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22 What are the age ranges of the people who will benefit from your<br />

activity<br />

Mark all r<strong>el</strong>evant boxes.<br />

Children under five<br />

Children (five to 11)<br />

Youth (12 to 19)<br />

Young adults (20 to 24)<br />

Adults (25 to 64)<br />

Adults (65 and over)<br />

All age ranges<br />

23 Is the activity you are planning directed at, or particularly r<strong>el</strong>evant<br />

to,<br />

any of the following groups of people Please mark any r<strong>el</strong>evant<br />

boxes.<br />

Disabled people<br />

Asian or Asian British (includes Bangladeshi, Indian, Pakistani<br />

or any other Asian background)<br />

Black or Black British (includes African, Caribbean)<br />

Chinese<br />

Irish<br />

Any other ethnic group<br />

(Please describe b<strong>el</strong>ow in no more than 10 words.)<br />

24 Please give details (in no more than 10 words) if your proposed<br />

activities have any particular focus that we should know about, for<br />

example, ‘My work is in a hospital setting’ or ‘This activity includes<br />

working with young offenders’. This h<strong>el</strong>ps us to decide who will<br />

assess and comment on your application, and also to identify<br />

examples of activities we have funded for use in reports and<br />

publications.

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