GRANT APPLICATION

Please complete the application process below. Please note that The Trust only accepts applications for Grants by submitting this application form.

"*" indicates required fields

Step 1 of 3

Name of Organisation:*

Organisation Category:*

Address*

Street Address Address Line 2 City County Postcode

Telephone*

Website*

Email*

Name of contact*

First Last

Aims of Organisation*

Who are the typical beneficiaries of your organisation?*

Where does your organisation work (Geographical area, setting e.g. hospitals)*

Names of Donors: (Max 4)

Donor 1

Donor 2

Donor 3

Donor 4

Grant amount you wish to apply for:*

Reference One

Please supply the Names and Addresses of two referees.

Name*

Address*

Street Address Address Line 2 City County Postcode

Phone

Email

Reference Two

Name*

Address*

Street Address Address Line 2 City County Postcode

Phone

Email