Apply for the 2022 Tecwyn Jones Bequest Grant

Title*

Dr
Mr
Mrs
Ms
Miss

Name of contact person for this application*

Postal address for correspondence*

I have a current Health Care Card*

No
Yes

Phone*

Email*

Please indicate which one applies to you:*

Consumer
Carer
Family
Friend

I have previously applied for a Tecwyn Jones Bequest grant and have been successful*

No
Yes

If known, year grant received.

For example, 2020.

What is the Amount of the grant requested?*

Note: The Panel may offer only part of the amount requested.

Will you be making any contribution, financial or in-kind, towards the item/activity/ event?

If so, please provide details as to the amount and other relevant information.

What are you proposing to do with the grant money - dates of courses, workshop, conference etc - and how you think this will assist you in your recovery journey or improve your quality of life?*

Attach additional page if insufficient space.

Optional: Attach additional pages below.

Drop files here or

Max. file size: 256 MB.

Estimated Costs*

Please itemise expenditure items where relevant, e.g. travel expenses, accommodation, conference fees. Attach separate budget if insufficient space.

Attach at least one (1) quote and any relevant paperwork*

At least one (1) written quote must be obtained and attached to your Application Form. It must be demonstrated that the money will be used to improve quality of life and/or assist in the journey towards recovery.

Drop files here or

Max. file size: 256 MB.

Optional: Attach supporting documents below.

Drop files here or

Max. file size: 256 MB.

I have attached at least one (1) quote and any relevant paperwork.*

Yes
No

I became a MIFWA Member before 31st December 2021.*

Yes
No

I agree to the terms and conditions of the Tecwyn Jones Bequest Grant Awards.*

I have read and agree with the terms and conditions.

Tecwyn Jones Bequest Form

Not sure what to do next? Get in contact with us.