The Dickon Trust
Application Form
Name of Applicant Charity
Registered Charity Number
Name of Contact
Contact Postal Address
Contact e-mail address
If your application is successful to whom should the cheque be payable?
Have you received funding before from the Dickon Trust?
If so, when and what amount(s)?
In which geographical area would the Trust donation be applied?
What was your charity's gross income for the last financial year?
What was your charity's total expenditure for the last financial year?
In no more than 100 words, give a brief summary of the aims, objectives and activities of your charity and describe the specific purpose to which a grant from the Dickon Trust would be applied.
Submit Application