Educational/Conference Bursary Application Form

Please read before completing your application below:

The first underlying principle of the Sussex Heart Charity is to improve in the county of Sussex, the quality of cardiac patients’ lives and their families, and to promote and facilitate resuscitation in the community.
With respect to governance issues and the Charity Commission, the Sussex Heart Charity is not able to supply equipment or services which are clearly the statutory responsibilities of your local NHS Trust to provide
The request must meet the Sussex Heart Charity’s criteria for making the lives of cardiac patients in the County of Sussex more comfortable and more convenient, or for promoting or facilitating resuscitation.
Retrospective claims will not be considered.
Incomplete forms will not be considered.
Applications need to be submitted with the appropriate information.
Funding is awarded retrospectively upon submission of appropriate receipts.
A ceiling of £500 support per person in any academic year is allowed. Therefore, several applications may be made in any given academic year, but only to a total amount of £500.
Examination fees do not qualify.
Education and conference bursaries will require countersigning by your line manager.
All applications will have a time limit to be used within 6 months from date of being awarded. After this date the funding will be withdrawn and a new application would be necessary.
All grants are at the trustees’ entire discretion including as to the merits of the particular application, priority and availability of funds.

Tips for a successful application

Speak to your line manager first. There may be funding available elsewhere which will allow you to use SHC funding for additional development opportunities
Book travel and accommodation as early as possible. Saving here helps our funds go further
Try not to use your yearly funding allocation in one go
Try to make the most reasonable travel and accommodation arrangements
We encourage you to share cars and hotel rooms where possible

Your Details

Title *

First Name *

Last Name *

Job Title *

Your Email Address *

Your Contact Telephone Number *

Dept/Directorate *

Staff Number *

Line Managers Details

Line Managers Name *

Line Managers Contact Telephone Number *

Line Managers Email Address *

Has your Line Manager approved this application? *

Yes

Outline of Proposal

Title *

Venue *

Purpose of the course or conference *

Date of the course or conference *

If between two dates - put the first date you would like to attend.

Cost of the course or conference *

How much are you requesting from the SHC? (Up to a maximum of £500) *

Please provide details *

Links to application forms, relevant websites, online brochures etc...

Additional Supporting Information *

Please give as much information as possible about your request. How will it benefit you, your patients and a detailed breakdown of costs.

Helping the SHC help you

Please help us publicise our work *

Our supporters love to learn how we spend the funds we raise. It helps us immensely if you are able to take photos at your event, write a thank you or make a social media post. What could you do for us?

Would you be happy for us to contact you at a future date to request your help at one of our events? *

We can never have enough volunteers

Yes

What does the SHC mean to you? *

Declaration

I declare that the information given on this form is true and that any funds received would be solely for the purpose as detailed above.
I have fully completed this application form and enclosed cost estimates.
I agree to make invoices/receipts available on completion of the project on request.
I agree to abide by the conditions set out by the Sussex Heart Charity in making the award.
I agree to return any bursary made if it is no longer possible to proceed with the purpose of the application.
I have read and understood the section above this form.

Check to confirm and submit your application

I AGREE

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