CNA-CHARITY APPLICATION FORM

CNA – UK APPLICATION FORM FOR CHARITY PROJECTS

Please complete all sections of this form in full and clearly.

Applicant's First Name*

Applicant's Last name*

Date of Birth*

Home Address*

Your Profession*

Phone*

How did you know of this application*

Project Name*

Project Lead*

Start Date *

Proposed End Date *

Details of Project*

Executive Summary of Project - the need it is addressing, location of the project, the difference it makes (impact), your track record as a project lead and what you are asking from the association.

Please tell us who will benefit from your project

How have you identified their needs 500 words max*

You should include: • Details of demand for your activity • Evidence of need in the area or amongst the community targeted • Explain why this project is the answer to the problems you have identified- how will it meet the need/demand outlined • Details of other provision in the area – and evidence that your project fills a gap that other provision cannot fill or that service users cannot get

Approximately, how many people are going to benefit directly from your project. Please select.*

How have you arrived at this number? 50 words max

If this is a long term activity, how will you secure resources for future delivery? 250 words max*

Please give details as to any other applications for funding that you have made, whether successful or unsuccessful including who the application was made to, amount applied for and the outcome:

Total cost of activity: Please outline the total costs of your proposed activity in full

Any Additional Information

How will update of the project be provided to the group:*

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