Staff Amenities Fund

Application Details

* Denotes required fields.

Applicant Group:*

Campus Address:*

Contact Person:*

Phone:*

Email Address:*

Position:

Application Category:*

General
Capital
Equipment

Amount Requested:*

Grant to be used for:*

Number of members:

Other Grants/loans:

Specify other sources of income, including fundraising:

Have you previously applied for general, capital or equipment grants?*

Yes
No

If yes please provide details:

Detailed description of project/equipment including details of location, opportunities for use by other groups, expected life of project/equipment:*

Evidence of need (eg statistics/details indicating services to be provided, groups benefited):*

Details of self-help (eg details of voluntary effort, attempts to raise funds from other sources etc):*

Details of estimated project/equipment costs. Estimates should be as detailed as possible and should include all anticipated costs (eg installation):*

Please attach any quotes to support your application request:

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