Download The Theatrical Guild The Charity for Backstage and Front of House

The Theatrical Guild
The Charity for Backstage and Front of House
Patrons: Gemma Arterton, Keira Knightley and Simon Russell Beale
11 Garrick Street
London
WC2E 9AR
Tel: 0207 240 6062
Email: [email protected]
Website: www.ttg.org.uk
APPLICATION FOR ASSISTANCE
Please contact the office if you need help with your application. The completed application form should
be returned via post or email to the above postal address / email address.
Personal Details
Name
Professional name (if applicable)
Address
Post code
Email address
Home phone number
Date of birth
Where did you hear about us?
Mobile no.
Please indicate the names and contact details of two people in the theatre industry that can verify your
employment and support your application.
Name
Relationship to you
Address
Post code
Email address
Contact number
Name
Relationship to you
Address
Post code
Email address
Contact number
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TTG Application Form 2017
Please tell us the background to your current problem and the reason for your application, including
details about what help you would most benefit from.
Have you applied to The Theatrical Guild before?
Is yes, please indicate when
YES / NO
Have you applied to any other charities?
Is yes, please indicate which ones
YES / NO
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TTG Application Form 2017
Financial Details
Please include any additional spouse / household income(s) and expenditure(s) wherever relevant and
highlight whether this information is annual, monthly or weekly.
Income
Amount
Net earnings
State pension
Occupational / retirement pension
Partner’s / widow(er) pension
Private pension
Pension credit
Job seekers / income support
Attendance allowance
Housing benefit
Amount
Rent / mortgage
Service charges / ground rent
Council tax
Water rates
Gas and electricity
TV licence
Telephone
Public transport
Car (including tax / insurance /
petrol)
Housekeeping (food / cleaning, etc)
Insurance
Prescriptions / medical expenses
Child care
Other expenses
Council tax benefit
Disability related benefits
Family / child related benefits
Carers allowance
Income from other charities
Statutory sick pay
Statutory maternity pay
Other benefits
Other income
Debts / arrears
Expenditure
Amount
Rent / mortgage
Council tax
Credit cards
Hire purchase
Bank overdraft / loan
Inland revenue
Other debts
Financial assets
Amount
Building society
Bank deposits
Savings
Bonds
Do you have anyone that is dependent on your
income?
If yes, please give details here
Name
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Relationship to you
Age
TTG Application Form 2017
Current Employment
Job title
Address
Dates of employment
Previous Employment
Please give details of your employment history particularly focusing on areas working in the theatre
industry. Attach a CV if necessary.
Job title
Company/ Organisation
Dates
Agreement and Declaration
The Theatrical Guild is committed to safeguarding your privacy and it will take every precaution to
protect and ensure the information remains confidential and within the terms of the Data Protection
Act (1998).
Please read the below and sign to demonstrate your agreement with the below statements and
terms.



I believe that the details I have given in this form are correct.
I understand that the information expressed in this form will be kept confidential and only
used in relation to the processing of my application, but can be shared with other theatrical
charities who may be able to offer additional help.
I consent to my personal data being processed and maintained by The Theatrical Guild for
the purposes of administering my application and I understand that the Guild will keep this
data for as long as necessary.
Signature……………………………………………………………………………………..
Date……………….…………………
Print Name…………………………………………………………………………………………………………………………………………….
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TTG Application Form 2017