Application Form for Group and Project Funding
Applicants should read "Bromhead Medical Charity: Policy for selecting Groups, Organisations
or Projects to support " to assist in the completion of this application.
Information about the Proposed Project/Spending
What sum are you requesting?
What is the total cost of the Project/Activity?
Further Financial details should be included in the following section.
Name of Organisation:
Name of Applicant:
Role in Organisation:
Address for Correspondence:
Status of Organisation: (eg Registered Charity, Unincorporated Association, Friendly
Have you applied elsewhere for funding for this same project? (give details):
Please describe the Project or Group for which you are requesting a grant. (include
as much information as possible, including any financial information, business plans,
etc – existing documents can be appended to this application form)
What are the likely timescales of the Project/Activity?:
Please indicate how your proposed Project/Activity meets the Objects of Bromhead
Name in block capitals: