JA Clark Stage 1

Climate Change and Displacement Programme

Stage 1 Application

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Programme

Organisation name*

Organisation address*

Website

Type of organisation*

If you selected 'Other non-profit', please provide details*

Charity registration number

Total income last year* £

Main contact first name*

Main contact last name*

Email*

The Project

Project name (max 25 words)*

Project location (country / region)*

Total project cost* £

Total funding requested* £

Project duration (months)*

Project start date*

What is the problem you wish to address? (Max 300 words)*

What will you do? (Max 500 words)*

What results do you expect? (Max 300 words)*