Grant Application Form

To apply for a Barts Guild grant, please complete this form and when ready click the ‘SUBMIT’ button once. You can attach up to three documents in support of your application.

PLEASE NOTE that the form cannot be saved and returned to at a later date; therefore it must be completed and submitted in one session.

Please familiarise yourself with the Barts Guild Grants Policy before applying.

* indicates a mandatory field



Given Name*

Family Name*

Job Title*


Work Address*

Tel. (work)*

Tel. (mobile)

Email address*



Grant Title*

Please explain what this grant will be used for.*

What will be the impact of this grant for the Hospital and its patients?*

Amount Requested (please provide a breakdown of costs, if relevant):*

Does this include VAT?*
YesNoNot Applicable

Is this the full cost of the item/service?*

Does this grant relate to an item or items that will require on-going maintenance and/or consumables?*

If applicable, has authorisation been given to submit this application by a senior, eg line manager, ward manager, supervisor, etc?* Please refer to the Grant Policy for when this might be necessary.
YesNoNot Applicable

Please provide the date(s) of the event, course or conference, if applicable, for which financial support is being sought, and also provide any additional information to accompany your application such as a website link to the product or service for which a grant is requested.

If you would like to attach any documentation in support of your application, please do so using the buttons below. You can attach up to three documents.

The Guild is committed to protecting your privacy. Please tick the box to confirm that you consent for the Guild to process your personal data in accordance with our