Application for funding – Preliminary Application for funding - Preliminary Applications will be acknowledged within two weeks of receiving the application, and will be considered as they are submitted. Applicants will be notified as soon as possible after this as to whether further details are required and when a decision about funding will be made. 1 Introduction2 Proposal details3 Applicant details4 Project reporting5 Project milestones Thank you for considering PATCH as a source of funding for your project or proposal. Applications will be acknowledged within two weeks of receiving the application, and will be considered as they are submitted. Applicants will be notified as soon as possible after this as to whether further details are required and when a decision about funding will be made. The information that you supply will be kept private and stored securely until a time it is no longer required. For more information on how we store and protect your information, consult our privacy policy. This is a preliminary application and as such, we may contact you for further information. Proposal title*Proposal description*Amount of funding requested*Outline of expenditure (e.g. cost breakdown of staff, consumables, travel...etc) Name*Email* PhonePositionDepartmentInstitutionAddressUpload CV How will the outcome of the project be measured?Project reportingIf appropriate, has the relevant Health Board/organization agreed to the use of PATCH funding for the above purpose?N/ANoYes Project startProject endOutline of project milestonesNameThis field is for validation purposes and should be left unchanged.