Application form

Please be assured we are open and able to receive your applications during the Covid-19 crisis.

If you are working with vulnerable people and children who are resident in Leicester & Leicestershire and in a position of exceptional hardship caused by the coronavirus pandemic, then please download and complete the There With You Fund application form here. Once completed please email to with any supporting information. If you have any queries then please do no hesitate to call us on: 0116 222 2200.

For all applications please use our online application form, as this does not need to be completed face-to-face with your clients. All details can be obtained over the phone and it has the advantage of not requiring a client’s signature.

For those who have not completed an online application before, please find a link below (please do not be concerned that the form is branded Northamptonshire County Council, as they very kindly produced the form for us to use).

Online application form

Prior to making your first application you will need to create an account which is quick and easy to do. .

Applications are straightforward to complete and can be saved if you need to fill in the form over more than one session.

We appreciate that this option may not be available for everyone, so please complete the paper application form over the phone, read out the GDPR statement to your client and ask for their consent. Once consent has been given, please sign with your signature on the form and include the client’s contact number so we can call to ensure consent has been given. if you are able to do so, please scan the paper application and email to

Alternatively, please click here to download the application form.

Thank you and stay safe.