Funding application form

(For the benefit of young people under the age of 25 years and resident in the City of Newcastle upon Tyne)

Part A
(To be completed if the application is made by or on behalf of an individual or individuals). Write NA into fields which are Not Applicable.
Name of applicant/'s*
Date of Birth
Date Format: MM slash DD slash YYYY
Email*
Phone*
Address*
Name and address of school or other educational institute (if any) which the applicant/s is/are attending*
Part B
(To be completed if the application is made by a school or other educational institute). Write NA into fields which are Not Applicable.
Name of School*
School Type*
Age Range*
Pupil Roll*
Extra Curricular Target Area*
Demographic Profile of School or target group of pupils*
Part C
(To be completed by ALL applicants)
Reason for application including amount of money for which application is made*
For what course of study or for what activities is financial assistance required?*
If you are an individual, please provide details of your family finances.*
If you are an organisation, please include your latest accounts with this application.*
A. Where will the course of study be?*
B. For how long?*
C. With whom?*
Please give a brief description of the course of study, or the activities, including details as to cost (maximum 200 words, please use a separate piece of paper if necessary)*
Please state as precisely as possible how the applicant/s will benefit and how the benefit will be measured (maximum 500 words, please use a separate piece of paper if necessary)*
If the Trustees decide that they can only make a grant for part of the amount applied for, what steps will the applicant/s take to seek matched or additional funding from other sources?*
Please confirm that everyone who will benefit if the grant is made is under the age of 25 and resident in the City of Newcastleupon Tyne.*
Please confirm that if a grant is given the applicant/s will, at the conclusion of the course of study or the end of the activities, inform the Trustees on how the grant was spent and what benefit has been gained by the applicant/s.*
Should the application be granted to whom should the cheque be payable?*
Correspondence address of applicant/s*
Date of Application*
Date Format: MM slash DD slash YYYY
Signature*

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Funding application form

Part A

Part B

Part C

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