Please review your completed application below. If you are happy with all your responses, click the Submit button to send it to us. If not, click the Amend button to return to the form and make any changes.

Once you have clicked the Submit button you will not be able to make any further amendments to your application.

(If you have come to this screen via the Questions List link on the Welcome screen - the above will not apply until you register and complete the application.) 

 

V

A1
*NGO welfare or charitable organisation name

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Other Name

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A2
Address
*Address1:     ?
  Address2:    
  Address3:    
  *Town:    
  County:    
  *Postcode:    
  Country:    
     
A3
*Telephone number

        
A4
*Legal Status.
Please choose from the dropdown list.

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Your Charity/CIC/CIO/Ltd Company number

      
A5
Website address

      
A6
*Please give a brief description of your organisations's purpose.
(max 4000 characters, approx 500 words)

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A7
*Main contact person's name
(The Grants Team may contact this person for further information)

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*Main contact person's job title

      
A8
*Main contact's email address

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*Main contact's email address for verification purposes

      
A9
*Main contact's telephone number
(Please put area code in the first box and telephone number in the second box.)

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A10
*Full name of the contact to inform when grant has been paid

         
A11
*E-mail address of contact name as listed in Question A10.

      
B1
How many seafarers do you intend to help?

      
B2
How many seafarers' dependents do you intend to help?

      
B3
Are the seafarers employees of a member of the International Chamber of Shipping?
Answer 'Yes' or 'No'

      
B4
In which country will you work?

      
In which region?

      
B5

Where will you deliver the intervention?

(Select all that apply)


      
     
B6
How will you deliver the intervention?
(Select all that apply)

      
     
B7
What is the intervention?
(Select all that apply)

      
     
B8
How long do you expect your project to last?

      
     
B9
What other charities and/or relief organisations are currently operating in this area and providing a similar service?

      
B10
What difference will this intervention make?
[Please collect data for future monitoring purposes]

      
B11
*How much money is needed?
(Enter whole numbers only i.e. no commas or full stops)

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B12
*What will the money pay for?
(No more than 30 words)

      
B13
*How will you prevent fraudulent applications from individuals and ensure you are supporting seafarers and their families?

      
C1
*Please attach a simple budget

        
D1
*Confirmation that all information given is current and correct and that you are authorised to complete this application.
By submitting this form you certify that you are approved to do so by your organisation, that application information is correct and the enclosures are current, accurate and adopted or approved by your organisation.

      
D2
*Please confirm (by checking the box to the right) that you give explicit consent to The Seafarers' Charity to share the information contained within this application with individuals and organisations consulted as part of our assessment process. These organisations may include accountants, external evaluators and other groups involved in delivering the project.
If you do not wish to be contacted in the future, please email seafarers@theseafarerscharity.org or call 020 8248 5293.
The Seafarers' Charity complies with General Data Protection Regulations. Information on the use of personal data by The Seafarers' Charity is available from: The Seafarers' Charity, 8 Hatherley Street, London SW1P 2QT

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D3
*Please confirm your name

      
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