ORGANISATIONAL GRANT Form can be filled out on your computer. Use tab to move between fields. All fields expand as you type.
APPLICANT INFORMATION
Name	Position
Address
Phone	E-mail Address
orGANISATION
Organisation Name
Address
Number of Members
qualifying membership under 25 years
Is the Organisation in the parishes of Henley, Remenham, Rotherfield Greys or Bix and Assendon? Yes No
If the organisation not in located in the above parishes, give number of qualifying members: -
educational outcomes of grant
PHYSICAL:- YES NO INTELLECTUAL:- YES NO EMOTIONAL :- YES NO SOCIAL:- YES NO
payee details for cheque.
full DETAILS OF grant
If a Henley Area event, such as a youth festival, give the number of persons who will benefit:
Are you applying to other charities: - YES NO	Are you asking for the FULL AMOUNT? YES NO of £
OR Looking for a Donation: - YES NO of £
Disclaimer and Signature
I also certify that my answers are true and complete to the best of my knowledge.
Signature	Date
Organisational Grant Notes
Please note the following before completion of the form. ELIGIBILITY: Organisations located within the parishes of Henley (Henley North, Henley South), Bix, Rotherfield Greys or Remenham, are welcome to apply for a grant for educational purposes, directed at persons under the age of 25 years of age. Those organisations just outside the designated parish areas may apply for grant purely to benefit the number of HET qualifying members and not for the entire membership. . Qualifying members must be under 25 years of age and the attend Henley College, Gillotts Secondary School, Badgemore Primary, Nettlebed Primary if a Bix resident, Valley Road Primary, Trinity Primary, Sacred Heart RC Primary, and Crazies Hill Primary School if a Remenham resident, or have attended an above educational establishment for 2 years. STATEMENT OF ACCOUNTS: - To comply with our Best Practice financial practice, a copy of the most recent statement of accounts must accompany the grant application to confirm financial need. EMAIL The grant application can be emailed initially, and a signed hard copy sent by mail before any payment.

Clerk to the Trustees Mrs Claire Brown Syringa Cottage Horsepond Road Gallowstree Common Reading, Oxon, RG4 9BP Tel: - 01189724575 Email:-clerk@henleyeducationaltrust.com www.henleyeducationaltrust.com