Additional Support Grant Resource Library Application Form

1. Name of setting (Required)
2. Name of person completing form (Required)
3. Email (Required)
4. Child's Name (Required)
5. Date of Birth
6. What provision does the child access
  
  Flying Start
  
  Foundation Learning
  
  Childcare Offer
  
  After School/Holiday Club
  
  Other
7. Other
8. What would you like to borrow from the resource library and why? (Required)
9. How will this benefit the child in your setting? (Required)
Declaration
1. Your declaration
  
  I understand the following:
  
  You will use the information I have provided to process my request / report.
  
  You will not share my information outside Powys County Council.
2. I understand the statement above and I declare that the information I have given on this form is correct and complete.