Application for a Grant

Please use a copy of all the required details below and email it to maggiewoosterk6@gmail.com and attach a copy of your governing document and a copy of a recent bank statement.

Please note that if you are not personally known to us, we may wish to visit your organisation or request a copy of your Annual Accounts [audited or independently examined], evidence of DBS checks if working with vulnerable people or your latest Charity Commission Annual Report.

Please indicate your response with a cross where there is a selection.

Full name of charity or organisation…………………………………………………………………………………………………

CC number if applicable……………………………………………………………………………….

Company number if applicable……………………………………………………………………..

Full address of organisation………………………………………………………………………….

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Phone number………………………………………………………………………………………………

Web site…………………………………………………………………………….………………………….

Type of Organisation                    [UK Registered Charity]         [ CIC ]       

  [ Unregistered ]         [Other]

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Annual Income of organisation [approximately]…………………………………………….

Applicant’s name…………………………………………………………………………………………..

Position in organisation/job title………………………………………………………………..….

Contact address……………………………………………………………………………………………

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Phone number……………………………………………………………………………………………..

Email address………………………………………………………………………………………………

Project title……………………………………………………………………………………………………

Geographical area served……………………………………………………………………………..

Programme area   [Arts]  [Community]  [Welfare] [Other]    [Environment]  [Faith]  [Health] [ Youth]     [Education] [Museums and Heritage] 

Amount requested £…………………………………………………………………………………..

Type of funding required    [ Core costs] [Capital] [Project/Activity]  [Other]

If Capital costs please enter anticipated start and finish dates     Start…………………………..Finish…………………………………………………………………………

For other costs please state if there is a date by which the grant is needed

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How many people does your organisation support each year? ……………………

How many people will benefit directly from this project/work?…………………….

Is your organisation/project aimed at a specific group of people?    

[yes]      [no]

If yes please give details……………………………………………………………………………….

Please give brief details of why you need the funding, and what you will use it for, and the impact the funding would have.

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Signature of Applicant………………………………………………………………………………………………………

Please ensure that you have filled in all sections and indicated your responses with a cross where a choice is given. Please email this form to maggiewoosterk6@gmail.com along with the requested documents. If eligible for consideration, we will notify you of the trustees’ decision by email within three months following the receipt of your application. Please note that no acknowledgement will be given for applications that are ineligible.