CHARITABLE TRUST · CHARITY REGISTERED NO. 270060 APPLICATION FOR INSTITUTIONAL GRANT CONFIDENTIAL REFERENCE FORM Please write name and address in block capitals. Please do not write in margins. Applicant: Please complete section A and give to the referee. Referee: Please complete section B and return directly to the Administrator to the Trustees. A. Name of Applicant……………………………………………………………………………………………… The above applicant has given your name as a referee in support of an application for financial help for the following project: ………………………………………………………………………………………………………………………... ………………………………………………………………………………………………………………………... Sum requested £ ………………………………… Likely duration of project ……………………………………… B. Please answer the following questions about the applicant. Your reference will be treated in strictest confidence. 1. What is your relationship to the applicant or institution applying for financial help? ………………………………………………………………………………………………………………………... ………………………………………………………………………………………………………………………... 2. To what degree can you support the application in terms of the competence of the applicant or institution to carry out the proposed project? ………………………………………………………………………………………………………………………... ………………………………………………………………………………………………………………………... 3. To what extent do you believe the applicant or institution is in need of financial support for this project? ………………………………………………………………………………………………………………………... ………………………………………………………………………………………………………………………... 4. To what extent do you believe the proposed project falls within the objects given below of Hymns Ancient & Modern Ltd Charitable Trust? ………………………………………………………………………………………………………………………... ………………………………………………………………………………………………………………………... Signature ……………………………………… Name of Referee ……………………………………………….. Address ……………………………………………………………………………………………………………... ………………………………………………… Telephone Number ...................................................................... Please bear in mind that Hymns Ancient & Modern Ltd. is a charity which exists to promote the advancement of religion and work in support of the Church of England and of those churches in communion with it and of those whose work the Church of England could aid and support. This completed form should be returned to: The Trust Grant Administrator, Hymns Ancient & Modern Limited, 3rd Floor, Invicta House, 108 – 114 Golden Lane, London, EC1Y 0TG or e mailed to trustgrants@hymnsam.co.uk. 2 OBJECTS OF THE COMPANY 1. 2. 3. The name of the Company (hereinafter called “the Association”) is HYMNS ANCIENT & MODERN LIMITED” Registered Charity Number 270060. The registered office of the Association will be situated in England. The objects for which the Association is established are:(1) To promote the advancement of religion. (2) To establish and support or aid in the establishment and support of any Charitable Corporation, Association, Institution, College, School, Society or Body whatsoever which in the opinion of Association is connected with the work of the Church of England or any Church in communion with it, and to subscribe and guarantee money for any such charitable purpose. (3) To aid and support any Charitable Corporation, Association, Institution, College, School, Society or Body which may not be in a direct relationship with the Church of England as aforesaid, but whose aims and objects are, in the opinion of the Association, such as a Church of England organization could properly aid and support.