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North American Charity Pot Application Form

Thank you for contacting LUSH about Charity Pot funding. We are always thrilled to receive new applications from charities and other good causes. All funding comes from the sale of the Charity Pot, a hand and body lotion that retails at $20.95. Every penny from the sale of each pot (minus the taxes which go to the government ) goes directly into the Charity Pot Fund which is distributed to a variety of hand-picked groups and projects. The recipients of the Charity Pot funds are a selection of recommendations by LUSH employees and customers and direct applications from groups.

Please read through our guidelines carefully before completing this application form. You can see our guidelines on the Charity Pot website: www.lush.com/charitypot/guidelines. Previously funded projects are also listed here which will give you a good idea of the kind of projects we are interested in.

We have tried to keep the application form as brief as possible, whilst still ensuring we get the information we need to make decisions about funding and to be accountable to our customers. If there is any missing information that we need, we'll just give you a call.

We'll review your application as soon as possible and we will be in contact if your project has been selected. We wish you every success with your valuable work!

Online Entry Form

1. Contact details

Name of organization*
Contact person*
Address*
Telephone number
Email*
Website*

2. Financial/ organizational information

Number of staff*
Annual income/ expenditure*
What are your main sources of funding?*

3. Your organization

Mission statement/ vision (approx 50 words)*

Activities Please describe your current programs/ how your organisation achieves its aims. (approx 200 words) *

Background information Please give a brief background on your organization; this should include your history, main principles, and recent successes. (approx 150 words) *

4. The Project

Project justification Please describe why your project is needed; what problem does it address? (approx 150 words) *

Objectives of your project Please describe the objectives (aims) of your project. (50 words) *

Target group Please describe who/ what your project will help. *

Where will the project take place? *

Activities For each objective, please briefly describe the activities required to achieve it. *

Expected results Please describe what you expect the results of your project to be; how will you have improved the problem you described in the project justification? (approx 200 words) *

Budget Please give a detailed budget for the project and relate this to the project activities where possible. If you have secured funding from elsewhere, please give details. Please note, we usually only fund projects up to $25,000. *

References Please give contact details of two other organizations that you work with who can provide a reference. *

I certify that the information given in this application form is correct to the best of my knowledge.

You can also download this application form and email the completed form to charitypot@lush.com.


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