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Organisation Name *

Please outline the purpose of your organisation and your main activities (max 200 words) *

Which objective best aligns with your application? *

In twenty words why should The Hargreaves Foundation support you? *

What geographical region does your organisation cover? *

Address *

Contact Name *

Position *

Contact Phone Number *

Contact Email Address *

Website

Registered Charity Number

Amount of Funding required? *

What do you want funding for? Including project plan, items/costs, timescales. *

Why is this needed?

Who will benefit?

How many young people will benefit? *

What difference will the project/items make?

How will you measure the impact made?

Why is your organisation best placed to deliver this?

If not asking for the full amount to cover the project, initiative or items, what is the shortfall and how will you raise this?

Do you have all relevant insurances and policies – including a safeguarding policy – in place and you are able to provide them when requested? *

Organisation’s Annual Income (£) *

Organisation’s Annual Expenditure (£) *

Annual salary of highest paid person employed by the organisation (£) *

Please attach your project plan