| Panel Member (If applicable) | |
| Date of Panel or Date Submitted | |
| Social Worker Name and Social Work Centre School | |
| Child’s Initials/ Swift Number (Full name and DOB can only be used after GDPR form has been signed) | |
| Grant Amount £ | |
| Purpose of Grant | |
| Benefits to the Child | |
| Brief Background (Why they are involved in the hearing system and need a grant from Kilbrandon Fund) | |
Please note that for audit compliance, once a grant has been approved and payment made, a follow-up email will be sent to the agency requesting the grant for confirmation that the purpose of the grant had been achieved. This will usually be within 6 weeks of the bank transfer.