Your organisation's total income in the last financial year

How long your organisation has been operating

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The Wakefield Tetley Small Grants Fund Application Form

Name of project:

Name of Organisation:

Organisation Address:

Organisation Telephone Number:

Organisation Email Address:

Full name of contact person:

Position in organisation:

Main Contact Email Address:

Main Contact Telephone Number:

What is the legal status of your organisation?

Charity Registration Number:

Company Registration Number:

If  other, please describe:

Are you part of a larger or national organisation?

Please provide information regarding your link to the larger organisation:

When did your organisation start? If you are unsure on the exact date, please use the first of the month.

Please describe the main aims of your organisation and the activities or services the organisation provides

What are the aims and objectives of your organisation?

Please specify counts for each role category

Total

Full time staff/workers

Part time staff/workers

Management committee members/Trustees

Volunteers (excluding management committee)

How many paid staff/volunteers are involved at your organisation?

Column 1

Column 2

Project/funding start date:

Project/funding end date:

Where will the activities take place?

Please tell us what you will use the grant to deliver, including activities, timescales, recruitment and who you will engage. Where applicable, please include details of expected average daily attendance and, if working with children and young people, the child to adult ratios.<a target="_blank" rel="noopener noreferrer nofollow" href="https://learning.nspcc.org.uk/research-resources/briefings/recommended-adult-child-ratios-working-with-children">Recommended adult to child ratios for working with children | NSPCC Learning</a>

What activities will you deliver with this funding?

If your organisation or initiative is new, what experience do the people who will work on your proposed project have in delivering similar activities?

Please tell us your experience of delivering similar activities:

Please tell us what needs you have identified and detail how you have identified these e.g. participant feedback, community consultation, demand for current services, needs research etc.

What are the needs of your community and how do you know that people want this project?

Please select the main difference your project will have for participants:

This is an optional question for you to tell us about any changes you want to see.

Please tell us about any other changes your project will make to the lives of the participants:

e.g. one-to-one interviews, focus groups, surveys, questionnaires, discussion groups, case studies etc...

Please explain how you will measure and report on the positive changes made?

Please enter the number of people who will directly benefit from the project/activities i.e. the participants

How many people will benefit from this funding?

Please select a single option to represent the primary beneficiary group for this grant.

Primary beneficiary group:

Primary age group:

If other, please confirm the alternative age range.

Please select a single option to represent the primary ethnic group who will benefit from this grant

Primary ethnic group:

What is the total cost of the project? (£)

How much are you requesting from us? (£)

How much has been raised so far? (£)

Please tell us the source of funding, the amount sort and the outcome date if applicable.

Please give details of any funding raised so far or any funding you have requested:

Will participants be asked to contribute financially?

If yes, please give details of participant contributions:

Enter the total cost, requested amount, and description breakdown for staff, capital, overhead, volunteer, operational, and publicity costs.Please click [] to open the table in full screen or scroll across to complete the breakdown column.

Requested Amount 

Total Costs 

Breakdown

Staff costs 

Volunteer Costs

Operational/Activity Costs 

Office, overhead, premises costs

Capital costs (equipment)

Publicity costs

Other costs

Please provide a budget breakdown:

How many unrelated management committee members or trustees does your organisation have?

Use figures from your most recent annual accounts or projected cash flow forecast

What is the total annual income of your organisation?

What unrestricted reserves does your organisation hold?

Total Unrestricted Funds Reserves (£):

To enable us to consider your application, you must attach relevant supporting documents to your application. Alternatively, you can send these by email to grants@eastendcf.org. All documents must be submitted by the application deadline, and your application may not be considered if supporting documents are missing. If you have submitted these documents recently and they are unchanged there is no reason to resubmit them. 

Constitution or Articles of Association 

Equal opportunities policy

Approved accounts or if you are a new organisation your current budget

Bank statement dated within the last three months (only required if your bank account name is different to the organisation name)

Adult Safeguarding Policy (if relevant) 

Children Safeguarding Policy (if relevant)

Please complete the below boxes to confirm the following:That you are an authorised representative of the organisationThat to the best of your knowledge, the information provided on the application form is correctThat if a grant is awarded, it will be used exclusively for the purposes described

Declaration Confirmation

Declarant Name

Declarant Position in Organisation

Declaration Date

Primary gender:

We are continually trying to improve our grant making any feedback either positive or changes we can make we would like to hear from you.

Do you have any feedback regarding this application process?

Mailing List 

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