Apply For Help

To apply for charitable help from the Jim Cousins Trust, please complete the form below, then click on the “Submit” button.

An individual application is only for those who live in Witney or nearby.

NOTE: The form below requires you to include a letter from a recognised professional to backup your application, together with income/expenditure details. You may attach Word documents to the form (or use a similar document format).

Application Form

Your Name (in full) *

Your Email Address *

Your Phone Number *

Your Address *

Please Describe What Your Application Is For *

Please include a letter from a recognised professional (e.g. Doctor) together with income/expenditure details. You may upload more than 1 document.

Documents to support your request *

Drop a file here or click to upload Choose File

Maximum upload size: 516MB

Δ