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Grant Application
Grant Application Form
Wasps Legends Member Contact Information
First Name
Last Name
Wasps Legends Member Phone Number
Wasps Legends Member Email
Charity Contact Details
Charity Name
Charity Registered Number
Charity VAT Number (if applicable)
Charity Address Line 1
Charity Address Line 2
City
Postal Code
Charity Contact First Name
Charity Contact Last Name
Charity Contact Phone Number
Charity Contact Email
Charity Information
Which Grant are you applying for:
Main Grant £25,000
Small Grant £2,500
Is your organisation registered with the UK Charity Commission?
Please provide reference numbers where applicable.
Yes
No
Exempt
Excepted
Recognised as a charity by the Inland Revenue
Other (Please State)
Other Charity Commission Status:
Charity Commission Reference Number(s)
What is the purpose of your organisation?
Please state: e.g. Research, overseas aid and support, helping young people who are socially or economically disadvantaged etc.
Date Organisation Established
What was your total annual income last year?
What is the age range of the people you help?
What are your current levels of unrestricted reserves including designated funds?
Less than half of annual income
More than half of annual income
Does your organisation have close links with a statutory body (ie, NHS, Local Government)?
No
Yes - Please state below
Which Statutory Body/Bodies?
Has your organisation received a grant from WLCF in the last 2 years?
No
Yes - Please state below
Grant Details
Your Project
Describe the work of your Charity/Organisation:
Description of Project:
Please provide full details of the project you are seeking support for.
Why is the project required and what will it achieve?
Any additional information.
What is the total cost of the project?
Have you applied for this level of grant before (ie Small or Main, whichever you are applying for now)
No
Yes - Please state below
Small or Main grant details.
DECLARATION
I confirm that I am authorised to sign this application on behalf of this organisation. I further confirm that all the information given is, to the best of my knowledge, accurate and that I have read the 'Guidelines for Funding applications'.
Name
Title/Position in Organisation
Date
PLEASE ENSURE THAT YOU HAVE ATTACHED YOUR MOST RECENT ANNUAL REPORT AND ACCOUNTS WITH THIS APPLICATION FORM.
Annual Report & Accounts
Please contact max@waspslegends.co.uk for any further assistance with completing the form.
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