Application - The Graham Burnett Trust

Organisation or individuals name*

Organisation address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Main contact name*

Prefix First Last

Phone*

Email*

Enter Email Confirm Email

Total grant amount requested?*

Will the grant fully fund the project?*

If no, what is the full cost of the project?*

If no, how will you fund the remainder?*

What does the organisation do?*

What local areas does the organisation work in?*

Please provide a description of the activities that will be delivered with a grant?*

Who will benefit from this project?*

If you are working with children, young people or vulnerable adults do you have the appropriate safeguarding policy in place?*

Depending on the activities you undertake do you have the necessary public liability insurance and qualifications?*

If you are proposing work on land or buildings do you own the land or building or have permission to undertake the work?*

Your organisation name and value of grant maybe used in social media marketing if you are successful. Do you agree to this?*

How did you hear about the Trust?

Supporting documents

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The Graham Burnett Trust