Brissenden Trust Funding Application Form

Contact Name*

First NameLast Name

Address *

Address

Address Line 2

Town / VillageCounty

Post Code

Phone Number*

Mobile or landline

Email*

example@example.com

Are you applying as*

An individualAn organisation

Organisation Name

Job title / role

Company Registration Number

If applicable

Charity Registration Number

If applicable

Tell us briefly about the organisation (including main aims)

What category does your project fit within? Select one or more that apply. Find category details on our Get Funding page (brissendentrust.org/funding)*

What location will the project take place in?*

TenterdenSt MichaelsOther

If you selected other, please provide details

What's the funding for? *

Include a description of your project, deliverables, timescales etc

Describe who will benefit from this project and how.*

Include demographics, estimated engagement numbers, any other measurables

What will the impact be on the community if this project does not go ahead? *

Is there anything else you'd like to tell us that could support your application?

What is the total cost of the project / initiative?*

How much are you requesting from the Brissenden Trust?*

Please provide a top-level cost summary *

Are you receiving support from any other organisations?

Please give details of the organisation and the amount

Please upload your most recent independently inspected or audited accounts

Word, Excel or PDF format

If your accounts are more than 10 months old please also upload your most recent management accounts

Word, Excel or PDF format

By submitting this application, you acknowledge that everything is true and correct to the best of your knowledge.

You are confirming you have the written agreement and permission of any individuals identified in your application to pass their personal information to the Brissenden Trust, who will hold and process their personal data in accordance with all current data protection legislation.

We will use this information only for the purpose of assessing your application, managing or monitoring any funding awarded, related administration or research purposes, and for sharing relevant information with other funding organisations to use in their own assessment of applications and managing or monitoring of funding awarded. Data may be retained for up to 8 years, in accordance with our data retention policies, after which time it will be destroyed.

We wish to take good care of personal data, and only process data necessary for our purposes. For this reason, we strongly advise that you do not provide details of named individuals (e.g. their job title, connection to your organisation or other description etc.) either in details of beneficiaries aided, in case studies provided, or in any other information.

Information that is provided in excess of our application guidelines will not be read, and will be destroyed on receipt, in order to assist us in managing data securely and appropriately.

I have read and agree to the data protection terms*

I agree

In order for the Brissenden Trust to track the impact of our funding all successful applicants will be required to provide simple documentation of their project. If your application is successful you will be notified of the documentation requirements.*

I agree

Please verify that you are human*

Thank you for applying to Brissenden Trust.

1. Applicant Details

2. Organisation

3. Funding request

4. Accounts

5. Data protection

6. Project documentation