Applications – Online Form

Please click here to read the notes on the application process before completing the online application form.

* indicates required field

SECTION A

This section must be completed for all applications whether an individual, group or organisation. The information to be given is either for the individual making the application or for the individual making the application on behalf of an organisation or a group.


3.Telephone Numbers:


Please read the declaration and agreement below carefully and tick to confirm:

1. I declare that the information given in sections A,B and C (if applicable) is true to the best of my knowledge and belief.

2. i agree to tell you if other financial support is given or promised in respect of the project between the date of application and the Trustee's meeting.

3. I agree to reimburse the trust for any money received from the Trust in the event of the money raised for the project exceeding the anticipated costs thereof as hereafter stated.

4. I agree to your enquiring of other Trusts in Lichfield as to whether or not they have or are likely to make a grant in my favour.


SECTION B

This section must be completed if you are applying for your own educational purposes

1.EDUCATION DETAILS


2.YOUR FUTURE PLANS


3.FINANCIAL



SECTION C

This section must be completed if you are applying for yourself or for an organisation to enable you to carry on some charitable activity.

1. ABOUT YOUR GROUP OR ORGANISATION


Acceptable file types: doc,docx,pdf,txt,gif,jpg,jpeg,png,xlsx,xls.
Maximum file size: 1mb.
Please note max file size is 1mb - for larger files please email them directly to info@lichfieldconduitlands.org and remember to include your name in the email so we can match them with your application.

2. ABOUT YOUR PROJECT


3. FINANCIAL


3.6 The Trustees would prefer to make payment by BACS so please provide the following details:


If you do not want to make payment by BACS please let us know to whom the cheque should be made payable:



GENERALLY

Attach any supporting documents here.