Grant Application Form

Grant Application Form
Please save your answers as you go by clicking on the 'Save' button at the end of this form.
Step-by-step guide to saving your answers:
1. Which grant are you applying for?
Please re-type the name of the grant you're applying for (for our admin purposes!)
2. Have you applied to Leeds Older People’s Forum or Forum Central before?
If you wish to apply for two or more open grants on this application form please select one grant from the options above. Then select 'Yes' on question 26 and follow the instructions in question 26a to upload a document containing your additional grant application(s).
3. Name of Organisation/Group
4. Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
5. Name of the person completing this application
Please include your title if you wish to do so.
6. Role within the organisation
7. Email address of the person completing this application
example@example.com
8. Phone number of the person completing this application
About your organisation:
9. Please select your organisational structure
9a. If you selected 'Other' please describe
10. Registered number(s) e.g. Charity Commission, Companies House, etc
11. Briefly tell us the aims of your organisation and what you do (up to 150 words)
About your funding request:
12. Please tell us what this funding request is for in no more than 20 words
13. Please describe the project, service or activity you are asking us to fund
14. Why is this project / service / activity needed?
15. Who will benefit from this project / service / activity?
16. What difference will your project / service / activity make to the lives of those who take part?
17. Approximately how many people will benefit from your project, service or activity?
18. (Optional question) If you would like to, please tell us about your beneficiaries
19. Where will your project / service / activity take place?
20. When do you expect the project / service / activity to start? (month and year)
Start date
20a. When do you expect the project / service / activity to end? (month and year)
About Money
21. How much money are you requesting for your project / service / activity?
21a. 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 it will be secured.

22. Outline budget for project / service / activity

Rows	Amount	Description
1
2
3
4
5
6.

23. Space to add more information about your finances or budget if you need to
24. (Optional question) Amount of current unrestricted / free reserves
(An organisation’s funds available which aren’t tied to a specific project or purpose)
25. Does your organisation have a bank account
25a. If your organisation does not have a bank account, please explain who will hold the funds you are requesting
About your application
26. Are you applying for two or more grants on this application form? For example, if you are applying for two grants under two different strands of a larger grant programme, or two separate grants rounds that are open at the same time
26a. Please upload a Word document for your additional application(s) or send it to us via email using the contact details at the end of this form. On the document you only need to provide answers to question 1 ('which grant are you applying for?'), question 3 (Name of organisation) and questions 12 – 23 to tell us about the new project / service / activity

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If your funding application is successful:
27. Who will sign the grant agreement on behalf of your organisation?
Please include their title if necessary.
28. What is their role or position in your organisation?
29. What is their email address?
example@example.com
30. Name of bank account into which the funds will be paid
31. Name of bank/building society
32. Bank account number
This number is 8 digits long
33. Bank sort code
This number is 6 digits long
Your declaration
34. Please sign here (an electronic copy of your signature is acceptable) to confirm that:

● You are authorised to make this application on behalf of your organisation

● The information provided is accurate and true
Signed
If you are unable to sign please tick the box below to use your name (as written in question 4) as your electronic signature.
Date

DayMonthYear
(OPTIONAL) Feedback on this application form
Using a common application form to apply for all our grants is a new way of working for Leeds Older People’s Forum and Forum Central. We’d really appreciate your feedback on this application process (likes, dislikes, suggestions, ideas) to help us improve the experience of grant applications.
Thank you for taking the time to complete this Common Application Form. Please click the 'Submit' button below.
Should be Empty:

Grant Application Form

About your organisation:

About your funding request:

About Money

About your application

If your funding application is successful:

Your declaration

(OPTIONAL) Feedback on this application form

Thank you for taking the time to complete this Common Application Form. Please click the 'Submit' button below.