GRANT APPLICATION FORM

PLEASE ENSURE YOUR APPLICATION REACHES US BEFORE 30 APRIL OR 31 OCTOBER.

The Concertina Charitable Trust Grant Application Form:

Name of Your Charity:.......................................................................................

Address:..........................................................................................................

Tel No:...................................................................... Fax No:..........................

Email:............................................................................................................

Charity reg. No:...............................................................................................

Contact name:.................................................................................................

Date first operated:..........................................................................................

Amount requested (Grants are a maximum of 250.): £........................................................................................

Please give an outline of the aims/activities of your charity and provide a web address if you have one.




Please confirm the geographic area in which your charity operates.




Please explain how your charity intends to use the grant and how that use will benefit the elderly community. Please give details of any similar projects undertaken. (Please note that the purpose of the Concertina Charitable Trust is to provide musical activities and related facilities for the elderly community in need and applications will not be considered for other purposes.)




If this is the total amount needed for the intended activity? Yes/No
If no, please state how your charity is planning to raise the balance.




Please give a summary of the financial position of your charity including details of your annual income and how this is spent/distributed.




If possible please attach the latest accounts of your charity along with any other information that may support your application.




Signed..............................................................................................................

Print Name.......................................................................................................

Position within charity.......................................................................................

Date ..............................................................................................................

How did you hear about The Concertina Charitable Trust?

.......................................................................................................................

CLOSE