Funding Application Form
ORGANISATION
Name of organisation
*
Type of organisation
*
Please Select
Charity
CIC
CIO
Constituted Group
Other
Other - please specify
Registered numbers
*
e.g. Registered Charity number, Company number
Address
*
City
*
County
Postcode
*
Country
*
Website
Social Media
e.g. Twitter, Facebook, Instagram
Purpose/ activities of organisation
*
Provide a summary of the main purpose and activities of your organisation (limit 100 words)
0/100
Please select one classification
*
Please Select
Arts & culture
Children & young people
Community development and participation
Education training and employment
Environment/ conservation
Health - relief & support of illness/ sickness
International development/ humanitarian aid
Older people
Prevention & relief of poverty
Safety (including, but not limited to, domestic violence, sexual abuse, modern slavery
Other
We understand you may cover a number of areas, but please select the main one relevant to this application.
Other - please provide details
*
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FINANCES
What is your organisation's annual income (in GBP)?
*
What is your organisation's annual expenditure (in GBP)?
*
What is the current level of unrestricted reserves (in GBP)?
*
What are your free reserves (in GBP)?
*
Free reserves are unrestricted funds less unrestricted assets.
Do you have any designated funds?
*
Please Select
Yes
No
Please explain what the funds have been designated for
*
Have you previously received funds from The Moondance Foundation
*
Please Select
Yes
No
Which year(s) did you receive funding and for how much?
*
STAFF AND VOLUNTEERS
Please provide numbers of staff and volunteers
Full-time staff
*
Part-time staff
*
Volunteers
*
Trustees/ Directors
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MAIN CONTACT
Name
*
First Name
Last Name
Position
*
Contact email
*
example@example.com
Contact telephone number
*
FUNDING REQUEST
Amount of money requested (GBP)
*
Please enter the number of £s requested but without the £ sign
Please include a breakdown of the money requested (above) and the duration covered
*
Start date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Duration of activity
*
Length of time the activity/project will run
This project is working in
*
Please Select
Wales
UK
USA
International
Summary of application
*
Please provide details, in no more than 500 words, of how you want to use the money - including the need, the activities and geographical location.
0/500
Expected Outcomes
*
How did you hear about The Moondance Foundation?
*
Please Select
Internet search
Previous applicant
Word of mouth
Other
Please specify
*
Please Select
Applied before - funded
Applied before - unfunded
Please specify
*
Please Select
Friend
Colleague
CVC
Other
Other - details
*
Submit
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