Apply for Grant

Please ensure that you have read our Guidelines and Grant Refusal Policy before applying for a grant. If you have any questions about our application process, including whether you are eligible to apply, please contact us. 

You can apply for a grant by using our online Application form below.

Or if you’d prefer, you can download the Application Form and send it to us by email or post.

Your Details

Your Details Previous Next

Your Charity/Organisation Name *

Registered Charity Number

If you don’t have a Charity Number, please add your Organisation type, for example CIC, Limited Company etc. This must be for the Organisation named above.

Your role within the Charity/Organisation

Your Name *

Your Email *

Contact Telephone Number *

Your Address

Street Address *

Address line 2

Town/City *

County

Post Code *

Beneficiary Details

Beneficiary Details Previous Next

Beneficiary Details

Please provide the details for the Organisation, individual or family who will benefit

Beneficiary Name *

Beneficiary Address

Street Address *

Address line 2

Town/City *

County

Post Code *

Grant details

Grant details Previous Next

Why do you need a grant? *

What will you spend the grant on? *

Total expenditure involved *

How much do you need in total?

£

How will any shortfall be met? *

You can send estimate documents to us using the Documents section below

Documents

Please upload estimates, annual reports, accounts, quotations, supporting documents from health professionals etc. using the facility below.
Click 'Add File' to upload a file from your computer and 'Add Another' to add a new upload file row.

1	Upload document File name: File size:
1	Upload document File name: File size:

Add Another +

Total Grant Requested *

£

Have you submitted other grant applications? *

Please list any other grant applications submitted elsewhere in relation to this one with detail of amounts requested & received

How did you hear about us? *

Please let us know how you heard about The Purey Cust Trust

Legal requirements *

• I have read and understood all applicable guidelines
• I understand that my details will be stored on this website, and shared within the Trust for the purposes of assessing my application

Please check your application

Before you send your application, please make sure you’ve filled in every field and that all information is correct.

Send application