Apply for funding Name of Applicant * First Name Last Name Contact Person if different from above First Name Last Name Email * Phone (###) ### #### Are you applying as * Individual On behalf of a group Project Name/Title * Please Tell Us About Your Project * Budget * Project Income * Funding * * Thank you for completing this application. We shall contact you once the Grants Assessment has considered your proposal. If you are successful, we shall then ask for the bank account number which the grant will be transferred into and provide you a project report form for completion after the project has been completed. I declare the information I have provided is true and correct to the best of my knowledge Date MM DD YYYY Please send your completed form to Thank you!