WYVERN THEATRE FOUNDATION

(Registered Charity No. 1124103)

GRANTAPPLICATION FORM

The Wyvern Theatre Foundation aims to assist young people in all aspects of the performing arts including stagecraft, script writing, choreography, dance, drama, music and singing.

As a Charity with limited funds, and answerable to the Charity Commision, we have to consider carefully how financial assistance is awarded. Retrospective applications will not be considered.

If you wish to apply for financial help from the Wyvern Theatre Foundation fill out your details below and return the form to the Chairperson, Wyvern Theatre Foundation, C/O Ticket Office, Wyvern Theatre, Theatre Square, Swindon SN1 1QN. Please give as much information as possible

ALL PARTS OF THE FORM (A,B,C, D) MUST BE COMPLETED BEFORE WE AREABLE TO CONSIDER THE APPLICATION.

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PART A

NAME OF APPLICANT: ______

ADDRESS: ______

POSTCODE: ______

PHONE (INC. CODE): ______MOBILE ______

E MAIL ADDRESS: ______

SCHOOL/COLLEGE (IF STILL ATTENDING): ______

AGE: ______

PART B

Please state below the reasons for your application.

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*Be assured that any information you provide remains completely confidential and will not be disclosed to any other party at any stage.

P.T.O. for Parts C & D

PART C

Please state what you intend using your grant towards i.e. travel, course fees, equipment etc. and the date by which you will need the money. Proof of expenditure must be provided.

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PART D

Please describe what you are expecting to gain from this opportunity------

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Signed: Date:

We look forward to receiving your application. If your application is successful you will be required to acknowledge receipt of funding.

You will be contacted as soon as practicable. Please note, not all applications will be successful and are at the Wyvern Theatre Foundation’s discretion. A previous successful application does not guarantee you will automatically receive it again, but you are welcome to re-apply. The Foundation’s decision is final and no further correspondence will be entered into.

April 2017