Grant Application Charity Details Charity Name * Registered Charity Number * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Contact Details Contact Name * First Name Last Name Email * Contact Number * Charity Overview Website http:// Number of staff employed * Number of beneficiaries * Financial Information Current Year Forecast Income * £ Current Year Forecast Expenditure * £ Income for Latest Financial Year * $ Expenditure for Latest Financial Year * £ Prior Year Income * £ Prior Year Expenditure * £ Do you have an appropriate child protection policy in place? * Yes No Do you have third party liability insurance in place? * Yes No Project Information Please provide a summary of the project you are requesting a grant for (maximum 200 words) * Thank you! Your application has been received.