Ulster Local History Trust

GRANT APPLICATION FORM

Applicants should print this form, complete, and post to the Administrator ULHT c/o:
Mrs V Herbet, 18 Clonoag Valley, Lisnaskea, Co. Fermanagh, BT92 0LJ. Use additional sheet if necessary.

The Ulster Local History Trust is currently not in a position to provide grants but will resume this facility for the local history community as soon as possible. - 23/11/2008

1. Name of organisation or individual making application:-


Address:-


Telephone:-

 

2. Name of Contact person:-


Address (if different from above):-


Telephone :-

E-mail:-

 

3. Aims and objectives of the group or individual:-

 

 

 

 

4. Aims and objectives of the project (what does it do, or hope to do?):-

 

 

 

 

 

 

5. Please give breakdown of costs where project does not take the form of a printed publication:-

 

 


Total: £ ………….

 

6. Where the project takes the form of a printed publication, applications should be accompanied by the manuscript, and costings must be supported by quotations from three printing firms.

(a) Please give a breakdown of the costs of the project:-

 

 

 


(b) Please give details under the following headings:-

Proposed publication date: …………

Number of Pages: …………

Illustrations: …………

Format: …………

Paper: …………

Type of binding: …………

Print run: …………

Cost per copy: …………

Proposed selling price: …………

Proposed selling price if grant awarded: …………

Expected percentage of sales: after 1 month ……
after 6 months ……
after 1 year ……

 

7. What is the amount of grant sought: £ …………

 

8. Have you applied to any other sources for funding for this project?

If YES, please give details of all grants received or applied for:-

 

 

 

 

 

 

Organisations should enclose any other relevant information, e.g. copy of Constitution, names of officers, information leaflet, copy of last annual account etc.

 

 

 


Signed:- ….……………………………….

Position:- …………………………………..

Date:- ………………….

 

Return to: The Administrator, Ulster Local History Trust, Mrs V Herbet, 18 Clonoag Valley, Lisnaskea, Co. Fermanagh, BT92 0LJ.

FOR OFFICIAL USE ONLY.