Preliminary grant application

Name*
E-mail:*
Telephone number:*
-
web address (URL) if applicable
Organisation Name
Please choose one of the types of organisations you represent*
Type of organisation if not list above
If a charity please give your Registration number
Address line 1*
Address line 2*
Post code*
Please describe the aims of your organisation and the services you provide *
Are the groups/individuals disabled wheel chair users *
If not please let us know the numbers who are*
Have you applied before? If yes please give us details*
Please indicate clearly in less than 100 words for what the funding is intended*
Please provide a budget for the project that is the subject of this application*
Please use this area to provide any further information
For individuals please supply a letter(s) of support from an approved person/organisation e.g. Local Authority, charity, doctor, social worker. Use the button below to upload documents, maximum size is 2MB, PDFs are recommended
For an organisation application, please supply a copy of your latest income and expenditure and balance sheet. Use the button below to upload documents