GRANT APPLICATION FORM INDIVIDUAL

FULL NAME

AMOUNT REQUESTED

Address for correspondence

Street Address

Street Address Line 2

CityCounty

Postal

Phone Number

Area CodePhone Number

E-mail address

example@example.com

Please state why you are approaching the Kerrison trust for grant support

KEY PURPOSE OF GRANT

Please describe briefly, but specifically, how you expect to use the monies granted.

AIMS AND OBJECTIVES

Please state, in plain English, what the aims and objectives of your proposed project or activity.

What is the total cost of the proposed activity/project.

When is funding required?

What actions are you taking yourself to earn funds towards your goal?

Have you made applications for grants to any other bodies or organisations? If yes – What responses have you had?

MONITORING AND ACCOUNTABILITY

What measures do you have in place to ensure the grant is used well? The Trust will require evidence of how the grant monies are spent.

What documentation will you provide to show how the grant was spent?

Terms and Conditions
• The grant is only for the activity or project agreed by the Board of the
Kerrison Trust. A formal request is required if any changes are to be made.
• Grants are to be repaid to the Kerrison Trust if they are found to have
been spent fraudulently or negligently.
• Up to date records and accounts must be kept showing how the funds
have been spent. The Kerrison Trust reserves the right to inspect these
records at any time.

Declaration:
To the best of my knowledge and belief, all the information given above
is wholly correct.

Signature

Date

Privacy statement. Should your application be successful then this
document will be kept on file at the offices of the Kerrison Trust
and used only for the purpose of granting a donation and follow
up contact. Should this grant application be unsuccessful then all
paperwork will be destroyed by this office.

Note: Should you be successful we will require your Bank Details
and authorisation from your organisation Treasurer or Financial
Officer that these are the correct account details for the grant
to paid to electronically.

Trustees: Janie Spring | Diane Cook | Sara Michell
Anthony Holliday | Jacki Forsyth | Simon Bird | David Goodin
Registered Charity No. 228590.
Telephone: 01379 678599
Email: office@kerrison.org.uk
Registered office: 1 James Court, Whitefriars, Norwich NR3 1RU

www.kerrison.org.uk

GRANT APPLICATION FORM - INDIVIDUAL