Ann Ashley Counselling Fund Online Application Form

To apply for our Ann Ashley Counselling Fund please complete the below application form and a member of the team will be in touch.
















    Do you need help finding a counsellor?

    Hear about how we can support you further

    If you wish to hear about our services and how to get involved, please tick the box below:

    Share your story

    If you wish to share your story of diagnosis or supporting someone with a blood cancer, please let us know and we will get in touch with you. We use stories to show our impact to supporters but also in campaigning work to improve the lives of people affected by blood cancer.

    Application agreement

    I confirm I have read the terms and conditions and agree to abide by them. I also agree to provide written feedback once I have received the grant.