Mars Food Fund Programme 2023

Mars Food Fund Programme 2023

Please ensure you read the guidelines first before completing this form. If you need any assistance, please email grants@adch.org.uk
Organisation Information
Name of Applicant Organisation (and legal name if different)*
Type of Organisation (Charity/ Not for profit)*
Charity registration number (if applicable)
Registered address including postcode *

Street Address

Street Address Line 2

CityCountry

Postcode
Website
Main telephone number*

Area CodePhone Number
CEO/ or equivalent*

First NameLast Name
Primary contact name (person who will be responsible for the grant activity) *

First NameLast Name
Primary contact phone number*

Area CodePhone Number
Primary contact email address*
example@example.com
My CEO / Chair is aware of the application and is happy for me to submit it*

YesNo
Are you are a member of the ADCH?*

YesNo
Are you registered to the Adoption Mission Programme?*

YesNo
Bank Information

Please note this must be the organisation’s bank account. We will not pay into a personal bank account.
Name of Bank*
Bank Address*

Street Address

Street Address Line 2

CityCountry

Postcode
Account Number*
Sort code*
(XX-XX-XX)
Name of authorised signatory*

First NameLast Name
The Project
Please tell us very briefly about the animals who will benefit from this fund (dogs/ cats; those in your care/ fostered; numbers)
Budget
How much are you applying for?*
(Please note that the maximum grant is £1,500 but depending on interest/ numbers of applicants, you may not receive the full amount)
Please provide a small breakdown below on the funding you are applying for, the purpose and the amount. *
Please note

On receipt of an application you will receive an acknowledgement together with a reference number which you must use in subsequent correspondence.

Successful applicants will be required to agree to any specific conditions attached to a successful outcome before any payment can be released. Payments will be conditional on receipt of a satisfactory progress report, along with a case study – outlining what has been achieved through receiving the Grant and the benefits to dogs and/ or cats. All successful applicants will be required to complete a final evaluation of how the grant helped them in spring 2023.

Your privacy rights

Data provided will be used by ADCH, to assess your application for a Grant, to communicate with you regarding your Application, and in the case of a successful Application, be used to help us better understand our applicants, and to tailor our communication with you. We may analyse the information you provide. We sometimes use information from public sources. We may also contact you to ask if you are willing to share your story, to help us help other cats and dogs.

Please ensure that this application is signed by the appropriate person.
Signature*

Clear
Date*

MonthDayYear
Date
Name (please print)*

First NameLast Name
Position*
Should be Empty:

Organisation Information

Bank Information

The Project

Budget