NOT TO USE Eligibility Criteria form
Eligibility Criteria for FREE Information, Advice and Guidance and FREE Support for minority groups in Luton.
 
*This funding was awarded by BLCF and Luton Borough Council as part of the Community Recovery Fund. Bedfordshire and Luton Community Foundation to support people in poverty and affected by the pandemic (Covid19).
Sign in to Google to save your progress. Learn more
Email *
Phone Number
Name *
1. Do you live in LUTON? *
2. Are you part of a minority group? (i.e. BAME, East-Europeans, Roma, LGBT,  BAME, etc) *
3. Do you have a income lower than 75% of the national minimum income standard (MIS)? *
3b. At risk
Have you been affected by the pandemic by one of the following:
Yes
No
losing your job
losing a loved one
worsening your health or well-being
discrimination or inequality
social exclusion
How have you been impacted by Covid?
Yes
No
Financially
Socially
Professionally
Financial situation
Yes
No
Employed
Self-Employed
Looking for a job
Benefits
Student
Other
If you answered at least one YES to all of the above questions, you qualify for FREE IAG (Information, Advice and Guidance) - - - From this step you can submit this form. - - -  (Press the submit button at the end of the form if you want to finish with your answers, but If you wish to receive more support, answer the questions below.)
Do you agree to be asked for a more detailed assessment in order to receive more than 30 minutes of guidance?
Clear selection
To be classed as statutory in needs, and therefore deserving of support from LINK COMMUNITY CENTRE, an applicant must meet certain criteria. These criteria are known as the 5 tests. (The questions below require a LINK worker to be present)
The questions below require a LINK worker to be present
Yes
No
Homelessness
Eligibility for support
Priority need or at risk
Non-Intentionally reached this situation
Local connection
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Link Community Centre. Report Abuse