You can review your answers to the form questions here. If you are happy with your application, click 'Complete' to send it to us. Once you have clicked the Complete button you will not be able to make any further amendments to your application. Click 'Review' to return to your form and make any changes.
A1 *Name of organisation
     ?
A2 Your organisation address *Address1:      
  Address2:    
  Address3:    
  Town:    
  County:    
  *Postcode:    
A3 *Please select what type of organisation you are
     ?
A4 Enter registered charity or company number
     ?
A5
If you are not a registered charity or company, please click YES to confirm that you are registered for tax purposes in the UK only. This is a legal declaration and you must read the Help text for this question to ensure you are making the appopriate declaration.

Please see the Help text for more information
     ?
A6 *Year Established
     ?
A7 *Telephone number
If you only have a mobile number, enter this here.
        
A8 Mobile Number
        
A9 *Contact name
         
A10 *Your email address
     ?
A11 Your address *Address1:     ?
  (If this address is the same as the Organisation address, please leave blank) Address2:    
  Address3:    
  Town:    
  County:    
  *Postcode:    
A12 *What is your Job Title in the organisation?
      
B1 *What does your organisation do?
(2,700 characters)
     ?
B2 *Please tell us about your local area and its problems
(2,700 characters)
     ?
B3 *The Impact of Your Work
(2,700 characters)
     ?
B4 *Total number of clients/users of your services in the past 12 months
     ?
B5
*Describe the building project or equipment/vehicle purchase for which you are applying for a grant

(2,700 characters)
     ?
B6 *How many users/clients will benefit from this work or service over the next 12 months?
     ?
B7
*Why have you decided this project is needed? What new or additional services will it enable you to provide?

(1,000 characters)
     ?
B8
*What local consultations have you carried out to confirm local interest in the project with potential users, other organisations and stakeholders?

(1,000 characters)
     ?
B9
*What is your timetable for this project?

(1,000 characters)
     ?
B10
Is planning permission required?

PLEASE ANSWER YES OR NO
     ?
B11
If planning permission is required, has this been granted?

PLEASE ANSWER YES OR NO
      
B12
Do you own the building outright?

PLEASE ANSWER YES OR NO
      
B13
If you do not own the building, how long is your lease? (NB: this must be a minimum of 5 years)

Please give the number of years left on the lease
      
B14
*What is the total cost of the work or project?

The amount must be under £2M: we do not fund projects which have a higher total cost than this.
     ?
B15 *What funds have you secured to date?
Must be at least 50% of the total cost.
     ?
B16 *What is the grant amount you are requesting?
Must be between £7,500 and £60,000
     ?
B17
*Who else is funding this work?

List confirmed funders of this work
     ?
B18
*What funding applications are you in the process of making?

     ?
B19
*What was your total annual income in the most recent financial year?

     ?
B20
*What was your total annual expenditure in your last financial year?

     ?
B21
*What were the running costs of the building/vehicle or organisation in the last financial year?

Please see Help text for information on how to answer this question.
     ?
B22
*What are your anticipated running costs when the project is complete?

Please see Help for information on how to answer this question.
     ?
B23
*If running costs will increase, how will you fund these? If running costs will decrease, what will you allocate the savings towards?

(1,000 characters)
     ?
C6
If you provide no direct services to children or vulnerable adults, when did you last review the safeguarding policy and record of third party organisations with whom you have a formal connection?

(For example, you might own and run a venue used by third party organisations or you commission services from other organisations.)
     ?
C1 Please give a brief description of the way in which your organisation is governed and managed.
You do not need to give this information if your Annual Report & Accounts give a detailed description of your organisation's governance. (2,000 characters)
     ?
C2
*Tick to confirm you have a safeguarding policy which is given to all trustees, staff, volunteers and clients

     ?
C3
*When was the written policy, plus the procedures and measures to implement it, last reviewed?

     ?
C4
*When was the last training/refresher session on safeguarding conducted with staff/volunteers?

     ?
C5
Please describe how you handled any reportable incidents within the past 24 months

(4,000 characters)
     ?
C6 Tick to confirm all your staff are vetted through the Disclosure and Barring System (DBS)
     ?
C7
Explanation of Reserves

If you have low unrestricted reserves (less than 2 months' costs) or high reserves (more than 6 months') give your explanation here
     ?
D1 *Please upload your latest annual accounts here
       ?
D2 *Please upload a budget for all the costs of the work/project for which you are applying.
(See the Help section)
       ?
E1 *Click to confirm that all the information given on this form is correct and current
Important: you must read the Help text on this question to understand your responsibilities in making this application.
     ?
      click to return