Please provide some information about the organisation applying for the grant
Please provide the address of the organisation applying
Please briefly describe the organisations background that is relevant to this application.
Please provide information for the person who will act as the first point of contact for the organisation applying.
Please provide some details regarding the project related to your application
Please tell us when your project is due to start (Or the date it started)
Please provide the date your project is due to end. If there is no end date planned then leave blank
Please provide the date you are expecting to be able to supply Healthwatch Newham with your final report
Please provide the address where the project wil be carried out. If it is not at a specific location please provide the area it will be carried out in.
Please briefly describe the project relating to this application (Maximum 200 words)
Please describe how you will carry out the project (Maximum 200 words)
As part of this grant, all recipients must produce a written report on their community project. Please tell us how you could also use the project and report to improve services (Maximum 300 words)
Please describe why you feel this project is necessary for the community (Maximum 200 words)
The aim of the grant is to provide Healthwatch Newham with feedback from local residents within the applicants communities about health and social care services.
Please tick all options that you think your project will achieve
Please give a breakdown of the budget you are requesting. Please include each item on a seperate line. For example:
1) Venue hire - 10 sessions of 1 hour each @ £20 per hour = £200 2)Printing - 100 sheets @ 10p per sheet = £10
Please tick below that you agree that all information in this application is correct. If funding is agreed we will need to collect a signature from the applicant.
Please tick that you agree to the statement above