GRANT application form

The Beamsley Trust
Registered Charity Number 1045419

Application Form

(Individuals)
Please read the guidelines carefully before completing this form in black ink. If you require any help please contact: Linda Lee (Secretary) 01535 653373.

THIS FORM IS FOR PRINTING AND REQUIRES A SIGNATURE
either fill out on-screen, print and sign,
or print out first then fill it out by hand.

1. NAME OF APPLICANT
2. ADDRESS
POSTCODE
TELEPHONE NO.
FAX NO
EMAIL:
3. REFERRAL AGENCY/REFEREE
Name of organisation:
Address:
Contact name:
Telephone number:
BEST TIME TO CONTACT YOU:

4. PLEASE STATE WHY YOU ARE APPLYING FOR A GRANT AND WHAT THE CIRCUMSTANCES ARE. (Please continue on a separate sheet if necessary.)
5. HAVE YOU APPLIED ELSEWHERE FOR ASSISTANCE? YES/NO
6. HOW MUCH ARE YOU APPLYING FOR FROM THE CRAVEN TRUST?
7. WHEN DO YOU NEED OUR GRANT?
8. OTHER RELEVANT INFORMATION (You may continue on an additional sheet if necessary.) Please enclose copies of statements, documents, correspondence, in support of your application.
9. SIGNATURE OF APPLICANT	......................................................
10. SIGNATURE OF REFERRAL AGENCY/REFEREE	......................................................
NOW PRINT THIS FORM AND POST:
Marked Private & Confidential to: Linda Lee, The Craven Trust, 4 Halsteads Way, Steeton, Keighley BD20 6SN
GUIDELINES

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