THE ANN DODGSON FOUNDATION

Fondation Ann Dodgson

Registered charity no (Numéro d’immatriculation): 1150076

APPLICATION FORM

In the ‘Description’ box below:

Write a description of the proposed project.

Please refer to Case Studies and include information on the following:

the context: what is your situation at present?
the purpose of the activity: what will you learn? How does your proposal support the aims of the Foundation?
why you need financial support? How would the grant allow you to do something you would not otherwise be able to?
the location and length of the project
your budget plan: include travel and accommodation details
how are you proposing to fund the remainder of the project if there is a shortfall?

Ann Dodgson Foundation Funding Application

Surname

First Name

Date of birth (where under 18)

Address (including Postcode)

Email Address

Alternative email

Telephone number

Current situation: occupation or name of school/college

Description of proposed project

Location & length of proposed project

Start date of project

Budget plan, including extra funding source if necessary.

Application supported and approved by:

Statement of support Statement of support I confirm I have sent a statement of support from my teacher, lecturer or employer (not a family member) to anndodgsonfoundation@hotmail.com

Declaration Declaration In applying for a grant, I confirm that I have read the “Terms and Conditions” and that I will comply with them. This includes submitting a report on the project. Terms and Conditions