You can review your answers to the form questions here. If you need to make any changes, please click Amend. It is important to check that all the financial fields have been entered correctly. Once you have made any amendments necessary, please Review again before Submitting. If you are happy with your application, click 'Submit' to send it to us. Once you have clicked the 'Submit' button you will not be able to make any further amendments to your application.

 

Please ensure that you quote your Online Application Reference if you email or post your documents to us.

If you do not receive a confirmation email from us within 12 hours of completing your application, please log back in using the same email address and password, as this probably means you have not completed your application and it has not been submitted.

 

(If you have come to this screen via the View all questions before registering link on the Welcome screen - the above will not apply until you register and complete the application.)

A1
*Your Name
Please enter your full title if you are a serving/former member of the clergy e.g. Canon, Reverend, Reverend Doctor etc.
(Title, First name, Surname)

         
A2
If you have ever been known by another surname (e.g. maiden name or different birth name), please provide your previous surname here.

      
A3
Your address
*Address1:      
  Address2:    
  Address3:    
  *Town:    
  County:    
  *Postcode:    
  Country:    
     
A4
*Your Email address
(Please use the same email as the one you registered with. We will send you an acknowledgement and a copy of your completed application form once you have submitted it.)

      
     
A5
*Telephone Number

        
A6
Mobile Number

        
A7
*National Insurance Number
(We only use your National Insurance number as a unique reference on our database.)

      
     
A8
*Date of Birth

      
A9
*Marital status

      
A10
*Where did you hear about Clergy Support Trust?

      
A11
*Please indicate which best describes you (or the clergyperson in the household):

      
A12
*Are you an overseas clergy person working in the UK on a restricted visa, with no recourse to public funds?

     ?
B1
*Please indicate which type of Financial Support Grant you are applying for?

      
B2
*

Please tell us about your current situation and the reasons why you are applying? Where applicable, please provide details of any costs involved.
(Please upload any quotes/invoices relating to any costs when you reach the Supporting Documents page. This will help to speed up the application process.)

Please click on the orange question mark ? shown on the right for further guidance.


     ?
     
B3
*Have you approached your Diocese, or any other charitable organisations, in relation to what you are applying for?

      
B4
If 'Yes', to the above question, please provide details of any amounts secured or applied for, who you've approached and when you're likely to hear.

      
B5
*Is this your first time applying to Clergy Support Trust?
(formerly Sons & Friends of the Clergy).

      
C1
*Are you (or your spouse/civil partner) a serving or retired member of the Anglican Clergy?
(E.g. For serving clergy - Beneficed, Licensed or PTO.)

      
C2
*Ordination Date

     ?
C3
*Current/Former Diocese

      
C4
*Current/Former Parish

      
C5
*Current/Former position
(e.g. vicar, priest in charge, assistant curate, chaplain etc).

      
C6
*Please tell us if you are (or your spouse/civil partner is); stipendiary/ self-supporting/salaried/PTO/other?

      
C7
*How many days per week (out of a maximum of six) are you (or your spouse/civil partner) in active ministry? e.g. Are you full time or part-time?

     ?
C8
If you answered fewer than six days (e.g. part-time), please tell us if this is due to caring responsibilities (children/elderly relatives), or health related issues? Feel free to provide us with more information.

      
C9
If you are retired please tell us your retirement date.

      
C10
*Are you (or anyone in your household) currently prohibited by a Clergy Discipline Measure (CDM) or other sanction from carrying out your Ministry?
(Yes or No)

     ?
D1
*Are you divorced/separated from or the widow(er) of a serving/retired member of the Anglican Clergy?

      
D2
*Please provide the full name of your former/deceased spouse/civil partner.

      
D3
*Please provide the date of birth of your former/deceased spouse/civil partner (dd/mm/yyyy).

      
E1
*Do you have any children?

      
E2
Please tell us how many dependent children are living in your household.

Aged 0 - 1 Aged 2 - 4 Aged 5 - 10 Aged 11 - 18
   
E3
If you have children between 18-25 in full time education, please tell us how many are either, living away term time or living at home year-round.

Living away term time Living at home year-round
   
E4
If you are divorced/separated, please tell us about your custody arrangements e.g. do you have shared/sole custody? Please also advise which parent receives Child Benefit.
(If you have shared custody, please tell us how much time (% if easier) your children live with you on a weekly/monthly/yearly basis.)

      
E5
Do you share your home with anyone else? E.g. adults who are dependent on you (e.g. adult children/other family members in receipt of disability benefits) or lodger/s? Please give details.
(Please state the relationship but do not include spouse/civil partners, dependent children.)

      
F1

Please provide net annual income.
(Please include child maintenance or spousal maintenance. Please remember to upload or email all evidence of net annual income e.g. latest stipend slip for serving clergy, salary slip, evidence of any maintenance received if applicable.)

Please click on the orange question mark ? shown on the right for further guidance.


Income Self £ Spouse/Partner £
Stipend
Salary
Maintenance
  ?
F2
Please give details of net annual pension income.
(Please enter the net annual amounts of any pensions or pension credit received. Please remember to upload or email all evidence of your church, state and other pensions.) Please click on the orange question mark ? shown on the right for further guidance.

Pensions Self £ Spouse/Partner £
Church pension
State pension
Pension credit
Other pension
  ?
     
F3
Please give details of any other income.
(Please enter the net annual amount of any other income. We will ask about state benefits and rental income separately.)

Other Income Self £ Spouse/Partner £
Bonuses/Dividends from Stocks & Shares
Payments from Trust Funds / Annuities
Any other income
   
G1

Please give details of any state benefits received.
(Please enter the annual amounts of any state benefits received. Only enter numbers in these fields, please do not enter commas or any other characters. Please remember to upload or email all evidence of state benefits.)

Please click on the orange question mark ? shown on the right for further guidance.


State Benefits Self £ Spouse/Partner £
Child Benefit
Universal Credit
Working Tax Credit
Child Tax Credit
Council Tax Support
Housing Benefit
Jobseeker's Allowance
Employment & Support Allowance
PIP/Disability Living Allowance
Attendance Allowance
Carer's Allowance
Any other State Benefit
  ?
H1
*Do you live in a parochial house or other tied housing (as your main residence)?

      
H2
In relation to the property you reside in, please provide us with any relevant housing costs you incur:

Details Amount £
Annual rent payment
Annual mortgage payment
Annual Council tax
Annual water rates
  ?
     
H3
If you or your spouse / partner currently pays child maintenance payments to a divorced or separated partner, please tell us how much you pay on an annual basis?

      
H4
Please tell us how much you pay towards the cost of childcare each year?
(Please provide evidence of these payments by uploading proof of payment when you reach the Supporting Documents page.)

      
     
H5
*Do you and your spouse/partner both minister/work full time?

      
     
H6
*

Please tell us how much, per month, you pay by way of a tithe and/or charitable giving?
Please enter whole numbers only, so if £10, enter 10 or if this does not apply to you then please enter zero '0'.



      
I1
*Do you or your spouse/partner own any other property, other than your main residence (regardless of the use or the amount of outstanding mortgage)?

      
I2
*Is the property rented out?

      
I3
If 'Yes', please provide us with the following details about your property:

Details Amount £
Annual mortgage payment
Gross annual rental income
Annual letting agent's fees
Annual building / landlord's insurance
Gas certificate cost
   
     
I4
*Do you own a second property?

      
I5
If 'Yes', please provide us with the following details about your property:

Details Amount £
Annual mortgage payment
Gross annual rental income
Annual letting agent's fees
Annual buildings / landlord's insurance
Gas certificate cost
   
     
I6

Do you own any other properties?

(If you own further rental properties, please provide us with your associated costs and rental income for each property separately.)


     ?
J1

Please complete with details of all current assets for yourself and your spouse/partner.


(Only enter numbers in these fields, please do not enter commas or any other characters.)


Details Self £ Spouse/Partner £
Current account balance
Bank/Building Society savings
ISA
Stocks & Shares
Other investments
   
K1
Please complete the table:

Lender Purpose Amount Outstanding £ Monthly repayments being made £
  ?
K2
*If you are concerned about your debts, would you like us to signpost you for some debt advice/help?

     ?
K3
Are you currently paying into a Debt Management Plan?

      
     
K4
If 'Yes', please provide us with some further information.

      
L1
Please upload your supporting documents.

        
L2
Please upload your supporting documents.

        
L3
Please upload your supporting documents.

        
L4
Please upload your supporting documents.

        
L5
Please upload your supporting documents.

        
M1
Bank/Building Society name

      
M2
Account holder's name
(E.g. Mr John Smith).

      
M3
Account Number

      
M4
Sort Code
(Please enter a six digit Sort Code with no spaces or separating characters.)

      
N1
We ask this to ensure that any discretionary gift that the charity may award you does not affect your entitlement to means-tested state benefits.

      
O1
*

Please tick here:


      
P1
*I confirm that I have fully and correctly completed this form to the best of my ability and belief and given all relevant information to enable my application to be considered. I am content to provide corroborating evidence if requested. I acknowledge that Clergy Support Trust has a zero-tolerance policy towards fraud and expects that all information provided by applicants (or provided on their behalf) is given in good faith, with due care and attention, and is accurate to the best of the applicant's knowledge. This applies to information given by any means of communication. I further acknowledge that Clergy Support Trust will take appropriate action if any information provided is found to be false.

      
P2
If you have not uploaded your documents, please tick to confirm that you will be sending all of your supporting documents, relating to your income, by post, within 10 days of submitting your application e.g. latest Stipend/Pension slip, HMRC Child Tax Credit Award Letter (all 6 pages) must be for the current year, PIP, DLA, Carer's Allowance, Council Tax & Housing Benefit Award letters, any other income documents.

      
P3
*I would like to receive updates from Clergy Support Trust.

      
P4
Please provide any feedback that you have regarding the application process.

      
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