Name of organisation
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of honorary treasurer
*
First Name
Last Name
Address of honorary treasurer (if different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Daytime telephone number of honorary treasurer
*
Please enter a valid phone number.
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About your organisation
Grants can only be made to Registered Charities or to organisations that perform charitable activities
Charity Number (If your organisation is a registered charity)
If your organisation is not registered as a charity – Please enclose a copy of your constitution
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Is your organisation part of or affiliated to any national or regional body
*
Yes
No
Is your organisation, or the activity for which you are seeking a grant, a new body/activity, or been operating for more than fifteen months?
*
New body
More than fifteen months
Who/What your group helps (Tick below as appropriate)
*
Animals/Wildlife
Arts/Culture
Children
Environment
Elderly People
Ethnic Minorities
Poor/Disadvantaged
Substance abuse
Victims of Crime
Young People
Learning Difficulties
Family Deprivation
Homeless People
Mental Health
Offenders/Ex-offenders
Physically/Sensory
Disabled
How your group helps (Tick below as appropriate)
*
Accommodation
Carer/Support respite
Training/Personal Development
Advice/Counselling
Community Safety
Environmental Improvement
Advocacy
Health Care
Recreational/Therapeutic activity
Animal Care
Sports
Arts/Leisure
Social Welfare
Campaigning
Other
Transport
If you have selected 'Other', please specify below...
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Funding & banking
NOTE: if you bank with a credit union, please check whether cheques need to be made outto the name of the credit union
Title of account
*
Name and address of bank
*
About the grant being soughtDetails of the project/activity for which grant-aid is being sought
*
Note - Any grant awarded must be used to benefit Warrington Borough
Amount of grant being sought. Please itemise the cost of each element of the grant
Are all your funds raised through your own fund-raising efforts?
*
Yes
No
If 'no' what elements of your work are funded from other sources?
Please enclose / attach a copy of your organisation’s:
Most recent annual report
Audited accounts or financial statements as stipulated in paragraph 5(c) of the Grant Aid Criteria
Constitution (if not a registered charity)
.
*
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Please note the trustees will be unable to consider applications where any of the above documents are not submitted where required.
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Name of the person able, if necessary, to deal with any queries, including financial information, shown in the application.
First Name
Last Name
Email
*
example@example.com
Telephone number of the person able, if necessary, to deal with any queries, including financial information, shown in the application.
Please enter a valid phone number.
Date
*
-
Month
-
Day
Year
Date
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