Grant Application Form

Prior to completing this form, please make sure you read the guidance which can be accessed via our website in the apply now section, link here: www.thetalbottrusts.com

1. Name of Organisation/Group*

2. Address*

Street Address

Street Address Line 2

CityCounty

Post Code

3. Website

4. Facebook Page

5. LinkedIn Page

6. Main Contact Name*

First NameLast Name

7. Main Contact Phone Number*

Area CodePhone Number

8. Main Contact Email Address*

example@example.com

9. Do you have any communication needs? (e.g. BSL, large print)

10. Please select your organisational structure*

Informal group/Community GroupRegistered charityCommunity interest company (CIC) limited by guaranteeCharitable incorporated organisation (CIO)Community benefit societyCharitable company limited by guaranteeOther (please specify below)

If 'Other' please describe your structure here

11. Registered charity number (if applicable)

12. Companies House registration number (if applicable)

13A. Please tell us the number of trustees/directors/committee/governing body members*

13B. Please tell us the number of full-time equivalent staff*

13C. Please tell us the number of volunteers (excluding those listed above)*

14. Please briefly tell us about your organisation and what you do. We want to understand your whole organisation so please tell us about all of your work even if some of it does not necessarily fit The Talbot Trusts’ funding priorities.*

Up to 500 words0/500

15. Why is your organisation needed? What are the issues you are trying to address?*

Up to 300 words0/300

16. What difference do you make to the lives of the people you support? What evidence do you have for this?*

Up to 300 words0/300

17. How do your services help to meet our priorities? Please use this answer to tell us which bits of your work fit with which of our priorities. As a reminder, our priorities are to: A) Reducing the impact of poverty with a focus on homelessness and insecure housing B) Preventing or reducing the impact of long-term health conditions by encouraging healthy choices and active lifestyles C) Improving health and wellbeing by encouraging connection with nature.*

Up to 300 words0/300

18. Who benefits from your services? Where do they come from? How do you ensure that your support is targeted at disadvantaged and marginalised members of our community? Remember that The Talbot Trusts exists to support people living in Sheffield and the surrounding areas. Please make sure that you explain clearly in your answer how many of the people you support live in this area.*

Up to 300 words0/300

19. How many people do you support each year? If you do not know exactly, please enter an approximate number*

20. How does your work fit in with other support and services available in the local area? Do you work in partnership with any other organisations?*

Up to 300 words0/300

21. Please tell us briefly about how you raise the funds you need to deliver your services (up to 200 words)*

Up to 200 words0/200

22A. Please upload your most recent published accounts. If the year-end date on these accounts is more than 12 months ago or if you do not have published accounts, please upload a summary of your income and expenditure for your most recent completed financial year. If you have not yet completed your first financial year, please upload a bank statement dated within the last 3 months*

22B. Please upload a budget summary for your current financial year showing your expected income and expenditure*

23. Is there anything else you want to tell us about your finances? Please note that if your unrestricted/free reserves at the end of your most recent completed financial year equated to more than 12 months’ expenditure we are unlikely to award you a grant unless you can provide a clear explanation for why our funding is still required and you can’t use your reserves to pay for your services instead

Up to 200 words0/200