Community Nursing Grant

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Apply for an Educational Grant

HCNC Educational Grant Application

Please fill in and submit this form
If you have any questions prior to completion, please click here.

Hertfordshire Community Nurses' Charity,
Charity number 1158593

Please complete all sections

Before proceeding, please make sure to read our data protection policy and confirm this by ticking the relevant section at the end of this form.
Name
First Last
Address
Street
Town
County
Postcode
Date of Birth
Are you a UK taxpayer?
What is your NMC pin?
What is your National Insurance Number?
Telephone
Day
Evening
Email
Qualifications
Workplace
Employing Authority
Brief description of current employment
Grade
Contracted working hours per week
Length of time that you have worked in Hertfordshire as a Community Nurse
Current percentage of your working time spent working in Hertfordshire
Manager Name

(We will contact your manager to discuss your request for funding)
Manager Tel No
Manager Email
Do you have your managers’ agreement/support?
- Yes
- No
Grant application information
Please provide details of the course/event for which you are submitting a grant application:
Title of course/event
Length of course
Estimated start date of course
Venue of course
Have you applied before for a grant and if so when and how much recieved?
Total cost
Contribution towards cost of course from your employer
Other grant application funding
Personal contribution
Have you sought all available help from NHS sources
Total amount requested from Nursing Charity
How will your attendance at this course/event contribute to your professional development?
How is this course/event of relevance to your current job role?
How will your attendance at this course/event be of benefit to patients in Hertfordshire?
Data Protection
- I confirm that I have read and understood the data protection policy.
Feedback evaluation
- I agree to completing a feedback evaluation form within 30 days of the end of the course. The form is in the Grants section of this website.
Signed
Date
Notes
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

Hertfordshire Community Nurses’ Charity Assisting working or retired Community Nurses and providing funds for projects in the county

Apply for an Educational Grant

HCNC Educational Grant Application

Please complete all sections

Address

Telephone

Grant application information

Registered Charity

Contact us

Rosemary House