Name
First Name
Last Name
Email
Contact Number
Role / Postion
e.g. volunteer, organiser, committee member
Name of Group / Organisation
Type Of Group
Please Select
Sports Club
Charity
Community Project
School Group
Other
Please Specify
Please add in depth information about what your group / organisation provides
Please add a website / any social media links below (if applicable)
Who will benefit from the service you are looking to provide?
How much funding is required? (£)
Our typical grant is between £150-£200.
How will the funds be used?
Consent
*
I confirm that the information provided is accurate to the best of my knowledge.
I agree to be contacted by ShoutAbout Local regarding this application.
I consent to my group being featured in ShoutAbout Local publications if successful.
Submit
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