Application Form

Before you complete our application form you will have to make sure you qualify for a ‘helping hand’ from The Wilson Foundation.

You must have been born or lived for at least the past year in Northamptonshire
Show a genuine enthusiasm for a worthwhile activity
Show effort and determination to achieve your goal
Have worked long and hard to achieve a worthwhile objective
Have support of your parent or guardian if under the age of 18
Have a reference from at least one responsible person who has known you for a reasonable period of time

If this could be you - complete The Wilson Foundation
Application Form

All applications will receive individual consideration.

Once you have filled in your form carefully please print it out and send it to us at:

The Maltings,
Tithe Farm,
Moulton Road,
Holcot,
Northampton,
NN6 9SH

Surname Forename(s) Home Address E-Mail If at school - name and address of school If employed - name and address of employer If you are employed what is the nature of your employment

Date Date of when Grant is required Amount Required Date of birth Daytime Telephone Number Fathers Occupation Mothers Occupation Name and address of person(s) giving reference

Brief details of activity for which Grant application is being made, include reason for application. (Attach separate sheet if necessary giving full details) Have grants been obtained from any other source? (If yes please give details) Are your parents able to make a contribution towards the cost? (If yes please state amount) What individual effort has been made by yourself to help finance (Please give details) If Grant agreed, payment to be made to :- (Please give full details - must be an organisation)

For research purposes, please state how you heard of The Wilson Foundation?

OFFICE USE ONLY

Grant Agreed

Grant Refuse

Grant Amount

Cheque No.

Date sent

Grant Refuse

Refusal Reason

The Wilson Foundation

Application Form

If this could be you - complete The Wilson Foundation Application Form

OFFICE USE ONLY

If this could be you - complete The Wilson Foundation
Application Form