Heart for Home - Application Form

Criteria for Funding
- Applicants must belong to a Free Church congregation.
- Applicants must describe the project and an estimate of funding required.
- Applicants are required to be transparent about their other sources of funding.
- Applicants must submit only one application to Heart for Home for funding for a specific project.
- The maximum grant payable is £500.
Please note that this fund will not accept applications to assist with salaries.
Personal Details
Name

First NameLast Name
Address
Please provide your full address
Phone Number
Email Address
Which Free Church congregation do you belong to?
Project Details
Please provide specific details about the project for which you require funding:
In what ways might the provision of this funding benefit your community or church in the long term?
Please provide an estimate of the funding required:
Is this a new or existing project?
Do you have any other source of funding for this project?
If YES, give details:
Reference
We require a reference to support your funding application.

Your referee should be a member of the Kirk Session of your church (e.g. minister, elder, session clerk).
Name of referee
Position held (e.g. minister, elder)
Email address
example@example.com
Does your Kirk Session support this project?
Details for Payment
Once an application is submitted, it will be considered by a committee of WfM representatives who will decide on a level of funding.

Should your application be successful, please provide details for payment.
Name of Bank
Sort Code
Account Number
Confirmation and Signature
Applicants must agree to the following conditions:
Within three months of receiving a grant, I agree to provide a short report on how the funding has been used.
I agree to provide WfM with receipts for all related expenditure.
I confirm that all of the information I have provided in this form is accurate and truthful.
Please sign in the box below using your computer mouse, stylus or finger
Please type your name below

First NameLast Name
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Personal Details

Project Details

Reference

Details for Payment

Confirmation and Signature