Application Form

		Applications for 2010 are now open.

Community Chest 2010 Application Form

Please complete the application form below or download the form as a PDF by clicking here

* indicates a required a field

Section A - Please complete for all applicants
*Name of Organisation
*Address of Organisation
*Contact Name
*Contact Email Address
Contact Address
Post Code
Role
*Telephone Number
Type of Organisation
Briefly describe the activities of the organisation, what are the main challenges etc...
How many people take part in the activities and how often?
*Type of assistance applied for	Financial Practical Help Both
Section B - please complete only if applying for a financial grant
Please give a summary of how the requested grant will be used
Total value or cost of project or activity
Value of Grant sought £300 - £3000
Total funds raised per annum
Who will benefit from this project?
How long will the activity / project take to complete?
How many people will benefit from this project?
Section C - please complete only if applying for practical assistance
Type of practical help sought Please tick no more than two boxes	Accountancy / Book-keeping Carpentry Electrical Decorating Gardening Voluntary Care Driving / Mechanics Social / Time Other...
Brief detail of project to be supported
Please give an approximate estimate of the number of people and the amount of hours required