Inspiration Grant Application Form

The information on this form will help us to process your application, so please ensure that you answer all the questions as fully as possible.

We advise all applicants to read the Fund guidelines, which are available on our website: www.berniciafoundation.com

If you are human, leave this field blank.

Unfortunately you’re not able to save and go back to applications at this time so please read the form first and make sure you have all of your information ready to input before starting.

Q1 Applicant/Beneficiary Details

Name of Applicant *

Date Of Birth *

DD/MM/YYY

Address of Beneficiary *

Postcode *

Telephone *

E-mail address *

All correspondence will be sent to this e-mail address so please ensure you enter it correctly.

If you are applying for the grant on behalf of someone else, please provide your details below.

Your Name *

Your address *

Your address (or address of your group/organisation if applicable).

Postcode *

Telephone *

E-mail address *

Q2 About the Beneficiary

What is the amount of grant you would like from The Bernicia Foundation? Why is this required and how will it make a difference? i.e. equipment, travel expenses etc? *

(maximum 500 words)

What is your talent and successes so far in developing this? *

(maximum 500 words)

What are the challenges for you to further pursue your talents and fulfil your potential? *

(maximum 500 words) We will not require intrusive evidence in this respect, but do require you to outline how we can be assured of the circumstances.

Do you receive any grants or sponsorship from others, if so how much and for what purpose. What are the conditions of this funding? *

(maximum 500 words)

If successful, how will the grant be managed/spent? The grant will ideally be administered through an acceptable intermediary/organisation. *

(maximum 500 words)

Q3 Groups and Support

Please detail any groups the beneficiary is part of, or any support they receive associated to their talent, i.e sports clubs, performing arts, tutor/coach/mentor? *

(maximum 500 words)

If you're part of a Community Amateur Sports Clubs (CASC) please provide the CASC number

Q4 Inspiring others

How will the beneficiary share their progress and inspire others to achieve their potential, i.e. social media, attending presentations etc? *

(maximum 500 words)

I agree to Bernicia Foundation sharing the information in this application with Fusion PR Creative and using it to publicise grant awards or Bernicia Foundation *

Yes

We'd like to help you publicise your activities and we work with Fusion PR Creative to manage this.

By clicking submit I agree to the following: