Project Funding (Category B) : Irish Temperance League

Personal Details

Applicant's First Name

Applicant's Last Name

How did you learn about the grant scheme?

Applicant’s Address

Organisation Details

Please provide us with a description of the project you have in mind outlining the need you seek to address, the location of the work, the people who will be involved, the desired outcome and the reason you are seeking funding from ITL.

Is your organisation registered as a charity?

If yes, what is your registration number?

Point Of Contact’s First Name

Point Of Contact’s Last Name

Position in the organisation

Point Of Contact’s Address

Telephone Number

Email Address

Referees from outside the organisation

Referee One’s First Name

Referee One’s Last Name

Referee One’s Address

Referee Two’s First Name

Referee Two’s Last Name

Referee Two's Address

The Project

Please provide us with a description of the project you have in mind outlining the need you seek to address, the location of the work, the people who will be involved, the desired outcome and the reason you are seeking funding from ITL.

Describe the project you have in mind

How do you see your project complying with the League’s aims and objectives and the grants criteria as set out on our website?

Can you indicate the envisaged timescale of the project with a possible starting and finishing date?

Start Date

Finish Date

Facilities available - premises

Facilities available - equipment

Can you give us an idea of how much the project would require by way of grant, and how would it be applied in the project.

Salaries

Accomodation

Equipment

Materials

Total

Declarations/Consent

We have in force a child protection policy complying with current legislation, a copy of which is available for inspection.

We are not and undertake not to be involved with children and young people under the age of eighteen.

In the interest of advancing our shared aims and objectives the opportunity may arise to give the name of your organisation to a kindred one. If you do not wish this to happen, please tick box.