Application Form
Please read the Grant Guidelines before completing this form.
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A. About your organisation
A1. Your organisation's full name
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A2. Please tell us if your organisation is known by any other name.
A3. Please confirm
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I confirm that our organisation delivers at least 80% of its services in the London Borough of Enfield
A4. Please confirm
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I confirm that our organisation has at least 2 years’ experience of delivering services / activities
A5. Please select what type of organisation | Select all that are appropriate. We will only consider applications from not for profit organisations
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Charitable Incorporated Organisation (CIO)
Company Limited by Guarantee
Community Interest Company (CIC)
Registered Charity
Unincorporated Organisation
Other not for profit (Please specify below)
If you have selected Other not for profit in question A5, please specify the type of organisation
If you are a Registered Charity or CIO please give your registration number
If you are a Company Limited by Guarantee or CIC please give your company number
A6. Your organisation's main or registered address
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Address
Street Address Line 2
City
State / Province
Postcode
A7. What is the overall purpose of your organisation (as in your constitution, Mem.& Arts. etc.)? 100 words max
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0/100
A8. Lead / Main contact name. This will be the first person we contact if we need to discuss your project.
First Name
Last Name
A9. Lead / Main contact role in the organisation
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A10. Lead / Main contact Email Address
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Please give an email address that is checked regularly. This is how we will usually contact you.
A11. Lead / Main Contact Phone Number
*
A12. The name of one Trustee, Director, or Committee member who will be responsible for the funding. This person can't be married to, in a long-term relationship with, living with, or related to the main contact.
First Name
Last Name
A13. Email address of the Trustee, Director, or Committee member who will be responsible for the funding.
*
Please give an email address that is checked regularly.
A14. Phone number of the Trustee, Director, or Committee member who will be responsible for the funding.
*
B. Your organisation's bank account
We need details of your organisation's bank account. We will only use this information if you are awarded a grant. We will ask you to upload your most recent Annual Accounts covering a full year’s activity at the end of this application form.
B1. Please give the name of your organisation as it appears on your bank account.
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B2. Your bank account number
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B3. Your bank account sort code
*
C. Your project
Please tell us about your project in this section. This is the most important section when it comes to making a decision about whether you will receive funding.
C1. The name of your project.
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C2. What is the overall purpose of your project? 100 words max.
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0/100
C3. Please select which priorities your project will target through the Wellbeing Enfield Fund. Select as many as apply
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Childhood obesity & access to healthy food. Projects should take into account the wider social determinants of health including housing, employment, environment, and education.
Debt advice, support with budgeting, and financial education.
Projects addressing the social factors impacting on the improved prevention, diagnosis and prognosis of, heart failure and diabetes for residents of the following wards - Lower Edmonton, Upper Edmonton & Edmonton Green, Haselbury, Turkey Street & Ponders End.
C4. Please tell us how your project will address these priorities. Describe your project and its aims. 300 words max.
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0/300
C5. How do you know your project is needed and your target users will take part in your project? Identify any surveys / consultation / research you have done. 200 words max.
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0/200
C6. How many people will benefit from your project?
*
C7. Where will your project take place? For example online, venue address, people's homes - include the postcode(s) where possible.
*
C8. Please give the date you would like to start your project. If funded, projects can start from 7th March 2022
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Month
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Day
Year
Date
C9. Please give the date you expect your project to end. If funded, final project monitoring must be submitted by 31st March 2023
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Month
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Day
Year
Date
D. Your project's budget
D1. What is the total funding you are applying for from the Wellbeing Enfield Fund? £
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D2. What is the total cost of your project? £
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D3. If there is a difference between the total funding you are applying for and the total cost of your project, please tell us how you will fund the difference. Type NA if not applicable
*
D4. Please tell us the £ cost associated with each element of your budget.
If you are not applying for funding for one or more of the elements listed below please type NA in the appropriate box.
Equipment purchase or hire £
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Venue hire or rent £
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Staff / Sessional Worker Costs £
*
Other Staff Costs £
*
Volunteer Expenses £
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Administration £
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Publicity £
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Food or refreshments £
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Transport costs £
*
Activity Materials and Resources £
*
Software (for example, computer programmes or apps) £
*
Translation costs (for example, sign language interpreters, document translation) £
*
Other £ (Please specify below)
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If you have selected Other please specify all the other elements your budget includes. Type NA if not applicable.
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Total Cost £
*
Documents required | We must have all the documents listed below by the deadline.
If you have renewed your EVA membership since November 2019 we already hold these documents for you. You should check with Jenny Budden at EVA - admin@enfieldva.org.uk - whether we already have these documents. If you would like templates of the required policies please contact admin@enfieldva.org.uk
Documents required
*
I will upload the 6 required documents here
I have checked with Jenny Budden at EVA. EVA already hold these documents for our organisation.
Upload your most recent Annual Accounts covering a full year’s activity.
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Upload your organisation's Governing Document (eg Constitution, Mem.&Arts.)
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Upload your organisation's Safeguarding Policy
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Upload your organisation's Health & Safety Policy
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Upload your organisation's Data Protection Policy
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Upload your organisation's Equal Opportunities Policy
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Other file upload.
Upload any other document you would like to support your application. This is not required but is at your own discretion.
Other file upload
*
I will upload another document
I will not upload another document
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