Individual application form - The Wilson Foundation

Apply for individual support today

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

You must be living in and have been living in Northamptonshire for at least the last 12 months or more
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 you believe you may qualify, please carefully complete the online form below. Alternatively, you may download the individual application form, print it out and return it to us at: The Maltings, Tithe Farm, Moulton Road, Holcot, Northampton, NN6 9SH

All applications will receive individual consideration.

Surname

Forename(s)

Date of application

Date of when Grant is required

Grant amount required (£)

Home address

County

Postcode

Date of birth

Gender

Daytime contact no.

Email

Fathers occupation

Mothers occupation

Name and address of person(s) giving reference

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

Brief details of activity for which Grant application is being made

Please include reason for application (attach separate sheet if necessary giving full details

Additional information

doc, pdf, txt allowed

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 is agreed, who should receive payment?

Please give full details - must be an organisation

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