Application checklist *

I am a trustee or employee of this Charity who is authorised to make this application

This charity has less than £500,000 in annual income

We will provide at least 1 years annual reports if our application is successful

Representative name *

This should be the person completing the form. Please note that applications from Agents or Fee Earners cannot be accepted.

First Name

Last Name

Does your charity receive government or statutory funding? *

Yes

No

Authorisations *

I am authorised to make this application on behalf of the Charity concerned

I am happy to be contacted by Human Nature Group regarding this application

I am happy to be contacted in the future about the work of Human Nature