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Challenge and Change
Application Form

Please note you can save your progress and complete your form in multiple sittings. If useful you can also download a word template to help your draft your responses, however we would like all final submissions to be made using this online template.

If you need support to draft or submit your proposal, please contact challengeandchange@blagravetrust.org.

The deadline for applications is Monday 16^th May at 5pm.

Contact details

First name(s)

Last name

Email address

Mobile number

What are your pronouns?
It’s helpful for us to know your pronouns so we know how to address you when we get in contact.

What is the name of your organisation or collective?
Only answer if you are part of an existing organisation

When were you born?
e.g. 17/11/1999

Where are you based?
Tell us your town and city

Tell us a bit about yourself

This is your opportunity to share any information about yourself that you think is relevant to the programme, give us some background as to the work you’ve done previously and share a bit about support you have access to. (up to 200 words)

Please tick the box below to indicate your consent to our privacy policy

Application details

How much funding are you requesting?
You can request a grant between £2,000-£10,000

Help us see the vision of your idea or project...
Help us see and feel your passion and the injustice(s) you want to address – tell us your challenge and change story - using any medium you want e.g. words, video, photography, poetry, art – anything that you feel expresses your passion and work. Here are some tips of things to talk about but feel free to tell us whatever you like:

1. Why are YOU doing this?
2. how has your lived experience shaped your approach, views and decisions?
3. What would the future look like if you succeeded in your mission?
4. What would happen to the world if you're idea or project didn't succeed

Written submissions:
Please add any written context in the box below. Upload additional videos, poetry, artwork it as a file below if you wish. (up to 800 words)

Art or image submissions:
If an image, poetry, art (or any non-word based answer) please keep it to 16mb max and attach here:

Video or voice note submissions:
If you are sending us a video or voice note - put it online and put the link here, please keep it to 8 minutes max:
(If you have a password for your video, please remember to let us know it.).

What’s your starting point?
Now we know the bigger picture, and the end goal, how are you going to start putting things in to action? Tell us in a little bit more detail about what you’re going to do in the first few months of this work? This plan can change once you get started, we just want a general idea. (up to 250 words)

Accessibility
In order for us to make fair and equitable decisions is there anything else about completing this application that you’d like us to know? E.g English is an additional language or you’re neurodiverse

Equal Opportunities Form

This form is optional, anonymous and detached from the main application.

Blagrave is committed to equity of opportunity for any young person seeking one of our opportunities.

As part of this commitment, we collect monitoring data on all individuals for funding. This data will be detached from the application form before the shortlisting and will not be available to the advisers. This monitoring form is voluntary, but the information we collect is very useful in helping us to ensure we are inclusive and reaching those who we are here to serve.

Your data will be kept on file so we can continually monitor which groups of young people are yet to be represented in our work. This will help us ensure in future we can reach these groups and actively involve them in our work.

How did you hear about the opportunity?

What is your gender? (please state)

What is your ethnic identity? (please state)

What is your sexual orientation?
E.g. Gay, heterosexual, bisexual, queer

What is your education level?
E.g. GCSE, A-Levels, university

Do you consider yourself to have a disability?

The Equality Act 2010 defines disability as ‘a physical or mental impairment which has a substantial and long term effect on a person’s ability to carry out normal day to day activities.

If “yes” please provide details: