Birmingham Carers Hub Carers Projects - Small Grant Application Form

Section A: Information about your group

What is the name of your Group or Network?

Who is the main contact person for this application? This should be your Network or group Lead.

Please complete your full name

Email Address

Phone Number

Short Description of your Network or Group (max 50 words)

Please provide the full names of at least three members of your network or group.

Section B: Information about your activity

What are you planning to do?

How many people do you expect to reach through your activity, in total?

How do you think your activity or group will benefit Carers?

Section C: How much will your activity cost?

Please detail how much each item, activity or service will cost, including costs for delivery charges and inclusive of VAT.

Item/Service Required

I. e. Entry to Birmingham Museum

Supplier

I. e. Birmingham Museum

Cost in GBP

I. e. £70.00

Section D: Finishing your application

You must tick all the boxes to confirm that:

YesYou have answered ALL the questions on this application form

You understand that your activity must take place during November 2026, preferably on Carers Rights Day.

Yes

Signature of Network or Group Lead

Please complete your full name

Date

How did you find out about the Birmingham Carers Hub Carer Projects small grant fund?

Birmingham Carers Hub will process your application form in accordance with the Data Protection Act 2003.

If you have any queries or to send your application please contact:
nancy.khan-horton@forwardcarers.org.uk

Contact Information