Appeal Form

Name of charity/organisation

Registered charity number (Scotland)

Registered charity number (England and Wales)

Registered charity address

Address (1st line)

Address (2nd line)

Town/city

County

Postcode

Brief description of the work/activities/aims of your charity, generally (Maximum 50 words)

Brief description of the specific purpose of this appeal (Maximum 50 words)

Charitable purpose* (Please select the primary purpose that applies in respect of this appeal)

Type of funding this appeal is for

Main geographical area this appeal will beneft

Requested amount (You may leave this blank)

Primary contact

Full name

Position within organisation

Email Address

Telephone number

Upload supporting information

Please upload your latest set of statutory accounts if available.

Latest set of finalised statutory accounts

You are welcome to upload up to two further supporting documents e.g. Annual Review / marketing material / case studies (accepted file types: Word, PDF. Max size: 10MiB each)

Supporting document 1

Supporting document 2

By submitting this appeal you agree to the Terms, Conditions & Reporting Requirements for Applicants

*Scottish Charity Regulator’s list of Charitable Purposes

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Appeal Form

Registered charity address

Primary contact

Upload supporting information