North East Core Funding Monitoring Form

A form to capture impacts of the North East Core Funding programme

Organisation name *

Contact salutation *

eg Mr, Mrs etc

First name *

Surname *

Email address *

Position in organisation *

Amount of grant

The total amount of the grant, rather than annual amount

Term of grant *

Length of grant in years

In what way has the grant made a difference to the organisation *

Let us know about improved or increased services, increased beneficiary numbers etc...

Has the grant made a difference in any of the following areas *

Sustainability of the organisation

Diversity of income streams

Improved services or increased beneficiary numbers

Please tick all that apply

Please expand on your answers above

Privacy Notice *

I have read and agree with your Privacy Notice

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