Grant Reference Request

Reference Request

Reference Date(Required)

Grant Name

Applicant Details

Organisation Name(Required)

Purpose of Grant(Required)

Your Details

Name

Organisation

Your personal details are only needed to help us process this group’s application, and prevent or detect fraud. We will not share your details with any other party.

Please describe your relationship with this group(Required)

Please comment on the group’s capacity to run the above project and to manage a small grant(Required)

Please comment on the project or activity and how it is needed by the community(Required)

If you feel that this group might struggle with any aspect of this project or might benefit from some support or assistance if the grant is awarded, please comment here

(NB this will not automatically mean that the application will fail, it will enable us to work with the group to help them manage a grant and achieve their project).

If you have any other comments please give them here

By signing below, I confirm that I am independent of this group and its activities, and have no personal or financial connections with any of its committee. I have had no hand in developing this project or in writing this application.

Signature(Required)