EPNAVCO Funding Enquiry Form

Please fill in this form and click the "Submit" button when you are finished.

Contact Name:

Name of group / organisation:

Your position within group / organisation:

Address:

Telephone No.

Email:

Is the group / organisation a registered Charity?

Yes

No

N/A

Type of Organisation?

Voluntary Community Sector

Social Enterprise

CIC

Statutory Organisation

Private Company

Individual

Does the group / organisation have a bank account?

Yes

No

N/A

Describe your project idea / need for funding below:

How much do you think the project will cost?

How long will the project last?

Have you consulted anyone else about your project ideas? Please provide details of any consultation carried out below.

Have you secured any funding for your project?

Yes

No

N/A

Amount of any funding secured:

Source(s) of any funding secured:

List funders you have applied to to deliver this project and state whether you were successful or unsuccessful:

List any other organisations / partners involved in your project below:

Additional comments:


Please type in the words you see to submit this form. If you are having a problem reading the words, you can click on the "Get a new challenge" button until you find something that's easier to read.

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