EMPOWER Programme 

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Before you start

You will need an electronic copy of the following documents to attach with your application:
  • Your governing document (signed by an office bearer)
  • A recent bank statement (within last 3 months)
  • We will check the Charity Commission website for your accounts, so make sure they are up to date. 
In this form, we will be asking you questions about:
  • Contact details of a main contact and your Chairperson
  • The activities of your charity
  • The funding you need, including details of your beneficiaries
  • The budget
  • Most recent financial information, including income, expenditure and reserves

To be considered for funding, all answers must be 'yes' to the following criteria. If you have any questions, please contact us at grants@halifaxfoundationni.org or 02890 323 000
 In addition, you need to have at least one year of completed annual returns published on the charity regulator website.
 Your charity is considered an "infrastructure support" organisation. 
If you haven't yet had a pre-application meeting with a member of the grants team, contact the office on 02890 323 000 to arrange. Do not continue on with the application until the meeting has taken place.  
 You will not be able to submit an application if you do not have adequate insurance cover to run your charity and activities contained in this application.
 We do not accept applications completed by a professional fundraising consultant. If you need support to complete this application, Please contact us at grants@halifaxfoundationni.org
Organisation Details
Organisation Details
Please Include Area Code
Correspondence Details (If different from above)
Main Contact Information
This should be the person who is best placed to discuss this application.
Registered Charity Details
Just the Registered Charity "Number" no pre-letters required.

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.

Target Area

Present Activities

Project Details

Please do not provide any personal details (e.g. name) of any individuals in this section.
Note: we hope to have a decision with you by end of August 2024

Project Details Cont'd

Please do not provide any personal details (e.g. name) of any individuals in this section.
Please note two year projects will be monitored at the end of year one in order to release the funds to support year two.
Objectives - Year 1
Outline briefly up to two objectives per year for your proposed project and how these will be achieved

Objectives - Year 2
Outline briefly up to two objectives for your proposed project and how these will be achieved

How many Groups will benefit from your project each year?
For example, if the same people will benefit each year, only record them once.

Funding Required

PLEASE NOTE: We envisage that demand will outstrip our EMPOWER budget. Please be realistic and only apply for what you need. Your assessor will discuss your budget with you. Please inform them if you do not believe the project will be viable if awarded a reduced amount.

In the form below, please provide a detailed breakdown of the costs you require for each year for this project. Budget items must be 'at actual cost' to the organisation, and not inflated or marked-up. You may apply for up to £20,000 in total. If applying for multi-year support, the amount must not exceed £20,000 over the two years.

Applications with limited information in this section will not proceed to full assessment.

Please enter amounts rounded up to the nearest pound.

Example 1;
Item or Activity: Community Development Officer salary: 5 hours per week x 40 weeks x £21.35 per hour
Amount Requested:  £4,270

Example 2;
Item or Activity: Workshop facilitation: 3 hours x £35 per hour x 10 workshops 
Amount Requested:  ££1,050

Year One
Year one - Item or Activity
Year Two
Year Two - Item or Activity
Grand Total

Living Wage Friendly Funder

The Halifax Foundation for Northern Ireland is a Living Wage Friendly Funder. 

To find out more click here


Financial History

Please provide financial information relating to your most recent signed 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
Negative values should be proceeded by a minus sign, e.g. -2500
Financial History (Most Recent)
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.

Supporting Documents

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

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

Please provide the most recent bank statement of your main account . It must be within the last 3 months. This is where we  will pay your grant should you be successful.

If you are applying for a grant towards salary costs.


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
Include area code
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 importantwithout 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.