* 1. What is the name of your suggested charity?

* 2. In which area(s) does this charity primarily operate?

  Primary Involvement Also Involved In
Arts, Culture, Humanities
Education & Research
Human Services & Community Development
Human & Civil Rights
International (inc. disaster relief)

* 4. Are there any high profile supporters of this charity who you're aware of? If so, please list any and all below.

* 5. What is the nature of your connection to this charity? (You can pick more than one answer)

* 6. Please fill in your details if you would be happy for us to contact you with regard to facilitating an introduction to the charity: