Community Small Grants Programme

NOTE: Our average grant for this programme is currently around £2,500.

BEFORE YOU BEGIN YOUR APPLICATION, PLEASE ENSURE THAT:

1. This project fits within your charitable purpose outlined in your governing document (for more information go to https://www.charitycommissionni.org.uk/charity-essentials/covid-19-guidance/covid-19-guidance-for-charities/#PURPOSES)

2. You have adequate and up to date safeguarding policies and procedures in place to deliver this project, should this be applicable (for more information go to https://www.charitycommissionni.org.uk/charity-essentials/covid-19-guidance/covid-19-guidance-for-charities/#SAFEGUARDING)

3. You have adequate insurance cover to deliver this project

Please tick this box to confirm that your organisation meets the conditions listed above.

I confirm the above statements 1-3 are true

Organisation

This application can be saved at any time by ticking the above box and providing your email address and a password.

Name of Charity

Date Established

Organisation Details

Address

Town/City

County

Postal Code

Telephone

Please Include Area Code

Email

Website

Correspondence Details (If different from above)

This should be the address you wish all letters to be posted to. Tick here if your correspondence details are different to the above address.

Yes

Address

Town/City

County

Postal Code

Email

Main Contact Information

Title

Forename

Surname

Role

Email

Telephone

Mobile

You are currently unsubscribed from our mailing list. If you would like us to contact you in future regarding grant programmes or anything else of interest please untick this box.

Opt Out

Registered Charity Details

Charity Regulator

Registered Charity Number

Just the Registered Charity "Number" no pre-letters required.

On the CCNI Combined list

YesFor those charities that have already been registered with HMRC

Background To Charity and Present Activities

Please do not provide any personal details (e.g. name) of any individuals in this section.

Background to Charity

Please do not leave any of these fields blank. Enter 0 (zero) where applicable.

Number of Staff (Full Time)

Number of Committee Members

Number of Staff (Part Time)

Number of Additional Volunteers

Target Area

The Foundation has two main target areas - Education/Training and Social/Community Welfare.

Please pick the theme that best describes the work of your charity.

Target Community

Please pick the type of community that best describes the work of your charity.

Present Activities

Considering your activities further, please pick one that best reflects the work of your organisation

Please outline the present activities of your organisation (in less than 200 words).

Detail of Project

Please do not provide any personal details (e.g. name) of any individuals in this section.

Title of the Project

Project Start Date

Please describe your project and what you want to achieve

Description (200 word limit)

The Foundation aims to support those who are disadvantaged and/or with additional needs in the community, how do you feel this project meets this priority? Describe WHO will benefit and HOW they will benefit

Project Priority (200 word limit)

Objectives

Outline briefly up to two objectives for your proposed project and how these will be achieved

Objective 1

How will objective 1 be achieved?

Objective 2

How will objective 2 be achieved?

How many people will directly benefit from your project?

For example, if the same people will benefit each year, only record them once.

How did you calculate this figure?

Indicate the council area in which the project will take place.

How will you measure the impact of your project?

(200 word limit)

Financial Information

In the form below give a detailed breakdown of the costs you require for this project.
Please note: Our average grant is currently £4,900, however demand on our funding is extremely high at present.
Please enter amounts rounded up to the nearest pound.

Example;
Item or Activity : Tutor costs (10 weeks x 2 hours x £20 per hour)
Total Cost : £400
Amount being requested £400

Item or Activity

Name/Description

Total Cost: £

Amount being requested: £

Sub Total (Total Cost)

Sub Total (Amount Requested)

Financial History

Please provide financial information relating to your most recent completed accounts.
Please only type numbers into money boxes marked with a £.
Do not use decimals or commas and round up to the nearest pound.
For example, £5,000.00 should be entered as 5000, £50.00 should be entered as 50
Negative values should be proceeded by a minus sign, e.g. -2500

Financial History (Most Recent)

Fiscal Year

Total Income £

Total Expenditure £

Net Assets £

Unrestricted Reserves £

Please note: As per our guidance, if your charity holds unrestricted reserves of over 12 months running costs, we are unlikely to be able to support you at this time, unless funds are earmarked for a specific purpose.

Detail any significant changes in your financial position

Applicants are obliged to inform the Foundation if a Trustee or relative of a Trustee/Staff Member receives any form of payment from the charity (not including out of pocket expenses).
Does a Trustee or relative of a trustee/staff member receive payment from the charity?

Yes

Please provide details.

Please select date of your last Board Meeting.

Documents

Please upload and attach an electronic copy of the following documents.
Click 'Choose file' then attach.

Governing Document

Adopted constitution/memorandum/articles/Trust deed which have been signed by an office bearer

Most recent Signed Accounts

Most recent accounts which have been signed by an independent examiner/auditor and an office bearer.

Public Liability/Employers Liability Insurance Certificate (where applicable)

Attach the certificate(s) issued by your insurer.

Safeguarding Policy

If you support children, young people or vulnerable adults, you must attach your child protection and/or vulnerable adults policy here.

Job Description (where applicable)

If you are applying for a grant towards salary costs.

Declarations

Declaration of Chairperson
Please provide contact details for the current Chairperson of your charity. Note: If the Chairperson is listed as the main contact on Page 1, please provide details of another Committee Member/Trustee.

Chairperson/Committee Member Contact Information

Title

Forename

Surname

Role

Address

Town/City

County

Postal Code

Email

Telephone

Include area code

Mobile

By ticking this box I confirm that the above person has read the application form and I as the main contact have confirmed with them that to the best of their knowledge the information on this application form is accurate and the application has the support of the management of the organisation.

Confirm

Submission

PLEASE NOTE: This form must be completed in full and submitted with all the supporting documentation before your application can be considered by the Foundation.

Upon clicking PROCEED TO SIGNATURE you will be taken to a page where you can review the information you are submitting to us. You will also be asked to electronically sign your name either by using your mouse to 'sign' on the line, or by selecting the 'type your name to sign' option box. You must also provide a valid email address (this can be the same as you provided on Page 1 of the Application form). Once you are happy with the information provided and have filled out your ESignature for you can then click the Submit Signed Response button.

Once this is done you will receive an email with a verification link to confirm your signature. Hence the need for a valid email address. This is very important, without confirming your signature we may be unable to progress your application.

If we offer you a grant, we will publish information about your organisation including name, location and the activity we have funded (project description), date awarded and grant amount. We are proud to be working with 360Giving, helping us to share this information.