Small Grants Programme (grants up to £2,500)

IIMPORTANT NOTICE: Due to the COVID19 crisis, we have broadened our criteria temporarily. We will now consider applications from constituted groups responding to the crisis who are not yet registered as a charity with the Charity Commission or HMRC. Maximum grant award £1,000. If your group falls into this category, please complete this grant application form. 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/Constituted Group

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: the amount requested from the Foundation must not exceed £2,500.

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)

Digital Support
We may be in a position to support your charity with a PC, laptop or tablet for administration purposes. This is offered through a partnership with Computer Recyclers UK.
Tick below you wish to be considered for this support. Your Grants Officer will then discuss this with you as part of the assessment process.
Note: By ticking this box, you allow the Foundation to share your details with Computer Recyclers UK for delivery/warranty purposes.

Apply for PC/laptop/tablet

Yes

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 £

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

Bank statement

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

Safeguarding Policy

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

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.