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Robert France Trust Fund Application
Section 1 - Contact Details
Name of applicant
*
First name
Last name
Phone number
*
Email address
*
Address
*
Address line 1
Address line 2
Address line 3
Address line 4
Town/Suburb
City
Postcode/Zip
Applicant is:
*
Parent / Caregiver
Young Person applying yourself
Other (please specify)
Name of person completing application (if different from applicant):
Age of applicant:
*
Current School or Education Provider:
Is the child / young person currently living in Hawke's Bay?:
*
Yes
No
Section 2 - Grant Purpose
Tell us briefly about your application and how it meets the purposes of the Robert France Trust Fund:
*
Section 3 - Amount Requested
Amount requested:
*
Upload relevant document or invoice to suppport the amount requested (optional)
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Section 4 - Additional Information
Please tell us about your current circumstances and the financial challenges your family is experiencing. Explain how receiving this funding would make a positive impact:
*
Tell us a little about you/the young person e.g. interests, hobbies, school / sport / community involvement:.
*
Upload any other relevant document to support your application (optional)
File upload
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Section 5 - Declaration
TICK BOX - To the best of my knowledge, the information provided in this application is true and correct.
*
Submit
Please check the highlighted fields
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