Grant Application Form

Please complete this form to request funding for expenditure from £250 and over.

Please note the charity will not fund anything retrospectively including anything that has already been ordered, purchased, installed, or completed. Please ensure you do not spend any money prior to getting approval for a grant first.

Grant applications will only be considered when they have been seen and accepted by your line manager/divisional director and evidence to support the costs has been attached. Missing or incorrect information will cause a delay to a funding decision and may not be granted.

TIPS TO HELP WITH COMPLETING THE FORM

  • Read through the application form first so that you are aware of what information you will need to complete it.
  • You can save the form which will email you a link so you can come back to it later.
  • Keep the application simple, include key points and ensure your figures add up.
  • Please note we may not be able to further consider your application if there is insufficient information provided so please use these tips and examples under the questions to help you.
  • If using acronyms, please explain what they are for the first time so that we know what they mean.
  • Ask someone who isn’t involved with the project/funding request to read the application – does it make sense? Can they identify the key points?

Section A: Grant Details

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Locality(Required)
Applying for a large grant (£25,000 or more)?(Required)
For projects over £25,000 the Charity Committee approval is required.
Grant Applicant Contact Details
Line Manager Contact Details

Section B: Project Description

Section C: Project Impact

Section D: Beneficiaries

Section E: Additionality

Section F: Finance

Drop files here or
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 5 MB.
    Please confirm business case has been approved by CPFG or other appropriate body.(Required)
    Drop files here or
    Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 5 MB.

      Section G: Sustainability

      Section H: Feedback

      Section I: Publicity

      Please confirm you are happy to work with the Charity to publicise the project/funding?(Required)
      I am aware that my application will be stored on the NHS server within the Charity and no personal patient information is disclosed without permission(Required)
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