able to work due to childcare. Any other circumstance must be appropriately selected in this list.
Please tell us how you reached a decision to refer this service user. You must tell us in more detail as to why the service user needs support from us. This is so that we can look to provide ongoing support for them, and to ensure our help is going to those most in need. We do not accept “N/A” as an appropriate response, or simple sentences that reiterate that someone is in need. Referrals will not be accepted if this type of response is used in the field below.
If the Service User does not have an email address, please use your email address.
Once the referral has been submitted the following will happen:
IMPORTANT:
The Service User must contact us each week to request help by using our website or our telephone support service. As soon as their referral number is received, they are able to start making their requests.
By submitting this request form, you are declaring that you have told the Service User how our system works, and that they agree to us holding their information in accordance with our Privacy Policy, and that we may use it to provide a service to them. You are also agreeing that we can hold the information you have submitted about yourself on our files.
Rhowch eich gwybodaeth isod i gael y wybodaeth ddiweddaraf…
