Grant application
Dilke House, 1 Malet Street, London WC1E 7JN
Tel: +44 20 7436 9042
(*NB For Medical projects please use the special Butterfield Award application form )
Organisation:
(NB The Foundation does not normally accept applications from individuals)
Name of Organisation
Address
Tel/Fax
E-mail
Name/title of applicant/project manager:
Title
Name
Position
Contact details (if different from above)
Address
Tel/Fax
E-mail
Outline of project:
Category:
Planned event/activity
What is new or significant about this?
What will be the impact and on how many people?
What experience do you have in organising similar projects (if appropriate)?
How will the continuity of the project be guaranteed in the future (if appropriate)?
Total budget for project and amount of grant requested (Please send detailed budget separately)

For which elements of the project are you requesting support from the Great Britain Sasakawa Foundation? (NB The foundation prefers to support identifiable activity and outcomes rather than general expenses)

What other sources of financial support are anticipated?
(Please give amounts where appropriate)

Confirmed:
Approached:

NB The acceptance of a grant application does not imply any obligation on the part of the Great Britain Sasakawa Foundation, and applicants should not make any commitments in anticipation of an award.


The Great Britain Sasakawa Foundation, Dilke House, 1 Malet Street, London WC1E 7JN
Tel 020 7436 9042
Website: http://www.gbsf.org.uk