Application Form

		Community Chest 2008, Dorset Application Form

Community Chest 2008 Application Form

The Dorset 2008 applications are now closed. Please try again next year to be included in the 2009 selection.

Please complete the application form below or downlaod 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