Application Form | Countrywide UK Trust

Please complete the following easy three-step application process so that CukT can assess if your school can receive funding for your countryside-based activity.

Step 1 - Tell us who you are

Name: *

Position: *

School: *

Address: *

City/Town: *

Postcode: *

Email: *

Telephone: *

Year Group Proposed: *

Year 5

Year 6

Other

Step 2 - Tell us where you want to go

Educational Centre Name: *

This is your trip destination

Location: *

Distance from school: * miles

Number of pupils participating: *

% of total pupils in that year: *

Outdoor activities planned:

Trip Start Date: *

Trip End Date: *

Total Cost of Trip: * £

Cost of Trip (per head): * £

When was the last trip like this organised by the school?:

What % of parents have/will contribute to their child's cost?: * %

What external funding links are already in place at the school?: *

E.g. Local businesses, Corporate Social Responsibility (CRS) programmes, ex pupils 'alumni' contributions etc.

Step 3 - Tell us how we might be able to help you

Year 1 Funding Request: * £

What will the money be used for?: *

i.e. What is the problem you have that needs funding by CukT?

Any other comments?:

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What is the fourth word in the phrase "okukuh ejo zume sat uyoz"?: *

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