The Lapworth Charity
Grant Request
Name of Organisation
*
Total income for previous year
*
(including any grants received from Lapworth Charity)
Total expenditure for previous year
*
End of year balance
*
Reserve
*
(if you have a reserve, does it have a specific purpose?)
Grant sum requested
*
example@example.com
For what purpose will the grant be used?:
*
(e.g. this may be specific or indeed for very grant-dependent organisations for ‘general running costs’)
Any other information in support of your application:
*
Signed
*
Position
*
Date
*
Send
Should be Empty: