If you are dyslexic or have difficulty working with online forms please let us know so that we can take this into consideration.

*Name of organisation seeking a grant

*Please include a day-time telephone number

What is your organisation's website address?

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

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

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

*Contact email of the person completing the form

*Please give a brief description of what your organisation does

*Have you applied to the Shanly Foundation before?

If yes, were you awarded funds?

*Please tell us how you heard about the Shanly Foundation

*What is the reference name of your project?

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

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

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

Event location

Event date

*Please chose which sector best describes your project

*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)

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

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

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

*When will the project start?

*When will your project finish?

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

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

*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)

*What funding band are you applying in?

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

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

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

*When was your organisation founded?

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

*How many volunteers does your organisation have?

*Is your organisation registered for VAT?

*Equal Opportunity Policy

*Child Protection Policy

*Safeguarding Policy

*Public Liability Insurance

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

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

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

Please submit your last 6 months managment accounts.

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

*Please submit one months bank account statement.This statement must not be older than 6 months.

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

Please add any other relevant supporting documents here

*Finance contact name
(title, first name, last name)

*Finance contact number

*Bank account name

*Bank account number
(Please enter 8 digits)

*Sort code
(no spaces or hyphens xxxxxx)

*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.

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

*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.

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