Application Form

Charity Information


Contact Information


Financial Information


Aims & Activities of the Charity

  • Please include a brief history of the charity and the number of people helped in the last calendar year. We generally do not give to charities who do not have a 3 year record. We also need to know where your principle funding came from in the last complete year. This should be divided between the following items:- 1. Fees charged to clients 2. Fees received from regional or local authorities 3. Goverment grants or subsidies 4. Donations from charitable trusts 5. Individual donations 6. Big Lottery grants 7. Legacies 8. Other Please do not allow the description of your services to exceed 400 words.

Please give details of your request

  • Please include the total cost of the project and the amount of money raised so far from other sources, but we are also pleased to contribute unrestricted funding towards the core costs of your basic service.