Application Form - West Sussex

		Community Chest 2010, West Sussex Application Form

Community Chest 2010 Application Form

Please complete the application form below or downlaod the form as a PDF by clicking here

* indicates a required a field

*Name of Organisation
*Address of Organisation
*Contact Name
*Contact Email Address
Contact Address
Post Code
Role
*Telephone Number
Type of Organisation
Briefly describe the activities of the organisation, what are the main challenges etc...
How many people take part in the activities and how often?
Please give a summary of how the requested grant will be used
Total value or cost of project or activity
Value of Grant sought £300 - £3000
Total funds raised per annum
Who will benefit from this project?
How long will the activity / project take to complete?
How many people will benefit from this project?