Grant Application Form – Finish Line Fund

Step 1 of 2

Name *

First

Last

Contact Telephone Number *

Please enter a mobile number for a member of our team to contact you.

Landline Number

Please enter a landline telephone number - optional.

Email Address *

Confirm Email

Please enter an email address for a member of our team to contact you.

Details of Funding Request

Please ensure you enter as much detail as possible to ensure a fast response to your request,

Amount of Funding Requested *

Please enter the full amount of the funding being requested.

Purpose of Request *

Please fill in the details of the intended use of the funding.

What events lead to your grant application? *

Please be as detailed as possible.

File Upload

Click or drag files to this area to upload. You can upload up to 2 files.

Upload any supporting documents. (max 2 documents)

Name Of First Reference *

First

Last

Please provide the name of a person who can be contacted as a reference, The person cannot be a relative.

Address of First Reference *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Enter the address of the first reference

Name Of Second Reference *

First

Last

Please provide the name of a person who can be contacted as a reference, The person cannot be a relative.

Address of Second Reference *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Enter the address of the first reference

Section Divider

I authorise Finish Line Fund to verify all information provided and retain in its records for 6 years. *

Agree to terms of submission

Check the box to continue

Date of Submission *

Please enter todays date.