Please include 5 years of employment history within the electrical and energy sector.
If you qualify for help through your partner/spouse/husband please fill out the employment section here.
In this section please tell us the problem in which you need help, supplying us with as much information as possible. Consider the help you need and how you think we may be able to assist
Please ensure you add your Income per week
If field is mandatory (*) please input 0 if you do not recieve described fund
Expenditure per week
If you have no costs please input 0
If you do not have the described fund please input 0.
Total sums of money in your...
Total sums of money for your partner/spouse...
As you have indicated that you have debts, please complete all relevant details using fields below.
It is essential that as many of the following supporting documents as are relevant, are supplied with your application:
I, the undersigned hereby give my permission for the Electrical Industries Charity to share personal information with other service providers in connection with my care, including accessing and sharing my medical, and mental health records. I agree to a referral being made to local supportive services in order to support my needs. I understand that the Electrical Industries Charity may hold information gathered about me from various service providers and as such my rights under this will not be affected.