REQUEST FOR SUPPORT

The questions on this form enablethe Trustees to respond to your request. This form can also be completed over the phone with Taradakini (+44 (0)7857 351818)The informationis be kept confidential within the Trust.

1. Your contact details and finances
Your Order name
Your civil name
Year of ordination
Date of birth / 1
Address
Landline telephone number
Mobile number
Email address
Approximately how much is your monthly income (including any state benefits)?
How much of this if any is made up of state benefits?
Approximately how much in savings do you have?(You can apply while you have savings- see the Guidance Notes below.)
Please complete section 2OR 3 and then section 4
2. Help with the cost of a retreat, solitary or Order gathering
What retreat or gathering would you like to attend and when is it?
Would you like help with travel expenses? If so, please indicate here the journey and approximate cost.
If you or someone else is paying part of the retreat or travel costs, please indicate that here.
What is the total amount requested?
3. Help with urgent,subsistence or other living costs
What do you need help with?
How much money do you need and by when?
Have you received or enquired about help from any other sources for this need, including friends or family?
4. Background and supporting information
Thefollowingquestions are helpful background about you and also the pattern of need in the Order.
They do not have a direct bearing on your support request.
Do you live alone / in a community / shared house / with family / with partner / other?
Do you have any health problems, and/or disabilities?
If you wish, please mention here any work or activitiescarried out for the Order / Triratna Community. You do not have to have done any work in order to apply.
In a nutshell, how are the financial limitations you are experiencing affectingyour spiritual life?
If you would like us to contact an Order friend to write in support of your request, please give their name here. They will betold your basic request but not shown your application form.
Date form completed
Signature

GUIDANCE NOTES

Thank you for applying to The Abhayaratna Trust.Please email your completed form to:or post it to:Taradakini, The Abhayaratna Trust,3 Bonar Court, Cupar, Fife, KY15 4LF. Taradakini will confirm she has received your form. If you don’t receive an acknowledgement within 7 working days, please get in touch. Your request will usually be answered within two weeks.

The Abhayaratna Trust helps Order Members experiencing hardship. We can pay forTriratna retreats, solitary retreats or Order Gatherings, including travel, and we can also help with urgent living/subsistencecosts, disability equipment and certain medical expenses. We can also offer non-financial support.

If you are not sure if your request will fall within our remit, just get in touch to ask rather than not apply.

For support needs above £1,000, the Trustees may want to consider running a private or Order wide appeal on your behalf, with your agreement.

Savings:You are welcome to request support if you have modest savings. As a guideline, if you have more than £6,000 savings, we may ask the reason for savings not being available for the purpose of your request. Do apply if you have more than £6,000 savings (approx. €6800 or approx. $7780)

Here are some examples of payments we have made:

£ Sterling / Used for
145 / National Order weekend + travel
180 / One week solitary retreat
175 / Preceptors retreat at Adhisthana
275 / One week retreat
326 / Utility bills
500 / Medical expenses
625 / Cooker, fridge and washing machine

Emergency Help: In an emergency, theTrust can make payments up to £500 at short notice. Please call Taradakini on (+44) (0)7857 351818 or one of our Trustees, who are listed on our website.

Your application is kept confidential within the Trust, but please let us know if you would be willing to give us a brief written or video testimonial, to help us raise awareness and encourage others to apply.Thank you.

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Registered Charity Number 1126494