Mary Selway Swift Development Fund Application Form

Mary Selway Swift Development Fund Application Form

If you require any assistance making this application please email us at [email protected]

Organisation Name

Contact Person Name(Required)

First Last

Contact Person position/role relevant to the project/organisation:(Required)

Organisation Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Email(Required)

Organisation Mission

Provide a brief description about your organisation or project - Please include information regarding what do you currently offer, service/s you provide, population you work with, number of staff and volunteers, current facilities you have etc.(Required)

Grant Amount Requested: (in Euros € - Please note the maximum amount is €1000 per grant)(Required)

Please provide a description about what you wish to use the grant amount requested for(Required)

Provide a financial breakdown of what you will spend the requested funding on. Please provide this in Euro's (€)(Required)

Name of HETI member/Relevant organisation that supports your application:

Email of HETI member/relevant organisation:

Please use the upload box below to add any additional information you think might be useful to include in your application.

File

Max. file size: 256 MB.

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