The Hiscox Foundation: Online Application Form

Charity name

Charity’s registered address

Regulatory body

Registration Number

Contact Details

Name

Role

Telephone

Please select which pillar of giving this application aligns with:

Please provide the name of the Hiscox employee

(If you have selected ‘Causes Hiscox people are passionate about’ you must state the name of a Hiscox employee who is actively involved with the charity)

In which region does the charity operate?

What is the funding amount requested?

(Please note you may include details around more than one funding amount when further information is provided below)

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

If yes, please provide details here

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

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 breakdowns, expected number of beneficiaries and whether the funding request is unrestricted or relates to a specific project. Content should be restricted to no more than 1,000 words.)

Do you have a safeguarding policy?

Do you have an insurance policy with Hiscox?

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.