The Hiscox Foundation: Online Application Form

Charity name

Charity’s registered address

Regulatory body

Registration Number

Contact Details

Name

Role

Telephone

Charity website

Which of the following categories does the charity operate within?

Social Mobility/ Entrepreneurship

Protecting and preserving the environment

Causes Hiscox people are passionate about (please state Hiscox employee contact)

Hiscox employee contact name:

(If you have selected ‘Causes Hiscox people are passionate about’)

Hiscox employee involvement/connection with the charity:

(If you have selected ‘Causes Hiscox people are passionate about’)

Distance from closest UK Hiscox office

https://www.hiscoxgroup.com/about-hiscox/locations

Size of funding request

Up to £1,000

£1,000-£2,000

£2,000-£5,000

Does the charity have any existing relationship with Hiscox or with a Hiscox employee?

Yes

Has the charity applied to the Hiscox Foundation for funding previously?

Yes

If Yes, please provide details of when, how much, what for, and the outcome of the application.

How would a donation from the Hiscox Foundation make an impact?

Please include clarity around alignment with chosen pillar, cost breakdown for the funding request, expected number of beneficiaries and whether the funding request is unrestricted or relates to a specific project. Content should be restricted to 1,000 words or less.

Do you have a safeguarding policy?

Yes

Do you have an insurance policy with Hiscox?

Yes

Disclaimer
If your application is successful The Hiscox Foundation may wish to promote its support of your charity through the Hiscox Group website, social media and other materials. This may include case studies, testimonials or photography. By submitting this form you agree to such promotion, if funding by the Foundation is awarded.