Gate Application Form

Who are you applying for?*

Are you over the age of 16?*

Yes
No

Is the person you are applying for over the age of 16?*

Yes
No

To apply for the Gate you must be aged 16+ to find out more contact us

Has funding been secured for your placement at the Gate? (i.e: Self Directed Support)*

Yes
No

Has funding been secured for their placement at the Gate? (i.e: Self Directed Support)*

Yes
No

How much funding is available?*

Please note:

You will need funding in order to attend and apply for the Gate. Advice and information on securing funding is available from Self Directed Support Scotland or your Local Authority.

We are here to offer support around funding. Please do not hesitate to contact us to discuss info@donaldsons.org.uk or call 01506841900

Please note:

You will need funding in order to attend and apply for the Gate. Advice and information on securing funding is available from Self Directed Support Scotland or your Local Authority.

We are here to offer support around funding. Please do not hesitate to contact us to discuss info@donaldsons.org.uk or call 01506841900

Your details

Details for the person you’re applying for

Legal first name*

Legal last name*

Preferred name

If different

Preferred name

If different

Date of birth*

Gender*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Local Authority*

Phone*

Email*

How would you like us to get in touch with you?*

Phone
Email

What’s the best way to get in touch with them?*

Phone
Email

Your details

What's your name?*

First Last

What's your relationship to the person you're applying on behalf of?*

What's your address?

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

What's your phone number?*

What's your email address?*

What route have you come through to apply? (i.e: Local Authority, School, CAMHS, SDS etc.)*

Are you the next point of contact for this person?*

Yes
No

How would you like us to get in touch with you

Phone
Email

Please provide the details of next point of contact (name, address, phone number, and email address)*

Are you currently attending another provision? (i.e: college, volunteering, receiving support from another provider etc.)*

Yes
No

Is the person currently attending another provision? (i.e: college, volunteering, receiving support from another provider etc.)*

Yes
No

Please tell us about this provision (name, nature of service provided)

Have you been diagnosed with any conditions?*

Yes
No

Has the person been diagnosed with any conditions?*

Yes
No

Please let us know the condition(s) and when you were diagnosed*

Please let us know the condition(s) and when they were diagnosed*

Do you have any additional medical needs? (i.e: Medication required, allergies, other medical needs)*

Yes
No

Does the person have any additional medical needs? (i.e: Medication required, allergies, other medical needs)*

Yes
No

Please let us know the details of these needs*

Can you travel independently?*

Yes
No

Can they travel independently?*

Yes
No

Do you require support taking medication?*

Yes
No

Do they require support taking medication?*

Yes
No

Do you require support with personal care?*

Yes
No

Do they require support with personal care?*

Yes
No

Do you have any needs for accessibility?*

Yes
No

Do they have any needs for accessibility?*

Yes
No

If you answered yes to any of the above questions, please provide any other details if necessary

What are some of your interests and hobbies?*

(If you need ideas, take a look at some of the activities and workshops offered by the Gate!)

What are some of their interests and hobbies?*

(If you need ideas, take a look at some of the activities and workshops offered by the Gate!)

Do you require transport to and from Gate?*

Yes
No

Please note if transport is provided by The Donaldson Trust there will be a cost involved

Do they require transport to and from Gate?*

Yes
No

Please note if transport is provided by The Donaldson Trust there will be a cost involved

If transport was selected, can you travel with other people?*

Yes
No

If Transport was selected, can they travel with other people?*

Yes
No

Which days would you like to attend?*

(Please confirm if it is am or pm only or full days; please refer to the weekly schedule to help you choose)

Which days would they like to attend?

(Please confirm if it is am or pm only or full days; please refer to the weekly schedule to help them choose)

Is there anything else you would like to tell us about yourself?

Is there anything else you would like to tell us about the person?

Data Protection: The Donaldson Trust complies with the General Data Protection Legislation and the Privacy and Electronic Communications Regulation (2003). Your personal data is held securely and will only be accessed by those authorised to do so and used for the purposes for which you have provided us the information. For full details, please view our privacy policy

I agree to the privacy policy.

Data Protection: The Donaldson Trust complies with the General Data Protection Legislation and the Privacy and Electronic Communications Regulation (2003). Your personal data is held securely and will only be accessed by those authorised to do so and used for the purposes for which you have provided us the information. For full details, please view our privacy policy

I agree to the privacy policy.

Phone

This field is for validation purposes and should be left unchanged.

Welcome to the Donaldson Trust. On this page you can apply for the Gate service using the form below.

Your details

Details for the person you’re applying for

Your details