Individual Grant - The James Greenop Foundation

Name*

First Last

Address*

Street Address Address Line 2 City Postcode

Phone*

Address/Contact details of person completing this form if different from above*

Street Address Address Line 2 City Postcode

Amount requested (up to £500)*

Please enter a value less than or equal to 500.

Publicity*

Yes
No

We would like to publicise some of our donations on our website and in newsletters. Please tick to confirm you consent to us using photos and videos for this purpose.

Request*

• Description of your circumstances • Key issues or needs and how these will be addressed by this grant • Other sources of funding being used (e.g. grants, loans, donations or savings) • How the grant will be spent • Benefits (e.g. how this will improve wellbeing, education, inclusion, employability)

Evaluation

Please be aware, we may want to evaluate how you have spent our donation at some point in the future.

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