Small Grants Application Form

Small Grants

Please tell us about the small grants you are applying for.

Small Grants Applying For *

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Your Details

Title *

If there is not a suitable option please select "Other".

Name *

First

Last

Previous Last Name

Enter your previous last name if you have been known by any other last names.

Email Address *

Confirm Email

Alternative Email Address *

Confirm Email

If you don't have an alternative email address just enter your email address again.

Home Phone

Mobile *

Date of Birth *

Twitter Handle

LinkedIn Profile

Home Address *

Street Address

Town/City

County/State

Postal/Zip Code

Start typing an address in Address Line 1 to search for your address.

Home Country *

If there is not a suitable option please select "Other".

Special Requirements

Do you have a disability? *

Do you consider yourself to have a specific learning difficulty? *

How did you hear about us?

How did you hear about us? *

If there is not a suitable option please select "Other".

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Job Details

Full Job Title *

Your current role with the Association *

Professional Registration Number *

Year Qualified *

Registration Document

Click or drag a file to this area to upload.

NHS Pay Band/Grade or Equivalent *

Select an option from the list. If you are not employed by the NHS select the band that your salary equates to or if there is not a suitable option select "Other".

Employing Organisation *

Please enter the full name of your organisation and try to avoid using any acronyms where possible.

Work Address *

Street Address

Town/City

County/State

Postal/Zip Code

Start typing an address in Address Line 1 to search for your address.

Work Country *

If there is not a suitable option please select "Other".

Size of Organisation / Number of Members *

Work Email Address *

Confirm Email

Work Phone

Work Mobile

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International Nursing Association

Association Name *

Company/Charity Registration Number (if available)

Association Address *

Street Address

Address Line 2

Town/City

County/State

Postal/Zip Code

Start typing an address in Address Line 1 to search for your address.

Which country does your association represent? *

If there is not a suitable option please select "Other".

Association Website

Bank Details

Bank Account Name *

Bank Account Number *

Bank Sort Code *

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Diversity

We are keen to develop diversity in all areas. By completing this form you are helping us to build a picture of those applying and attending our programmes. The information collected is stored in our database and not shared with any third parties. Your responses to this section will not be visible to decision makers during the application process.

Gender *

If there is not a suitable option please select "Prefer to Self-describe".

Is your gender identity the same as the sex you were registered at birth? *

Yes
No
Prefer Not to Say

Ethnicity *

If there is not a suitable option please select "Other" or "Unknown".

Nationality *

If there is not a suitable option please select "Other".

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Terms and Conditions

GDPR Data Management Statement

We would like to keep you informed about the vital work we do at the Foundation including events, marketing, fundraising and newsletters and we would like you to engage with other scholars.

We will never sell your data and we promise to keep your details safe and secure. You can change your mind at any time by emailing [email protected].

'We’ includes the Florence Nightingale Foundation only.

Would you like to receive communications from Florence Nightingale Foundation? *

YES, I would like to receive communications from Florence Nightingale Foundation
NO, I do not wish to receive communications from Florence Nightingale Foundation

Data Consent *

I AGREE for my details and data to be stored and maintained on Salesforce, a secure platform used by the Florence Nightingale Foundation

GDPR: means (i) unless and until the GDPR is no longer directly applicable in the UK, the General Data Protection Regulation, Regulation 2016/679/EU, and any national implementing laws, regulations and secondary legislation, as amended or updated from time to time, in the UK and then (ii) any successor legislation to the GDPR or the Data Protection Act 1998.

Please read our privacy policy here on how we manage our data.

Terms and Conditions *

I agree to all the below terms and conditions and I consent to my data being shared with carefully selected parties as part of the application process.

Florence Nightingale Foundation Small Grant Agreement
Please complete and confirm your intention to apply for a small grant by ticking and signing this Small Grant Agreement.

Failure to complete this agreement in time will result in presumption you do not wish to apply for a Florence Nightingale Foundation small grant.

By signing this page I acknowledge and agree to the following terms and conditions:

All applications submitted for the selection process must be accompanied by this completed application form and a supporting reference signed by a person in a position to verify your suitability to receive the funding and the contribution the grant will make to forwarding the Association aims.

All applicants must be leading an International Nursing Association which is registered as a charity or limited company in the UK.

All applicants must be able to provide details of a UK bank account registered in the name of the Association.

At the end of the 6 month project timeframe, applicants must provide evidence of funds spent from the project budget within 30 days. Any underspend must be returned to the Florence Nightingale Foundation within 30 working days.

I give permission for my details to be passed to the Florence Nightingale Foundation subcommittees as requested.

I understand Florence Nightingale Foundation holds all participants' application details in confidence and in line with the requirements of the Data Protection Act 1998 to ensure GDPR compliance.

I give my consent for information and/or images/photographs ("Information") about myself to appear in associated publications from the Foundation.

Cancellation Policy
As a not-for-profit organisation it is crucial that Florence Nightingale Foundation recover any programme costs in the event of a participant cancellation. Therefore, by accepting a place on this programme I will commit to attend all programme days.

Florence
Nightingale
Foundation

Small Grants

Your Details

Special Requirements

How did you hear about us?

Job Details

International Nursing Association

Bank Details

Secondary Contact

Project Proposal

Programme Administration

Diversity

Referee Details

Chief Nurse

Terms and Conditions

GDPR Data Management Statement

FlorenceNightingale Foundation