Compass Fund, application

Want to know more about the Compassion Fund?

Or would you like to see the terms and conditions?

If so, you can do so here:

Compass Fund, application form

Met dit formulier kun je een beroep doen op het Compassiefonds.

Step 1 of 3

Facebook

This field is for validation purposes and should not be changed.

Name(Required)

First name Surname

Address(Required)

Street + house number Location Postal code

Email address(Required)

Phone(Required)

Stay or Activity(Required)

Tick what your application is about

Accommodation at It Westerhûs

Activity of Nijkleaster

Description at activity Nijkleaster

Indicate the activity involved

Persons(Required)

How many people are involved?

When staying at It Westerhûs

1- or 2-bed room?

From Date(Required)

What is the date in question?

to Date

Possibly, up to and including when?

Reason(Required)

Can you describe and justify your application to the Compass Fund?

Own contribution(Required)

How much could you contribute to the cost yourself?

Income(Required)

What is your or your joint net monthly income?

Previous application(Required)

Have you used the Compassion Fund before?

Yes

Award

Was any amount awarded at that time?

Yes

Specification

When was that and how much was allocated then?

Comments

Space for other comments or questions: