NORTH LONDON COMMUNITY FUND

Organisation name:*

Briefly describe your organisation and the work your organisation does:

We recommend a word count of 150

Equality, Diversity and Inclusion monitoring information. Please provide details regarding the diversity of your board, staff, and volunteers.

We recommend a word count of 150

Organisation type:*

Charitable TrustUnincorporated AssociationCommunity Benefit Society / Cooperative Society registered under the Co-Operative and Community Benefit Societies Act 2014Charitable CompanyCommunity Interest CompanyCompany Limited by GuaranteeCharitable Incorporated Organisation

Registration number (if applicable):

Organisation address and postcode:*

Street Address

Street Address Line 2

CityBorough

Postcode

Registered address (if different from above):

Street Address

Street Address Line 2

CityBorough

Postcode

Organisation website (if applicable):

Contact name:*

First NameLast Name

Job title:*

Phone Number

Please enter a valid phone number.

Email address:*

example@example.com

Title of proposed project:*

Will deliver project in borough(s):*

Waste type focus:

If other, please provide details:

We are providing funding for projects either up to £5,000 or £15,000. Please indicate in the box below the amount of funding you are requesting:*

Quantity of funding requested:*

Full fundingPart funding

If part funding requested, please provide co-funding arrangements. Please either attach or confirm that you can provide evidence within the period specified in the Guidance Document:

The funding period is between 1 April 2025 and 31 March 2026. Please indicate the project start and end date:

Project start date:

Date

Project end date:

Date

We welcome applications to fund new or existing projects. Which type of project is this application for?*

A new projectAn existing project

Please provide a brief outline of the project. Include where it will take place, what community it will support, activities you plan to deliver and the expected outcomes:*

We recommend a word count of 150

Please provide the outcomes and key performance indicators of the project:

We recommend a word count of 100

Please explain the deliverables of the project. Include the project design and how it will meet the desired outcomes and key performance indicators:*

We recommend a word count of 150

Please outline the project timeline and milestones:

Please advise how you plan to promote the project:*

We recommend a word count of 50

Project legacy after NLWA funding period completed:*

We recommend a word count of 100

Please upload budget breakdown using template provided:

Please upload project delivery team using template provided:

3.2 Please confirm that you hold the following documents, as applicable to your proposal:

Audited accounts or financial statementEnvironmental policy or statementHealth and Safety policyEqual Opportunities policyEnhanced DBS (required if working with Vulnerable Persons)Public liability insurance (required if using a venue or location)Employers liability insuranceRegistration / certification (if required by an approved body)Evidence of co-funding arrangements (if applicable)

The Funding Application Form must be signed by someone who has the appropriate authorisation within your organisation.

This form should be submitted by 5pm on 18 December 2024.

I confirm that to the best of my knowledge all the information contained within this form is correct.

Signature*

Date

Name*

First NameLast Name

Job title

NLWA websiteLocal council advertisingSocial media,Other

If other, please provide details

1. DETAILS OF ORGANISATION SUBMITTING THE PROPOSAL

2. PROPOSED PROJECT

2.2 DETAILED PROJECT DESCRIPTION

2.3 PROPOSED SPEND

2.4 PROJECT DELIVERY TEAM

3. ORGANISATIONAL DOCUMENTATION REQUIREMENTS

3.3 Where did you see the fund advertised?