Acupuncture In Action Grant Application

Acupuncture in Action

Grant Application Form
Please complete this Acupuncture in Action Grant Application having read the Grant Application Terms and Conditions.
Contact Person 1*

First NameLast Name
Contact Person 2 (If applicable)

First NameLast Name
Organisation, if applicable
E-Mail Address*
example@example.com
Contact Address

Address Line 1

Address Line 2

Town or CityCounty

Postcode
Phone Number
Please enter a valid phone number.

Acupuncture in Action Grant Application Form
Acupuncture qualifications (of nominated applicant if applying on behalf of group)
Professional body or bodies you belong to:
Please describe your current work

Acupuncture in Action Grant Application Form
Please describe your project proposal including information about the purpose of project, the intended client group, who will be delivering the project, geographical area covered by project and the specific location of the project.
Beginning and ending date of the project (if known)
Predicted Project costs. Please provide us with as much detail as possible regarding likely costs e.g room rental, acupuncture supplies, advertising, reasonable expenses (such as travel expenses for volunteers)
Additional information. Please feel free to give any further information which may support your application. For example, involvement with other projects, voluntary work etc. We would like to hear about how you intend to sustain the project long term and what additional fundraising you intend to do in order for your project to demonstrate sustainability.
Requested Amount
Should be Empty:

Acupuncture in Action