William Wright Memorial Fund: Grant application form

If you’ve been an Accord member for at least 5 years and would like to apply for a grant, please complete the application form below

A. Details

First name*

This field is required

Surname*

This field is required

Employee Number / ID*

This field is required

How long have you been a member of Accord? (Years)

This field is required

What roles do you hold with Accord or have you held in the past? e.g. workplace rep (please specify dates)

Email address

Please enter a valid email address

This type of email address is internal to LBG and cannot be used externally. Please provide an external email address.

B. Workplace

Employer*

This field is required

Workplace address*

This field is required

Start typing your address Enter address manually

Contact address Change address

Address line 1*

This field is required

Address line 2

Town*

County

Postcode*

This field is required

C. Course details

Name of course*

This field is required

Cost of course*

This field is required

Why did you choose to study this course?*

This field is required

How would you like Accord to help?*

This field is required

Need help? Call: 01189 341 808 (9am-5pm)