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       Comic Relief Logo                                                                                  Corra Logo

Comic Relief Programme

Grant Application Form

Please read our guidance notes before completing the form.  If you are unclear about any of the questions then please email us at shiftthepower@corra.scot  or give us a call on 0131 444 4020. We will be happy to help.

1 About your organisation


Please tell us how many people are involved with your organisation


Page 2

2 Authorisation Details

 ·  I confirm that I am authorised to sign this on behalf of my organisation.
 ·  To the best of my knowledge, the information given on this form gives a true and accurate account of this organisation's work and needs.        
 ·   I confirm that Corra Foundation and Comic Relief can publish the name and objectives of my organisation and the details of financial support  given, including for use as part of media releases or publications.
·    I confirm that Corra Foundation can contact me for the purposes of a customer satisfaction survey. 
 ·     I understand my organisation’s details will not be used for commercial purposes.

3 Applicant Contact Details

If different from the authorisation section, please tell us who is the best person in the organisation to talk to about this application.

Page 3

4 Financial information

Please provide a summary of your organisation's finances. (you will find it helpful to read over the guidance notes)
Year 1 (most recent) Year 2
Tell us which year the figures relate to 
What was your total income 
What was your total expenditure  
How much cash in the bank/on hand

5 Bank Account Details

If your application is successful, the grant will be paid directly into  your organisation's bank account. Please provide details below.

Page 4

6 What do you want to do

Page 5

7 Funding Amount

Please provide a breakdown of the amount you are applying for.
Description  (e.g. salary, hall lets, catering)  Amount (£)

Page 6

8 Additional Support

Page 7

9 Enclosures 

Please make sure that you have attached the following documents with your application:

Before you send your application, preview will let you review all your answers.  You can also print a copy of  your completed form. 
The Corra Foundation is a charity registered in Scotland (No SC009481) and is also a company limited by guarantee (No SC096068). Fortify Social Enterprise CIC is a community interest company registered in Scotland and is also a company limited by guarantee (No SC5074457) Riverside House, 502 Gorgie Road, Edinburgh EH11 3AF.  The Corra Foundation was previously called Lloyds TSB Foundation for Scotland.
Corra Foundation is a Intermediary funding partner in Scotland for Comic Relief.  
Comic Relief spends money raised by its fundraising campaigns, Red Nose Day and Sports Relief.
Comic Relief, registered charity 326568 (England and Wales), SC039730 (Scotland).