Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Applicant Information

1. Name of Group/Organisation (if different from above): 2. Address of Group/Organisation (if different from above): 3. Type of Organisation (Charity, Community-Led Organization, Not-for-Profit Organization (NFP),Non-Governmental Organization (NGO), Social Enterprise, Social Enterprise, Social Enterprise, Social Enterprise, Other

Project/Activity Details

.Title of Project/Activity: 2. Summary of Project/Activity: (Provide a brief description of the project, its purpose, and its expected impact on the community.) 3. Who will benefit from this project? (Include details of the target audience or group, and the number of people expected to benefit.) 4. Proposed Start Date: 5. Proposed End Date:

Amount of Funding Requested (if applicable)

1. How will the funding or support be used? (Provide a breakdown of costs or describe how the space/support will be utilised.) 2. Have you or a related party received funding or support from Mary Ward House before? (if yes, please provide details)

Supporting Information

1. Why is this project important to the community? 2. Please provide any additional documents to support your application (e.g., project plans, budgets, testimonials): (Attach separately if submitting a physical copy.)

Additional Information

Disclaimer: Subject to Approval Process

All applications for funding or subsidies through Mary Ward House are subject to a formal review and approval process. Submission of an application does not guarantee funding or support. Each application will be assessed based on eligibility criteria, alignment with our mission, availability of funds, and potential impact on the community. Mary Ward House reserves the right to approve or decline applications at its sole discretion. Additional documentation or clarification may be requested as part of the review process. Successful applicants will be notified of their award and any associated terms and conditions. Funding or subsidies granted must be used solely for the purpose outlined in the approved application. By submitting an application, you acknowledge and agree to these terms.

Disclaimer: Subject to Approval Process