Daisy Trust Grant Application Form

Charity Name

Name of Contact Person (inc. title)

First Name

Last Name

Address

Telephone Number

Organisation Website

(if relevant)

http://

Registered Charity Number

(if relevant)

Date organisation founded

Is the organisation run by volunteers or employees?

How many full time employees?

Is the organisation affiliated to or part of a larger regional or national charity ?

Yes

If so, which one?

About Your Application

Please give a brief description of the work of your organisation or charity.

Specific Purpose of Grant

Please outline the purpose for which you are applying for a grant. We prefer a specific purpose for grants. Please support your application with cost estimates or quotations if appropriate.

How much are you requesting from The Daisy Trust?

How many people in Hammersmith & Fulham do you estimate will benefit from this grant?

Have you already secured funding for your project from other organisations?

If Yes, which ones and how much?

If your grant is successful we will require your bank details. Please supply them below.

How did you hear about The Daisy Trust?