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Grant Application Form


Please read our Guidance Notes and Advice for Applicants before completing the form.


1 Organisation Details






Address of charity (as recorded with OSCR)







Please provide the following staffing details 









 

Page 2


2 Authorisation and Bank Details


This section must be completed by a member of your charity's committee/board (not the Chief Executive or a member of staff). All correspondence will be sent to this individual using the charity email address provided above.








If you want to find out more about what we do with your data, you can access our Privacy Notice here: https://www.corra.scot/privacy-notice

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3 Application Contact Details

We will want to discuss your application by telephone/Skype or through a visit to the project. Please tell us who to contact and where any possible visit would take place









Page 4

4 Reference


Please provide the details of an individual who is independent of your organisation but knows your work well and would be happy to talk to us






Page 5

5 Financial Information

Please summarise the last three years' financial accounts below (refer to guidance notes)
Year 1 (most recent) Year 2 Year 3
Financial Year-End
Total Income 
Total Expenditure 
Unrestricted/                                                        General Reserves
Cash in bank/on hand

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6 Funding Request














Page 7

We would recommend that you read the guidance notes before completing this section. 

7 Outcomes 


Please describe the two most important changes or outcomes that this funding will lead to for the people you work with







8 Monitoring and Evaluation 

Page 8


9 Costing 



(a) Detail and breakdown of cost (over next 12 months)

Description Amount (£)
Cost Item1
Cost Item2
Cost Item3
Cost Item4
Cost Item5
Cost Item6
Cost Item7
Cost Item8
Cost Item9
Cost Item10

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10 Funding in Place 

Please detail any funding that you will receive from other sources towards these costs Funding already in place or commied
Fund in place  Amount (£) 
Funding 1
Funding 2
Funding 3
Funding 4
Funding 5
Funding 6

Please now calculate your shortfall = total costs less total funding already in place 


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11 Other Funding Sources

Please detail pending applications to other funding sources for this appeal
Pending Application  Amount (£) (if known) Decision Date(dd/mm/yyyy)
App1
App2
App3
App4
App5

12 Additional Information

Page 11

13 Enclosures 


Please make sure that you have enclosed copies of the following documents with your applications:




 
Before you send your application, preview will let you review all your answers.  You can also print a copy of  your completed form. 
The Corra Foundation is a charity registered in Scotland (No SC009481) and is also a company limited by guarantee (No SC096068). Fortify Social Enterprise CIC is a community interest company registered in Scotland and is also a company limited by guarantee (No SC5074457) Riverside House, 502 Gorgie Road, Edinburgh EH11 3AF.  The Corra Foundation was previously called Lloyds TSB Foundation for Scotland.