Islington Council's Community Chest application form

Islington Council's Community Chest is funded by Islington Council in partnership with Cripplegate Foundation.

We actively seek to fund projects which reflect the diversity of the borough. The Community Chest is inclusive of all people regardless of their age, culture, disabilities, ethnic origin, gender, nationality, race, religion or sexual orientation.

Please ensure that you have read the guidelines before making an application. If your organisation has an annual turnover of more than £50,000 please contact us before making an application.

Please note that where word counts are indicated, these are for a rough guide only.

You can download a PDF version of this form for reference - but please submit your final version through this online portal.

You can save your application and come back to it at any time.

If you have any questions or wish to discuss your application, please don't hesitate to get in touch.

Please complete our Eligibility Quiz before filling in an application form

	Yes	No
Does your organisation have a management committee with at least three unrelated members?
Does your organisation have a constitution or governing document?
Does your organisation have a bank account?
Does your organisation have an annual income of less than £100,000?
Does your organisation work with Islington residents?
Have you applied to Islington Council's Community chest for funding within the last 12 months?

Page 2

Contact Details

Organisation Details

Organisation name

Address

Street

City

Post code

Phone

Website

Email Address

Primary contact for this grant

Title

First Name

Last Name

Job title / Position in organisation

Work Phone

Mobile Phone

Email Address

Contact Address (if different from main organisation address)

Street

City

Post code

Page 3

About your organisation

1. What is the legal status of your organisation?

If you selected 'Other', please give details:

2. What year was your organisation established?

3. What are the aims and objectives of your organisation?

100-200 words

4. Please list the names and positions of all members of your organisation's governing body, (if not included in your attached accounts):

5. Please describe your organisation's approach to safeguarding:

200-300 words

6. Please describe your organisation's approach to risk management, including what relevant insurance cover you have in place:

100-200 words

7. How many people have directly benefited from your organisation's work or services in the last 12 months?

8. What was your organisation's total income in your last financial year?

Please give the figure for the most recent financial year, even if your attached accounts are older.

9. Please tell us how your organisation was funded in your last financial year (if not included in your attached accounts):

We would like to know how much of your income came from statutory funding / trusts and foundations / membership or user fees / other sources. Please also list any single sources of income that account for more than 10% of the total.

10. How many full time staff do you employ?

11. How many part time staff do you employ?

12. How many people have volunteered for your organisation within the last 12 months?

Page 5

The difference you will make

1. What difference will your project make to the people you work with?

400-500 words

2. Please describe how you will know what difference your project has made:

400-500 words

3. How will you ensure the positive outcomes of your project can be sustained for the people you work with?

300-400 words

Page 6

Your budget

1. What is the total budget for your project?

2. How much money are you requesting from this fund?

We require a detailed breakdown of the full costs of the project, including details of how any other funds will be raised. Please use the Budget Breakdown form to detail the costs and remember to upload it at the end of your application with the other documents required. If you prefer, you may upload a budget in your own format.

Page 7

Working with us

Please tell us anything else you would like us to know about your project and how it will benefit Islington residents:

How did you hear about Islington Council's Community Chest?

Declaration

Information in this form will be used for assessment and monitoring purposes. Some details will also be recorded on a database, which will be used to gather general information that may be made public. However, individual details will not be made public without permission. If you would like to discuss this further, please contact Islington Giving.

By submitting this application you are declaring that an appropriate member of your organisation's governing body has read and agreed to the above, and has approved the contents of the application.

Your name:

Your position in the organisation:

Supporting documents

Please attach the following documents.

If you have previously applied for a grant from Islington Giving, Cripplegate Foundation or Islington Council's Community Chest and your governing documents have not changed, you can skip attachment 1.

To attach a file, click the 'Choose File' button and select the file you need.

To change the file (eg, if you accidentally attach the wrong document), just click the 'Choose File' button again and select the correct file. This will replace the first file.

To remove a file without replacing it, click the 'Choose File' button and then click 'Cancel'.

1. Constitution or governing document

2. Recent bank statement

Please ensure the uploaded document clearly shows the bank name, bank account name, account number and sort code.

3. Annual accounts for the most recent year available

You may attach draft accounts if a final version is not yet available.

4. Project budget

5. Safeguarding Policy

Islington Council's Community Chest application form

Page 2

Page 3

Page 4

Page 5

Page 6

Page 7