Name of Organization / Scientist / Specialist:*
Contact Information
Title:
Name:*
Job title:
Address:
Phone:
-
E-mail:*
Project Details
Project Name:
Name of Killer Whale (if relevant):
Charity:*
Individual:


Purpose(s) of your project:*
How will your project benifit the public?:
Details of your project:
Grant / Project Commitments
Assessment of project duration:
Total Project Costs; funding required from Orca Rescues Foundation and other sources:
Legal
Do you have all the required permits and licenses in place to run and operate the project?:
Are all required insurances in place?:
If no, when do you plan to get the missing insurance?:
If no, when do you plan to get he required permits ? :
Have you ever been declared bankrupt?:
Do you have a criminal record ?:
DECLARATION

I have read and agree with the terms of the Grant Making Policy.

I declare that the information in this application form is correct and truthful and I am an authorised signatory of the organization I represent.
E-mail (signed):