ROTARY CLUB OF BATH- GRANT APPLICATION FORM

Organisation *

Title of Charity seeking Funds

Address of Charity *

Full postal address

Name *

First

Last

Email *

Telephone Number

Mobile Number

Is the organisation a registered charity? If yes, please give registered charity number.

Yes
No

Charity Number

State the main activities of the organisation. *

How much is being applied for? £ *

What is this funding for, who will benefit and how will they benefit. Please give a breakdown of the total cost of the project or equipment

Item

Cost £

Already Funded? Y/N *

Item 2

Cost1

Already Funded 2?

Item3

Cost2

Already Funded 3?

Item 4

Cost3

Already Funded 4?

Item 5

Cost3 (copy)

funding 5

Enter Y or N

If the total cost is bigger than the amount requested, how will the shortfall be met

Have applications been made to other sources? Please give details.

Does the organisation have its own bank account?

Yes
No

If yes, what name is the account in? If no, is there an organisation that will receive a grant on their behalf? Please give details.

Please provide details of Bath Rotarians who have a beneficial interest, directly support or sponsor the organisation/application.

Has the organisation received financial support from Bath Rotary before?

Yes
No

If so, when, for how much and what was it used for?

Please provide any additional information relevant to this application.

Please provide a copy of the annual accounts where available. If not, details must be provided of the current financial position including any reserves held. You can upload them here or send separately. We are unable to make any grant without sight of your financial position.

Click or drag files to this area to upload. You can upload up to 2 files.

Prepared by: *

Position

Date *