Name/Organisation
Briefly describe the project for which you are making the application
(please refer to the guidelines and make clear how it relates to the intended purposes) Guidelines
Amount applied for		Total cost of project
Have any other financial contributions been received or applied for towards this project?
Who will benefit from the grant
How do you plan to acknowledge the support of HHCT?
Main contact name
Your position or involvement with the project
Contact address
Telephone Number
Fax Number
E-mail address
If your application is successful, to whom should the grant be paid?
Is your group/organisation a registered charity? Select Yes No
If yes please supply the registration number
Starting date of project
Completion date of project