Simon Dennis Award - Application Form

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Name of Organisation/Group:* This field is required.

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What is the legal status of your organisation or group?* This field is required.

A Constituted voluntary organisation (for example: a community group, a collective)

A charitable community benefit society (BenCom)

A registered community interest company (CIC) limited by guarantee.

A registered charitable incorporated organization (CIO)

A charity that was established and registered in the UK

A registered charitable industrial and provident society (IPS)

Other

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Please provide your group registration number if you have one* This field is required.e.g. Charity / CIC / BenCom registration number

4

Why was your group or organisation founded?* This field is required.300 words approx

0/300

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What are the current goals for your group or organisation?* This field is required.300 words approx

0/300

6

Please tell us how many people benefited from your work in the past year?* This field is required.For example: If you provide groups or services – tell us about these services and the number of beneficiaries for each.

0/400

7

If applicable, please tell us your

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Contact Person* This field is required.

9

Registered Address* This field is required.Or Registered Address of a sponsor organisation: If your group does not have a bank account, you are required to arrange a written agreement with a trusted sponsor who can accept the funds on your behalf and distribute to you for the project

10

Please upload these documents- Your organisation / group Constitution or Manifesto - Your safeguarding policy (must include named Safeguarding Officer) - Annual Report (if you produce one) If you do not have any of these documents, please attach equivalent supporting documents and tell us why you are sending these instead.

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11

Please enter the end date of your most recent financial year.* This field is required.If you do not have published accounts or have operated for less than 12 months, please specify the timeframe for your financial figures (e.g. 11 February 2025 to 16 September 2025).

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In that accounting period,* This field is required.

£

What was your total income?

What was your total expenditure?

How much did you carry forwards in unrestricted reserves?

What was your total income?

What was your total expenditure?

How much did you carry forwards in unrestricted reserves?

£

13

Please upload a digital copy of your most recent accounts OR your sponsors most recent accountsIf you have accounts for one year or less, include these as well as your sponsor accounts

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14

Name of project / work you hope to fund with this applicationif applicable

15

What will your project / work do?* This field is required.For example: What will happen and where? Are you delivering the project with other groups? Are you applying for match funding?

0/300

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What are the expected outcomes of your project?* This field is required.Tell us what your project will change. You can use words like: more, better, less, improved, prevented, reduced. Please list two to six outcomes.

17

Monitoring & Evaluation* This field is required.For the outcomes you listed in the previous question, tell us how you plan to achieve these.

0/500

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What is the overall aim of your project? * This field is required.

0/50

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Why is this needed and important?* This field is required.

0/150

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Timeline* This field is required.Please tell us up to 10 milestones with their anticipated dates. Note that the final report should be submitted no later than 12 months after funds are paid into your organisation or sponsors bank account.

Date

Project Start Date

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3

4

5

6

7

8

Activities End Date

Final report submitted

Project Start Date

2

3

4

5

6

7

8

Activities End Date

Final report submitted

Date

21

Direct Beneficiaries* This field is required.Please tell us about the people who will directly benefit from the project / work you are proposing in this application. For example: -Who are they? – volunteers / carers / displaced people / survivors / service users / project partners -Why might they choose your project / work over others? -What Borough they are resident in? -Do they need to access your project / work online or in person or both?

22

Indirect Beneficiaries* This field is required.Please tell us about the people who will indirectly benefit from the project / work you are proposing in this application. For example: -Who are they? – a particular community or neighbourhood / another community group or organisation / friends / peers / family -What Borough are they based in? -How many indirect beneficiaries do you anticipate through this project / work?

23

Anything else you want to tell us about the project / work? In this section you can tell us about anything not mentioned yet, that aligns with Spectra’s Vision: Spectra envision a world where LGBTQ+ people and people from other marginalised communities facing health inequalities, discrimination, and systemic barriers can make informed choices about their health and wellbeing. We strive for a future where everyone can access effective, inclusive support and feel supported in making choices that reflect their needs and identities.

0/200

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Total amount of funds requested for the project / work described in this application:* This field is required.

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Please provide a full breakdown of what you will spend the funds on if you are awarded this grant.Use an Excel sheet if you prefer and copy the headings below. You can upload the Excel sheet in the next section.

26

Upload your project budget in a spreadsheet if you prefer:

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28

Type a question

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If applicable, tell us your reasons for not providing some requested documents:

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I confirm that* This field is required.- the information provided in this application form is a true and accurate representation of our project proposal - I have the authority to submit the application - If funded we have the capacity to deliver the project as described - If we receive the Simon Dennis Award we will provide Spectra Charity with a report on the outcomes achieved at the end of the project - Any services provided as a result of this grant will be free to service users at the point of delivery

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Signature