Black Thrive Application Form

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If you would like to see a preview of all the questions on the form, please click the links for Applications from Individuals or Applications from Organisations.


We do not have a word count on our forms but please be brief and concise.


Please note at the end of the form, when you click 'Submit', you will get a preview of your completed form which you can print and review before you finally submit.  Also after submission, you will get an email copy of your application form.


APPLICANT















Additional senior contact for application                                                                                                    






This contact must be different from the person completing the form. For charities, it must be a trustee (ideally treasurer or chair). For companies, it must be a director.


We define ‘led by’ as when more than 50% of an organisation’s senior leaders (trustees and managing staff) are Black

We define ‘led by’ as when more than 50% of an organisation’s senior leaders (trustees and managing staff) are disabled





We are a Living Wage Funder. We seek to ensure that all posts which we wholly or partially fund pay the Living Wage unless there are particular reasons for this not to happen. Organisations do not need to be registered Living Wage employers to apply to us but we do encourage organisations to consider whether this is a possibility for them.

A serious incident is an adverse event, whether actual or alleged, which results in or risks significant: • harm to your organisation’s beneficiaries, staff, volunteers or others who come into contact with your charity through its work • loss of your organisation’s money or assets or damage to your organisation’s property • harm to your organisation’s work or reputation





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100 characters max


The Vision


Please provide information on the context as well as any data (e.g. statistics, reports, case studies, stories of people with lived experience) which may support our understanding.

The Project


Please give details about how the project will work. If possible, please give a step-by-step account.


The Team



The Impact




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Length of Payee Name should be 18 characters max



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REFERENCES

We would like to speak to two representatives of your partner organisations (at least one should be connected to Lambeth).  By providing their names and contact details below we will assume that you will have alerted them to the possibility of our contact. Please be aware that we may undertake other conversations about your organisation or proposed project/service with individuals that we believe have relevant knowledge or expertise (e.g. experts in the field, other funders, various Foundation contacts or advisers).

Referee 1









Referee 2










DOCUMENTATION AND DECLARATION (page 5 of 5)

This grant programme is a partnership between Black Thrive, Guy's and St Thomas' Charity and Walcot Foundation.  Walcot Foundation is providing administrative support for the grant programme but assessments and decisions are made by the Black Thrive Employment Working Group. 

Please attach relevant documentation below.  If there are problems with attachments, you can send the documents to Walcot Foundation, 127 Kennington Road, London SE11 6SF or email to grants@walcotfoundation.org.uk.  Please note that the maximum size of each file is 5MB.








DECLARATION
By clicking SUBMIT below:
  • I certify that the information I have given in this application is complete and correct, and have verified the need for all items requested.  (Please note that a decision will be based on the information given on this form. If a grant is awarded and the information is subsequently found to be incorrect, any grant that had been awarded could be withdrawn and you could be asked to repay any monies already paid).
  • My organisation has no objection to the data contained in this application being held by Black Thrive, Walcot Foundation and Guy's and St Thomas' Charity.
  • My organisation has no objection to Black Thrive and Walcot Foundation discussing this application with any of the referees named by your organisation in the course of the assessment process and other appropriate organisations and individuals.
  • To help Black Thrive, Walcot Foundation and Guy's and St Thomas' Charity monitor and evaluate its work, I agree I may be contacted in the future whether or not this application is successful. This would be to obtain feedback on the programme’s work and to see if there are other ways the organisations could be of assistance.
PLEASE NOTE - when you click 'Submit', you will get a preview of your completed form which you can print and review before you finally submit.  Also after submission, you will get an email copy of your application form.