Long Term Application Form....

Contact Name:
Contact E-Mail:
Organisation:
Registered Charity Number:
Address:
Amount Requested Per Year (Max £5,000):
Project Length (must be 3-5 years):
Total Amount Requested (Max £25,000):
Project Name:
Where will the project take place:
When does the project start (must be no earlier than 1st December:
When does the project finish:
What are the key objectives of the project (please limit to 50 lines, explaining each objective in terms of its relevance to long-term overseas development):
Please briefly outline any safeguarding policy that will be in place in relation to children or vulnerable adults (a safeguarding policy is necessary if the project works within close proximity of children or vulnerable adults):
How will the project provide a lasting impact on the people, communities or environment it seeks to help:
What is the annual expenditure of your organisation (should be over £100,000):
What is the total cost of the project:
What percentage of the total cost are you applying for (should be between 20%-80%):
How will you fund the difference: