SHS Grant Funding Application Form

Name:*

Title First Last

Home Address:*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Email:*

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Institutional affiliation/position:

Have you applied for funding from the Social History Society previously?

Please give details and outcome of application:

Are you currently a member of the Social History Society?

Title:*

Place/Date [If applicable]:

Number of Delegates Anticipated [If applicable]:

Please give a brief synopsis of the aim(s) of the project, event or activity (200 word maximum):

Please provide details of how this project, event or activity acts to promote the study of social and cultural history (200 words maximum):

Please provide details of how any outcomes will be disseminated amongst both academic and wider audiences (200 word maximum):

Please provide a full breakdown of expenditure, and proportion of the total costs the Society is being asked to fund:*

Please provide details of grants applied for, (and whether or not successful if outcome known) from other organisations:

Total award being applied for:*

Email

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