LandAid Covid-19 Emergency Fund Application

Please note that your application will be viewed by members of our decision-making panel exactly as you submit it (without your contact details), as this expedites the process.

Therefore take care when writing your replies, and ensure it reads well and are mistake-free.

Name of organisation *

Organisation address *

Name of applicant *

Role within organisation *

Telephone number *

Email address *

Website (if you have one)

Please give your charity number (if you have one)

Please give your company number (if you have one)

Where do you operate? *

What does your organisation do and who are you supporting? (max. 250 words) *

0/250 words

How many core staff do you have? *

How many volunteers do you have? *

What impact has the Covid-19 pandemic had on the specific community that you serve to date and how do you expect this to develop in the coming 3 months? (max. 250 words) *

0/250 words

Grant amount applying for (numericals only, please; max. £10k): *

Please tell us what you will do with the grant, if successful. (max. 250 words) *

0/250 words

Please provide a breakdown of how you will spend this grant. (max. 250 words) *

0/250 words

How will you assess the impact of the potential funding? (max. 250 words) *

0/250 words

Do you require non-financial support, such as pro bono advice or non-financial donations? (max. 250 words) *

0/250 words

Please upload a page from your most recent bank statement (this is the bank account that will be used to disburse the grant, if successful). *

Bank account number * 🛈

Sort code * 🛈

Please read our Terms and Conditions (click on the link to access the PDF document). Please check the box to confirm that you have read, understand, and agree to the Terms and Conditions, should you be successful. *

I have read, understood, and agree to the Terms and Conditions