Please first read our General Guidelines and then refer to the specific category guidelines under the small grant programme. Please ensure that you are eligible to apply, and do not appear on the list of exclusions.

Before application below make sure your charity has been Accredited by CESRA  or any other Charity accrediting organization

Applications should be completed in full. Once completed please save a copy for your records and click Send at the bottom of this application

Web Site

Title

Choose One Mr. Ms. Mrs. Prof. Dr.

Full Names of Applicant *

Position in the organization *

Personal Email Address *

Organization Name *

Physical Location & Mailing address *

Charity Contact Number

Alternate Contact Number *

Project Start Date *

Contact Email *

County *

Project End date *

Charity Registration number *

Project title *

Project category *

Eg: health, Children, community etc

Please tell us about your charity and its work? Ensure that your answer includes: • Examples of the range of your work • The number of beneficiaries and who they are • Where you deliver these service(s)

Please provide us with a description of the project you are requesting funding for, and ensure that your answer includes the following: • What need your work is addressing and how you know that there is a need for this work • Details on the project delivery (including any partnership work) • Beneficiary numbers for this project • What you hope to achieve and your plans for monitoring and evaluating the project *

What is the full cost of the project? *

What amount are you requesting *

If you are not applying for the full project costs, how much of the balance have you raised as of the date of this application?

OR Please list the other sources of funding you have already secured above, and/or those you have applied for and are awaiting a decision:

To the best of my knowledge all the information I have provided in this application form is correct. The Centre for Social responsibility and accountability (CESRA) may request further information, including additional financial records, and/or ask to arrange a visit to your project. Information on this form may also be shared with other funders in order to confirm details of previous and current applications and/or grant awards. In signing this declaration you confirm that your charity’s Managing Director/CEO (or equivalent), along with your board of trustees, are aware of this application being made. You are also agreeing to contact CESRA should there be any major changes to your project. *

Check Box to agree

Information Summary