Application Form

Please complete the form below to start your application. Please be aware that we get many more applications than we choose to accept. We state this at the start to manage expectations.
All Sections below MUST be completed. Incomplete submissions cannot we are afraid be considered by our Selection Panel.

    Name of Applicant (person)

    Address

    Postcode

    Telephone

    Mobile

    Your Email

    NAME of Beneficiary Body (Sports person and/or Organisation)

    Proposed Title of Project

    Nature of Project

    Project target (£)

    Rewards available:

    1.

    £

    Number:

    2.

    £

    Number:

    3.

    £

    Number:

    4.

    £

    Number:

    5.

    £

    Number:

    6.

    £

    Number:

    7.

    £

    Number:

    Video URL- we do not accept any Applications without Video footage

    Attach Campaign Photograph,

    Passport for Applicant (current) - upload Scan of Picture page

    Current Utility Bill from residential dwelling - upload Scan of Bill

    Bank details of Beneficiary Organisation

    Name on Account

    Name of bank

    Account Number

    Sort Code

    Proof of Beneficiary Organisation’s Account (e.g. paying in slip etc). Scan of Paying in Slip:

    Name of applicant - this acts as your signature for the application

    Capacity in organisation

    Date