Below is the application form.

 

If you are submitting your application, review your answers and if you are happy with your application, click 'Submit' to send it to us. Once you have clicked the Submit button you will not be able to make any further amendments to your application. Click 'Amend' to return to your form and make any changes.V

 

V

A1
*Name of organisation

      
A2
Organistation address
*Address 1:      
  Address 2:    
  Town:    
  County:    
  *Postcode:    
Main Contact Details
     
A3
*Name
(title, first name, last name)

         
A4
*Position

      
A5
*Telephone

        
A6
*Mobile

        
A7
*Fax

        
A8
*Email
(This email address will be used to send you an acknowledgement and a copy of your application form when you have finished your application.)

      
Alternate Contact Details
     
A9
*Name
(title, first name, last name)

         
A10
*Position

      
A11
*Mobile

        
A12
*Email

      
A13
*What are your organisation’s main or current activities?

      
A14
*What is the legal status of your organisation?

      
A15
If you selected 'Other' please give details
(maximum 160 characters, approximately 20 words)

      
A16
Charity number
(if appropriate)

      
A17
Company number
(if appropriate)

      
A18
*When was your organisation established?

      
A19
*Are you part of, or affiliated to, a larger organisation?
(Select as appropriate)

      
A20
If yes, please give details

      
A21
How many people are involved in your organisation?
     
*Full-time paid staff

      
Part-time paid staff

      
Volunteers

      
Management Committee members

      
A22
What was your organisation’s total income in the last three years?
     
i)
*2016/17

      
Notes

      
     
ii)
*2017/18

      
Notes

      
     
iii)
*2018/19

      
Notes

      
     
A23
Bank account details
(This should be an account in the name of your organisation with at least two signatories.)
     
Name of Bank/Building Society

      
Account name

      
Account number

      
Sort code (enter numbers without dashes, i.e. xxxxxx)

      
If you are successful in your application, to whom should the cheque be made payable? (This should be an organisation, not an individual. If you do not have a bank account for your organisation, please provide details of a community organisation that will accept the grant on your behalf.)

      
B1
*Project name
(maximum 120 characters, approximately 15 words)

      
B2
*Please tell us about your project and who will benefit
(maximum 2000 characters, approximately 250 words)

      
     
B3
When will the project take place?
     
*Start date:

      
*End date:

      
B4
*Please give an estimated number of beneficiaries for this project

      
B5
*Please tell us how the need for the project was identified
(maximum 2000 characters, approximately 250 words)

      
B6
*How will you monitor the progress of the project and evaluate its success?
(maximum 1200 characters, approximately 150 words)

      
C1
*Have you received grant funding before from Skelton Charity?

      
C2
If Yes, please give date:

      
C3
*How much are you requesting?

      
C4
*Are you seeking further funds from any other organisation?

      
C5
If yes, please give details of the amount and when the outcome will be known:

Organisation Amount (£0.00) Outcome date (dd/mm/yyyy)
   
     
C6
*Please give details of the Revenue Costs for the project
(please break down as appropriate e.g. hourly rates, hours per day/week etc)

Item Cost (£0.00)
   
     
C7
*Please give details of the Capital Costs for the project
(money which will be spent on single items of equipment or asset that cost £500 or more and have a life of more than one year)

Item Cost (£0.00)
   
D1
*The constitution / set of rules of your organisation

        
D2
*Your organisation’s latest annual accounts, or income/expenditure statement for the last 12 months

        
D3
*A copy of your organisation’s most recent bank statement OR letter of confirmation from a community group that will accept funds on your behalf

        
D4
A copy of your organisation’s Safeguarding Policy if your organisation works with children, young people or vulnerable adults

        
D5
Suppliers' Costs Estimate 1

        
D6
Suppliers' Costs Estimate 2

        
D7
Suppliers' Costs Estimate 3

        
D8
Suppliers' Costs Estimate 4

        
E1
*Signed by
(title, first name, last name)

         
E2
*Position in organisation

      
E3
*Date of submission

      
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