Application Form for Young Carers Package

From cinema tickets to first aid training, young carers can now access a special range of opportunities - totally for free! If you’re 11-18 and helping to care 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 but if you complete this online form, and you are eligible, we will send you the offers by email and post.

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 or phone us on 0131 313 2488.

1. Please enter your details below.

Full name *This question is required.

Email address *This question is required.

Street address *This question is required.

Town/City

Postcode *This question is required.

2. Please read the following statements and tick all that apply to you (you don't need to tick everything to access the package). *This question is required.

I care for a family member or friend due to illness, disability, a mental health problem or an addiction
I have completed a young carers 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)

3. 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). *This question is required.

4. 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 *This question is required.

Surname *This question is required.

Email address *This question is required.

Phone number (if known)

How do you know this person? *This question is required.

5. 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

6. 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 *This question is required.

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