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APPLY FOR A GRANT FROM DCCF

Please note that any information you give us will be stored subject to and compliant with the new GDPR (General Data Protection Regulations) intended to protect your privacy. This means it will be:

Stored securely.
Current – we do not store historic data unless we are obliged to do so under other regulations.
Only used in ways to which you expressly give consent.
Will not be passed on to anyone without your permission, even within the charity.

If you would rather download and print the form, please download the PDF version

**Please complete the fields below (obligatory fields marked *):**

Surname*
Forename
Date of birth*
Date Format: DD slash MM slash YYYY
Gender*
Address Line 1*
Address Line 2
Town*
Postcode*
Preferred email Address*
Preferred telephone number(s)*
Name of GP*
Nature of illness*
To support your application please also provide, in your own words, the following information
Details, costs and why to be awarded?*
I give permission for the following to contact me*
- DCCF Trustees and Administration
- DCCF Public Relations Officer (see below)
- I would like to receive the e-newsletter
DCCF relies heavily on our beneficiaries to spread the word about what we do. If you would agree to our press team contacting you at a later date to report on your story, we would be extremely grateful. Please signify your willingness here: I am/am not happy to help the charity by sharing my DCCF story.
- Yes
- No
I give DCCF permission to store the information given here in compliance with GDPR*
- I give DCCF permission to store the information given here in compliance with GDPR
Signed (please give full name)*
Date*
Date Format: MM slash DD slash YYYY
How did you hear of DCCF?
NB. WE WILL NOT STORE PERSONAL DATA AFTER MAY 2018 WITHOUT UPDATED CONSENT UNLESS OBLIGED TO DO SO BY LAW

Postal address: DCCF, Slipway, 36 Dorset Lake Avenue, Poole BH14 8JD
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Dorset Cancer Care Foundation @dorsetcancer·

July 19, 2019

This is Lily Strickland who is doing the Bournemouth Marathon on 6th October for DCCF.
Lily has already raised just under £250 from her just giving page:
https://t.co/00sVYrV4R9
Any support would be much appreciated. ❤️

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Dorset Cancer Care Foundation @dorsetcancer·

July 17, 2019

A huge thank you to Moni Boutique for raising £50 from the raffle and donations from this event - raising money for DDCF on their 1st Anniversary event of the opening of their boutique.
Andrea Campbell and Meryl Ponsford attended the evening on behalf of DCCF raising awareness.

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Dorset Cancer Care Foundation @dorsetcancer·

July 15, 2019

A Bournemouth grandmother who returned to sea swimming after two battles with breast cancer has taken part in the Pier to Pier swim yesterday.
Well done Jackie ❤️.
.
https://t.co/SvVT0lu7qm

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APPLY FOR A GRANT FROM DCCF

Please complete the fields below (obligatory fields marked *):

To support your application please also provide, in your own words, the following information

NB. WE WILL NOT STORE PERSONAL DATA AFTER MAY 2018 WITHOUT UPDATED CONSENT UNLESS OBLIGED TO DO SO BY LAW

Postal address: DCCF, Slipway, 36 Dorset Lake Avenue, Poole BH14 8JD

**Please complete the fields below (obligatory fields marked *):**