The Stockwell / Cliffe Charitable Trust Grant Application
Status
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Submitted
Being Reviewed
Approved
Rejected
Not considered
Duplicate
Date Discussed
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Day
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Month
Year
Date
Amount Approved
Organisation Details
Name of Charity/Organisation
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Address
*
Street Address
Street Address Line 2
City
County
Postal / Zip Code
Please confirm that you are a Registered Charity in England & Wales
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Yes
No
Charity Registration Number (England & Wales)
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Year Established
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If you have a website, please enter details here
Contact Details
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First Name
Last Name
Position in Organisation
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Contact Email Address ( This email will be used for communication)
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Confirmation Email
example@example.com
Contact Phone Number (including Dialling Code)
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Brief description of your organisation
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Select the category which best describes the work of your organisation
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Advancement of education
Relief of sickness and advancement of health
Relief of those in need by reason of youth, age, ill-health, disability, financial hardship or other disadvantage
Grant Amount (Maximum £5000)
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Brief description of your application for funding
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Financial Information
Please complete the next set of questions below taking the figures as applicable from your latest accounts/certified statements, signed by the auditors/independent examiners.
What is the date of your latest audited accounts?
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Day
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Month
Year
Date
Income
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What were the total income resources as shown in your last set of accounts?
Expenditure
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What were the total resources expended as shown in your last set of accounts?
Number of employees
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Please give full-time equivalents
Number of Volunteers
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Number of Trustees
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Funding from governmental / local authority
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How much, if any, did you receive from the governmanet sources (local/government grants or contracts, including Legal Aid Agency funding) as shown in your last set of accounts?
Other funders
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Please provide the names of up to five of your main non-governmental funders e.g. trusts and foundations
What is your pence-in-the-pound ratio?
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What percentage of donations & grants is spent directly on charitable activities?
Additional Information
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Supporting Documents
Please attach the following financial documents in order to complete your application
1 Please attach your latest certified accounts.Note: We require these to be signed by the Trustees and by the auditor/independent examiner
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Please attach the forecasted/projected income, expenditure and surplus/deficit for the currentfinancial year
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Please provide an overview of your work/funding proposal. Note: using a maximum of two sides of A4 - and including, for example, background, aims and objectives, activities and achievements. The summary should be in Microsoft Word format. If you are requesting project funding, please ensure you include a budget within this document to break down the total cost of the project this funding would contribute towards
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You may also submit up to two items of publicity material that illustrate the work of your charity, such as annual reviews or leaflets:
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GDPR
General Data Protection Regulation (GDPR)The personal data collected from this application form is necessary in order to process and review your grant application, and in order to contact grantees about information relating to their grant and their relationship with the Trust. We will not sell or otherwise pass personal data to third parties (except as may be required by law or regulation, or directly in connectionwith the application or grant). For any further information, please contact the Trust on applications@stockwellcliffetrust.gov.uk
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