You can review your completed application here. If you are happy with it, 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 application and make changes. 

V

A1
*Name of organisation seeking a grant

      
A2
Address of organisation
*Address1:      
  Address2:    
  Town:    
  County:    
  *Postcode:    
A3
*Please include a day-time telephone number

        
A4
What is your organisation's website address?

      
A5
If a registered charity or a Community Interest Company (CIC), give number.

      
A6
*Name of the person completing this form on behalf of the organisation

         
A7
*What is the position of the person completing this form?

      
A8
*Contact email of the person completing the form

      
A9
Contact address for correspondence ONLY if different from the Address of Organisation above
Address1:      
  Address2:    
  Town:    
  County:    
  Postcode:    
A10
*Please give a brief description of what your organisation does

      
A11
*Have you applied to the Shanly Foundation before?

      
A12
If yes, were you awarded funds?

      
B1
*Please tell us how you heard about the Shanly Foundation

      
B2
*What is the reference name of your project?

      
B3
If your project is in the South East of England select the counties in which your project will mostly be delivered in?

      
B4
*Please enter the location where your project will be delivered e.g. a specific town

      
B5
Is your grant needed for a project / event? If so, please provide details
(maximum 2000 characters, approximately 250 words)

      
Event location

      
Event date

      
B6
*Please chose which sector best describes your project

      
B7
*Please give details of the project activities - its long term goals, and what evidence you have of why you feel you are uniquely placed to provide and achieve these
(maximum 2000 characters, approximately 250 words)

      
B8
*How have you consulted with potential service users / beneficiaries?
(maximum 800 characters, approximately 100 words)

      
B9
*What are the key outcomes, the positive changes that your project will bring about?
(maximum 800 characters, approximately 100 words)

      
B10
*How will you measure and report on the these outcomes (positive changes)?
(maximum 800 characters, approximately 100 words)

      
B11
*When will the project start?

      
B12
*When will your project finish?

      
B13
*Tell us the estimated number of direct beneficiaries for this project

      
B14
*How much do you anticipate the total cost of the project to be?
(please enter numbers only, no commas)

      
B15
*Please tell us about everything you need to deliver your activities. You will be asked to attach a full break down of costs later in this form (D2)

      
     
B16
*What funding band are you applying in?

      
B17
*How much are you applying for? Please round up your answer to the nearest £5.
(please enter numbers only, no commas)

      
B18
*How much have you raised to date?
(please enter numbers only, no commas)

      
B19
How did you raise these funds to date?
(maximum 800 characters, approximately 100 words)

      
C1
*When was your organisation founded?

      
C2
*How many paid full-time (or equivalent) staff are in your organisation?

      
C3
*How many volunteers does your organisation have?

      
C4
*Is your organisation registered for VAT?

      
Do you have the following policies?
     
C5
*Equal Opportunity Policy

      
C6
*Child Protection Policy

      
C7
*Safeguarding Policy

      
C8
*Public Liability Insurance

      
C9
*Please give us your organisation's total income in the last completed financial year (including restricted income)

      
C10
*Please give us your organisation's total expenses in the last completed financial year

      
D1
*Please upload a copy of your latest annual report and accounts

        
     
D2
*Please provide a full break down of the cost stated in B14 and upload your document here

        
     
D3
Project Delivery Plan
If you are applying for a grant equal to or greater than £10,000 you must attach a Project Delivery Plan here

       ?
D4
Please add any other relevant supporting documents here

        
E1
*If you are successful in your application, we will issue payment as a cheque. Please provide Payee details here

      
F1
*I certify that to the best of my knowledge and belief the information provided on and with the application form, including the eligiblity questions, is accurate and complete and that no material information which could affect the outcome of this application has been, or will be, withheld or otherwise omitted.

      
F2
*I certify that I am authorised to submit this application on behalf of the organisation/
charity/project seeking a grant from the Shanly Foundation.

      
F3
*The Foundation may publicise details of awards made to organisations or projects. If this application is awarded a grant, I hereby authorise the Shanly Foundation to include details of the project in the Foundation's publicity along with any photos submitted as part of this application or taken as part of the grant monitoring process.

      
F4
*We agree to contact the Shanly Fundation before using any details of our award for publicity purposes.

      
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