Application Form

Please fill in the application form below to apply. Please be aware that fields marked with an asterisk (*) are required fields. Alternatively you can download a PDF here. Completed applications must be received no later than 28th February, 2010.

1. Your Group or Organisation's Contact Details*

Name of the Group/ Organisation applying for the award:

Group's Address:

 
 

Telephone:

Email:

Web Address:

2. Main Contact Person *

Name of Contact Person for Grant Application:

Position in Group:

Best times to contact:

Telephone:

Email:

Web Address:

Address of contact (if different from above):

 
 

Is your group a registered charity?

Registered Charity Number:

When was your Group Formed?

3. Tell us about your Group or Organisation * (please tell us who you are, who is involved and where you are based)

4. Please tell us how your group/organisation will use the money * (Please provide as much detail as possible on how you intend to use the award. In recent years the Judges have favoured applications that show that the award will be used to invest in high cost items or infrastructure improvements, rather than providing for salaries or expenses.)

5. Tell us how the award will change your community in the short term

6. Tell us how the award will change your community in the long term *

7. Please indicate who is involved in your Group/ Project/ Activities *

8. Please confirm your annual turnover: *


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