Healthy Communities Programme - Small Grants

Local Lottery Area
Request for a Healthy Communities Small Grants Programme Application Form

Please read the guidance notes for the Healthy Communities Programme to ensure you are eligible to apply before submitting a request for an application form. This is designed to save you time.
We are unable to assess applications which are not eligible.

Name of organisation/group*

Address*

Town/City*

County*

Postcode*

Website address (if applicable)

Name of key contact*

Position in organisation/group

Key contact email address

Please tick if you do not have an email address and would like the Application Form sent by post.

Please confirm that you have read the guidance notes to ensure that your organisation/group is eligible to apply for funding.*

If you have requested your Application Form to be sent to you by email, a copy of your request form will be sent to the email address you have supplied. You will receive your Application Form within five working days.

If you would like to receive People’s Health Trust e-alerts, which will tell you when new grant funding programmes open, please tick the box.

Please indicate if you would like your Application Form in large print format.

Mandatory*

Healthy Communities Programme - Small Grants

Funding Programmes

Healthy Communities grant enquiry form

Thank you