Yorkshire Common Application Form
THE TALBOT TRUSTS
Indicates this section MUST be completed
Name
First Name
Last Name
1. Name of Organisation/Group
*
2. Address
*
Street Address
Street Address Line 2
City/Town/ Village
Website/social media
Postcode
3. Details of contact person
*
Title
Name
Position
4. Main contact number
*
5. Second contact number
6. Email
*
example@example.com
7. Do you have any communication needs? (e.g. BSL, large print)
By entering information in the box above you give your consent for [name of funder] to hold this information. See Privacy Notice for more details.
8. Please select your organisational structure
*
Informal group/community group
Registered charity
Charitable Company limited by guarantee
Community Interest Company (CIC) Limited by guarantee
Charitable Incorporated Organisation (CIO)
Community Benefit Society
Other
9. If you selected other, please describe
10. Please provide registered number(s) (charity/company etc)
11. Please briefly tell us the aims of your organisation and what you do (up to 300 words)
*
0/300
12. Please tell us the number of:
*
Number
Trustees/directors/committee/governing body members
Full-time and part-time equivalent staff
Volunteers (excluding those listed above)
13. Please describe the project, service or activity you are asking us to fund (up to 500 words)
*
0/500
14. Why is this project, service or activity needed? (up to 300 words)
*
0/300
15. Who will benefit from this project, service or activity? (up to 100 words)
*
0/100
16. How many people do you think will benefit from your project, service or activity?
*
17. Where will your project, service or activity take place? NB: This must be within Sheffield or the surrounding area or your application will be rejected
*
18. What difference will your project, service or activity make to the lives of those who take part? (up to 300 words)
*
0/300
19. When do you expect the project, service or activity we are funding to start? (month and year)
*
20. When do you expect the project, service or activity we are funding to end? (month and year)
*
21. How will your project, service or activity help to meet our aims/priorities?
*
0/100
22. About Money - please tell us what your project, service or activity will cost
*
Amount
Total project/service/activity cost
How much are you asking us for?
23. If you are asking for less than the total project/service/activity cost, please tell us where the rest of the funding is coming from and when you hope that will be secured
24. Budget for project/service/activity
*
Item
Amount
Description
1
2
3
4
5
6
7
8
9
10
Total
25. Please tell us what you think your income will be for the current financial year
*
26. Please tell us what you think you will spend in the current financial year
*
27. Is there anything else you want to tell us about your finances going forward?
28. Amount of current unrestricted/free reserves
*
29. Have you applied to our organisation before?
Yes
No
Don't know
30. Where did you hear about our organisation?
Please upload these supporting documents: 1) Most recent, audited or authorised statement of accounts 2) A copy of a recent bank statement (if accounts are not available) 3) Include photos and any additional documents you feel show the work you do.
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By signing this form you are confirming: 1) You are authorised to make this application on behalf of your organisation 2) The information provided is accurate and true 3) Your application has been authorised by the governing body of your organisation
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