Grant Application Form

Organisation Name (by which your charity is normally known)

Legal Name (if different from above)

Charity/CIO Number (if applicable)

HMRC Reference (if CASC or exempt charity)

Company Number (if Community Interest Company)

Organisation Address

Website

Telephone Number

Member of London Youth

Member of Young Hammersmith and Fulham

Annual Income (approx.)

Name

Job Title (Position in Organisation)

Email (this will be our main way of contacting your organisation)

Telephone (if different from organisation number above)

Title (in no more than 10 words)

Start Date (1st April 2026 or later)

End Date

Number of young people benefiting

Age range of young people benefiting

Are there any fees for participants?

If yes, how much per session

How will the young people be recruited and selected

Where will activities take place

Description of the work for which you are seeking funding

Budget Information

Salaries

Activity costs

Office and running costs

Support costs

Capital expenditure

Total Expenditure

Amount Requested

Amount to be secured from other sources

Outstanding Balance Details

Confirmation Statement

I confirm that the information provided in this application is accurate

I have permission to submit this application on behalf of my organisation

I have read the guidance and completed the application form in full

I have attached our latest statutory accounts – and most recent management accounts if the statutory accounts are over 6 months old

I have attached our current Safety and Safeguarding policy and procedures

I have attached a copy of our Health and Safety, Data Protection and Equality, Diversity and Inclusion policies.

The project will benefit children and young people aged between 8 and 25 based in the Hammersmith and Fulham area

I attach a copy of a recent bank account statement in the name of the charity with requires at least two unrelated signatories to authorise payments

There are at least 3 unrelated people on our Board of Trustees/Directors

We have appropriate insurance in place for the activities undertaken e.g. Public Liability, Employer Liability and Directors and Officers Liability (as appropriate)

Grant Conditions