*Please entre your Organisation name.

*Legal status of the organisation

Your registration number
(i.e. charity registration/CIO/CIC etc. If you do not have a registration number please leave blank)

*Contact person

*Position of the person applying

*Email address
Please ensure that the email address is correct as it will be used to send you a copy of your completed application. We will also use this address for questions relating to the application.

*Phone number

*Title or name of your work/service (if Core Costs please say Core Costs)

*How many people within the Stratford Town boundary will your project benefit?

*How many people does your group/organisation support more widely?

*Please select the category that best encompasses your work.

*Who are your target beneficiaries? (e.g. demographics, socioeconomic background). Max 300 words.

*How does your work benefit the community you work with? What activities or services do you offer? Max 300 words

*What evidence and learning do you have to support your understanding of your communitiy's needs? (e.g. research, consultations, feedback from service users). Max 300 words

*

How do you involve your community in designing and delivering your work?

Max 300 words

*How do you ensure that individuals and communities who are traditionally underrepresented—such as those facing social, economic, or accessibility barriers—are actively engaged in your work? Max 300 words

*Do you collect demographic data from your beneficaries. If Yes what data do you collect or select No if you do not collect data?

*What positive changes will your project or service create? Max 300 words

*Can you quantify your impact/the impact your work aspires to deliver? (e.g. estimated number of people benefiting, expected improvements in key areas) Max 300 words

*How will you monitor and evaluate your impact? Max 300 words

*Are you working with any partners? If yes please list them and describe their role. If No please say "No".

If no, would you consider future partnerships that could further maximise impact? Max 200 words

*How much are you applying for from the Town Trust?
Please round your answer to the nearest £5.

*Please detail a budget breakdown specific to this application.
The total here should be the same as the amount in Q25

*Please detail your total operational costs; staff, activities, materials, equipment, etc.

*Please detail other funding secured or pledged from other sources. Please give full details i.e; to whom applied, amount applied for and date when decision expected.
(If you have not explored other funding sources please enter n/a in the table)

*If awarded, how will you sustain your work beyond this grant?

*What will happen if you don’t secure funding from the Trust?

*I certify that to the best of my knowledge and belief the information provided on and with the application form, including the eligiblity questions, is accurate and complete and that no material information which could affect the outcome of this application has been, or will be, withheld or otherwise omitted.

*The Trust may publicise details of awards made to organisations or projects. If this application is awarded a grant, I hereby authorise the Town Trust to include details of the project in Trust publicity along with any photos submitted as part of this application or taken as part of the grant monitoring process.

*I confirm that I have attached all the relevant policies and a copy of our most recent accounts or e-mailed copies to: applications@stratfordtowntrust.co.uk