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.

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?

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

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

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?

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

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?

Q4 Inspiring others

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

By clicking submit I agree to the following: