Grant Form

Please read carefully before signing.

Making an application does not mean a grant will be awarded. Each application will be considered on it’s merits by the Management Committee at their quarterly meetings. I have read and understand the process of applying for a holiday grant. By signing this application form, you agree that the Management Committee can process your personal information for legitimate purposes whilst considering your application. Full details can be found at www.mmht.org.uk/privacynotice. Your personal information will be held by the Trust and will be treated as confidential, with the appropriate security.

Data Protection Act 1988

The information you supply on this form will be recorded by the Trust in its records. The Trust will process the data to keep a record of applications and grants made. The information will be used to contact applicant, sponsors, and holiday providers. The information disclosed to the Officers, Trustees, Employees, Management Committee or Auditors of the Trust or to the Charity Commission but only in so far as it is to ensure the proper administration of the Trust.

If you would prefer to print this form out and fill it out on paper, please print / download the PDF here.

Once filled out, please mail the form to the following address;

Mary Macarthur Holiday Trust
Unite House
1 Cathedral Road
Cardiff
CF11 9SD

Applicant’s Agreement

Applications are considered at Management Committee meetings and a grant is not guaranteed. By submitting this form you confirm that the Trust may process your information to assess your application, and that it will be handled confidentially in accordance with the privacy notice on the MMHT website.

Data Protection: The information on this form will be used to keep records of applications and grants and to contact applicants, sponsors and holiday providers. It may be shared only as needed with officers, trustees, employees, the Management Committee, auditors or regulators to ensure proper administration of the Trust.

Your reference (optional)

About You

This section is about the woman who is applying for the holiday grant.

Title

First Name(s)

Surname

Date of Birth

Address

Post Code

Town

County

Home Phone

Mobile Phone

Preferred method of contact
EmailPostMobile

Note: If you are awarded a grant it is for the woman applicant only. If you choose to take anyone with you, you must find separate funds for them.

Criteria

Which of the following points of our criteria apply to you?

Criteria (you may tick more than one)
Financial NeedDisablement (including mental health)CarerOther

If you selected “Other”, please give details

How did you hear about the Mary Macarthur Holiday Trust?

Working Status

We need to know about your working status.

What is your occupation?

If NO, when was the last time you worked?

Where did you work?

Why did you finish?

Why haven’t you worked since?

Your Holiday

Please answer the following about the holiday you would like this grant to support.

If you are successful in being awarded a grant, are you able to contribute to the cost of the holiday?
YesNo

If YES, how much (£)?

When did you last have a holiday of one week or more?

Where would you like to go on holiday?

Why have you chosen this location?

Have you applied to any other charity or organisation?
YesNo

If YES, which charities or organisations?

Have you previously received a grant from our Trust?
YesNo

If YES, what year?

Important: If your application is successful, the grant will go towards the holiday you have described.Spending money is not covered, and the Trust cannot pay for holidays booked before a decision is made. Please do not book a holiday until you receive written confirmation of a grant. We do not honour any holidays booked before the decision is made.

Sponsor

Your sponsor should complete this section.

Name of Sponsor

Position

Organisation

Address

Post Code

Tel No

Mobile No

Email Address

Length of time you have worked with the applicant

Please note: Your sponsor now needs to provide us with information by filling out our Sponsor Form before application considered. You have two weeks from Form submission to contact your Sponsor and have them fill out the Sponsor Form. If we do not hear from your Sponsor 14 days after Grant Form submission we will assume you no longer wish to make an application.

Applicant’s Declaration & Signature

By signing below, you confirm that the information you have provided is, to the best of your knowledge, true and complete. You understand that a grant is not guaranteed and that, if awarded, it will only be used for the purpose described in this application. You confirm that you have read and understood the Applicant’s Agreement and consent to your data being processed for the purposes of this application.

Applicant’s Signature

Use your mouse, trackpad, or finger to sign in the box above.

Date

Sponsor signatures and supporting letters will be completed and provided separately.