SMALL GRANT FUND APPLICATION FORM
Please fill in this form as completely as possible. If you need help or have any queries, then please contact us at finance@henderson-norwich.org. Please read the Notes for Applicants and FAQs documents prior to filling out the form. These can be found on our website. www.henderson-norwich.org
About Your Organisation
Group/Organisation Name
Main Contact Name
First Name
Last Name
Contact Phone Number
Please enter a valid phone number.
Contact E-Mail Address
example@example.com
Type of Organisation
Please Select
Registered Charity
Local Community Group
Individual
Other
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Project Description
Project / Activity Name
Type of Request
Please Select
General Operating
Program Support
Start Up
One off activity
Where will the project/activity be delivered?
Who will use the project/activity?
How many people will use the project/activity?
How do you know the project/activity is needed?
Please give us a brief description of your project and what this funding will be used for
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Financial Section
What is the total cost of the project/activity
How much is this application requesting?
Will this project/activity still go ahead without support from Henderson Trust?
Yes
No
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Please tick to confirm what policies your group has in place
Safeguarding Policy
Child Protection Policy
GDPR Policy
Safety Policy
I confirm the information in this application to be true and the signing of this form confirms our application to receive funding for the project/activity described on the application form
Signature
Clear
Date
-
Month
-
Day
Year
Date
Submit
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