Cary Cares Individual/Family Grant Application Form

1) Name of Applicant

2) Contact details of applicant

Address of Applicant

Preferred Telephone Contact Number

Alternative Telephone Contact Number, if available

Email address, if available

3) Number of people who would benefit from this grant? (if applicable)

4) Amount of grant requested from Cary Cares in THIS application (£)

5) What is the grant for?

6) Is this anticipated to be a one-off grant or are you hoping to make further applications in the future?

7) Any other relevant information

8) Bank details: these will be used to transfer grant monies electronically if your application is successful

Bank Account Name

Bank Sort Code

Bank Account No.

I/We declare that the information on this application is true and complete in every respect.

I/We understand that the information provided on this application form will be used by Cary Cares to judge whether or not to award a grant and that the information will be made available to the trustees of Cary Cares in order to make a decision. No personal identifier details will be made public.

Your grant application request has been sent to Cary Cares. We will reply as soon as we can.

Please ensure that all fields are completed and then try again.

Cary Cares

Tel: 01963 602013 Reg. Charity No. 1196363 Email: carycares1@gmail.com

A charity supporting our community in Castle Cary and Ansford.

Cary Cares Individual/Family Grant Application Form