Application Form

To apply for a grant from The Walter Farthing Trust, please complete the online application form. Alternatively, you can download an application form and submit it by email to apply@walterfarthing.co.uk

To read more about the fund or the application process please click here.

We treat all information submitted in confidence please click here to read more about our Privacy Policy. The form is encrypted on submission for additional security.

Please ensure you complete the application form fully and accurately to ensure the Grant Panel can assess your application fairly.

1. Organisation information

Name of organisation

Purpose of Organisation

Whom do you seek to help?

Status (e.g. charity, not-for-profit organisation)

Charity registration number (if applicable)

Address

Telephone

Website

Contact person

Position in Organisation

Chair (if different from contact)

2. Financial details

Dates of financial year

Income

Expenditure

Surplus/deficit

Restricted funds

Unrestricted funds

Bank name

Sort code

Account no

Any other comments

3. Grant information

Amount requested

Date required

Type of request

General operating support (finance for bills, maintenance etc.)

YesNo

Capital expense (i.e the purchase of major items, office equipment, renovations)

YesNo

Support for on-going project

YesNo

Emergency funding (meet immediate financial need)

YesNo

Other

YesNo

4. Purpose of grant

Please give details of specific objectives relating to this application. In particular, how will the grant benefit people in the Mid-Essex area.

Please ensure you complete every section of the application form before submission.

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Organisation name

Name

Date

About

About
The Fund
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Information

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Contact

The Walter Farthing Trust
146 New London Road,
Chelmsford,
Essex,
CM2 0AW

contact@walterfarthing.co.uk

Registered charity number: 220114
Company number: 00587349

Walter Farthing (Trust) Limited

a company limited by guarantee incorporated in England & Wales
Registered office address: 146 New London Road, Chelmsford, Essex, CM2 0AW

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