Your Name: Age:
Phone:
Email:
Postal Address (courier):
If you have a fundraising goal, how much do you need to fundraise in total, and how much have you raised to date?
Please give a brief overview of your recent achievements (up to 24 months):
Please upload here at least one photo you are happy for us to share on social media, our websites and/or for promotional purposes: (Upload files cannot be larger than 5M) If you have any supporting documents you'd like to share, please upload these here (e.g. letter of invitation): (Upload files cannot be larger than 5M)
Should you be successful for a financial grant, please enter the bank account you would like funds deposited into:
Once we have received your application, we will be in touch within seven working days. If you don’t hear from us within two weeks please email enquiries@cookietime.co.nz
If you are awarded a $250 financial grant, you will automatically be considered for one of the three larger financial grants made per annum, of up to $5000. Should you be awarded this, you will be notified by telephone or email (no notifications will be made otherwise).
By submitting this application I confirm I am consenting to allow Cookie Time Charitable Trust, OSM & Cookie Time Limited to use the information and images supplied for social media, our websites and/or for promotional purposes:
