Grant application form

SURREY ARCHAEOLOGICAL SOCIETY

GRANT APPLICATION FORM

Reference Number

 

                                                                                                                                                               

 

NAME 

 

ADDRESS 

 

Tel:                                                                         Email:                                                                                                                                     

 

IF APPLICATION IS MADE ON BEHALF OF A GROUP, GIVE ITS NAME AND YOUR OFFICE IN IT

 

 

TITLE OF PROJECT

 

DIRECTOR OF PROJECT (if not the applicant)

 

Fill in one or more of sections A, B and C, according to the nature of the work - continue on a separate sheet if necessary

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A.           DETAILS OF FIELDWORK, EXCAVATION AND/OR DOCUMENTARY RESEARCH

 

 

 

 

 

STARTING DATE                                                                               DURATION OF PROJECT

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B.          DETAILS OF PROCESSING WORK

 

 

 

 

STARTING DATE                                                                    DURATION OF WORK

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PLANS FOR PUBLICATION ARISING FROM A OR B

 

 

 

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C.           DETAILS OF PROPOSED PUBLICATION

 

AUTHOR(S)

 

TITLE

 

LENGTH                                                                                                               ILLUSTRATIONS

 

SUMMARY - enclosed/forthcoming (delete as appropriate)

 

REASONS

             

STARTING DATE                                                                    DURATION OF WORK

 

continued overleaf


EXPENDITURE FOR WHICH A GRANT IS SOUGHT (give details of the total cost of the project , including VAT, and the amount requested from the Society below):

                                                

 

Cost (including VAT)

Preliminaries

 

Equipment

 

Fees

 

Specialist Reports

 

Other

 

Publication

 

Total Cost

 

Grant Requested

 

                                                                      

                                                                      

                                                          

FUNDS SOUGHT FROM OTHER SOURCES 

                                        

 

 

NAMES AND ADDRESSES OF TWO REFEREES WHO HAVE KNOWLEDGE OF YOUR WORK

 

 

 

 

 

 

 

A PROJECT DESIGN SHOULD BE ATTACHED ON A SEPARATE SHEET WITH ANY OTHER INFORMATION YOU WISH TO GIVE TO SUPPORT YOUR APPLICATION

 

 

Date                                                                                             Signed                             

 

 

 

If you require help completing this form, please write to the Secretary at the address below

 

Please return the completed application form to:

Secretary, Research Committee

Surrey Archaeological Society

Castle Arch

Guildford

Surrey GU1 3SX

Tel: 01483 532454

Email: info@surreyarchaeology.org.uk

Company registration no: 1160052

Registered charity no:  272098

Revised July 2009

 

 

Authority

Accept/Reject

Amount Awarded

 

 

 

Date Awarded

Expiry Date

Conditions