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* 1. Name of organisation

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* 2. Name of grant applicant

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* 3. Contact details

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* 4. Are you a charity/CIC/exempt charity/other organisation?

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* 5. Further details (charity no) etc

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* 6. Location of where the grant will be used (select all that apply) 

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* 7. How will you use the grant? (free text – max 1500 words)

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* 8. Amount of grant requested (free text)

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* 9. How many refugees would you plan to welcome through your work on this grant?

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* 10. Has your organisation welcomed refugees through community led welcome before?

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* 11. How soon will you be able to commence this work?

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