Application Form for Young Carers Package (Under 12)

Young carers can now access a special range of digital opportunities - totally for free! If you’re 11-18 and helping to care long-term for a family member, friend or someone in your community, you're eligible for the Young Scot Young Carers Package.

As you are under 12, you won't be able to access the package through a Young Scot Membership account, due to data protection reasons. However if you complete this online form, and you are eligible, we will send you digital rewards by email. Please name a trusted adult we can send the e-vouchers to, who is able to support you to access.

Remember, on your 12th birthday you can create your Young Scot Membership account at membership.young.scot then re-apply for the Young Carers Package and enjoy a fresh batch of offers!

If you have any questions about the Young Carers Package or need help completing this form please email us at membership@young.scot

1. Please enter your details below. *

Full name	*
Email address	*
Street address	*
Town/City	*
Postcode	*

3. What is your full date of birth? (Day/Month/Year)

If you are 12 or over, you can apply for the package online via the Young Scot Membership platform. Head to membership.young.scot to get started today. *

	DD/MM/YYYY

4. Please read the following statements and tick all that apply to you (you don't need to tick everything to access the package). *

I care for a family member or friend due to illness, disability, a mental health problem or an addiction
I have completed a young carer statement (this is not required to access the package)
I am aware of support for young carers at school or my local carers centre (this is not required to access the package)

5. To help us make sure the package is useful to all young carers, we would appreciate if you could tell us how your care role feels for you (this will not affect your access to the package).

Alongside school, socialising and other responsibilities, my care role feels... (please choose one). *

Easy to manage and not very stressful
Quite a lot to manage and quite stressful
A lot to manage and very stressful

6. Please provide the name and contact details of a trusted adult that would be happy to confirm that you provide a care role. This could be a member of staff at your school or the local carers centre, a youth worker, social worker, nurse, doctor, the person you care for, or anyone else that you trust.

These details will be used to check that the package is going to young carers and will not be used for any other purpose. If you are unable to provide the details of a trusted adult, please contact membership@young.scot and we will help you with your application. *

First name	*
Surname	*
Email address	*
Phone number (if known):
How do you know this person?	*

7. We will be sending you some e-vouchers to use to treat yourself with! Please provide the name and contact details of a trusted adult that would be happy to receive your e-vouchers. This could be the same person who is able to confirm your care role or a member of your household. Your e-vouchers within the package will be sent to them, so choose someone you speak to regularly.

If you are unable to provide the details of a trusted adult, please contact membership@young.scot and we will help you with your application. *

First name	*
Surname	*
Email address	*
Phone number (if known)
How do you know this person?	*

8. 6) Communicating with you - please tick all that apply: *

I'm happy for Young Scot to contact me with information about this package and to get feedback on my experience
I'm happy for Young Scot to contact me with more information on services available to young carers in my area and other opportunities e.g. the Scottish Young Carers Festival and the Carers Parliament

9. Terms and Conditions

Please download and read the terms and conditions for the Young Scot Young Carers Package by clicking the link below.

Young Scot Young Carers Package Terms and Conditions *

I have read and accept the terms and conditions of the Young Scot Young Carers Package

Application Form for Young Carers Package (Under 12)

1. Please enter your details below. *

2. Which Local Authority do you live in? *

3. What is your full date of birth? (Day/Month/Year) If you are 12 or over, you can apply for the package online via the Young Scot Membership platform. Head to membership.young.scot to get started today. *

4. Please read the following statements and tick all that apply to you (you don't need to tick everything to access the package). *

5. To help us make sure the package is useful to all young carers, we would appreciate if you could tell us how your care role feels for you (this will not affect your access to the package). Alongside school, socialising and other responsibilities, my care role feels... (please choose one). *

8. 6) Communicating with you - please tick all that apply: *

9. Terms and Conditions Please download and read the terms and conditions for the Young Scot Young Carers Package by clicking the link below. Young Scot Young Carers Package Terms and Conditions *

3. What is your full date of birth? (Day/Month/Year)

If you are 12 or over, you can apply for the package online via the Young Scot Membership platform. Head to membership.young.scot to get started today. *

5. To help us make sure the package is useful to all young carers, we would appreciate if you could tell us how your care role feels for you (this will not affect your access to the package).

Alongside school, socialising and other responsibilities, my care role feels... (please choose one). *

9. Terms and Conditions

Please download and read the terms and conditions for the Young Scot Young Carers Package by clicking the link below.

Young Scot Young Carers Package Terms and Conditions *