Funding Criteria & Application Process

Name*

Team

Division

Email

Telephone

Will you be managing the project?*

Yes

No

Please provide the managers name and email

Manager Name*

Manager Email*

What is the name of your project?*

What geographical area will your project cover?*

Describe your project, and which parts of it you need funding from Brighterway for:*

Why is your project needed, and what will the impact be to patients, staff, and the public?*

How will you measure the impact of your project?*

How did you identify the need for this solution?*

Give the names of the services where your project will be delivered from.*

Project Start Date

Project End Date

Who will be managing the project and responsible for it delivery and completing the reporting requirements?

How much will your project cost?*

Item / Activity

Full Cost

Amount you are asking for

Do you have funding for all of the project? If not, where is the rest of the funding coming from?

Other*

Will the project continue when the charitable funding comes to an end?*

Yes

No

How will an ongoing cost be funded?*

Funding Criteria and Application Process