Grant Application
Name
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First Name
Last Name
Job Title
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Organisation
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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example@example.com
Phone Number
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Grant Details
What is being applied for?
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Is this request for an event or conference?
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Yes
No
What dates is this event or conference?
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Month
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Day
Year
What benefit do you expect this grant to bring?
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What is the total cost of this project?
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Calculation
How does this request fit within Tiny Lives current strategic funding priorities?
How many people do you expect to benefit from this grant if approved?
Who have you consulted with on this project in order to ensure this will deliver the benefits outlined?
Have you applied anywhere else for funding?
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Please Select
Yes
No
What is the value of funding you have applied for elsewhere, and has this been successful?
Total amount requested from Tiny Lives
*
It is a condition of Tiny Lives support that feedback be provided on any grants that are approved. If this application is approved, how will you capture and feedback the benefit you expect this grant will bring?
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Are you applying from an NHS Trust?
Yes
No
We may require confirmation from your departmental lead/head, please provide contact details below.
Please attach any supporting documentation, study leave applications and quotations to this application.
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