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A1
*Name of Organisation/Charity/Project seeking a grant
      
A2 Address of Organisation *Address1:      
  Address2:    
  Address3:    
  *Town:    
  *County:    
  *Postcode:    
Please include a day time telephone number
        
A3 What is your organisation's website address?
Leave this box blank if your organisation does not have a website. 		      
A4 If a registered charity, give number.
Leave this box blank if you are not a registered charity. If you are a Community Interest Company (CIC ) please enter your number herer 		      
A6 *Name of the person completing this form on behalf of the organisation
The person making the application should be available to complete the application process, which may take up to 6 months, or be able to arrange another representative of the organisation to take over. 		         
A7 *What is the position of the person completing this form?
      
A8 *Contact email of the person completing the form
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, so this address must be checked regularly. 		      
A9 Contact address for correspondence ONLY if different from the Address of Organisation above Address1:      
  Do not enter anything here if this address is identical to the organisation address. Address2:    
  Address3:    
  Town:    
  County:    
  Postcode:    
B1
*What is the name of your idea or project?
      
B2
*Please tell us about your idea/project and how it will meet the needs of your community. Please include details of how your project is accessible and inclusive for everyone.
      
B3
*

What are the key outcomes, the positive changes that your idea/project will bring about and how will you record/measure these?

 
      
B4
*How do you know that this idea is needed and how have your consulted with the community you aim to support?

      
B5 Which other organisations, if any, are you working with to deliver this project? Please describe the ways in which you will work with these organisations.
      
B6
*Tell us which one of our Classifications your project most satisfies

      
B7
Is this idea/project part of an ongoing programme of work? (yes/no)
      
B8
When will the idea/project start?
      
B9
When will your idea/project finish?
      
B10
*Where will your idea/project take place, will you meeting at a venue in the town?

      
B11
*If you don’t receive funding from Stratford Town Trust what effect will this that have on your project?
      
C1
*Tell us the total number of direct beneficiaries for this project.
      
C2
*

How many of these are local people? By local we mean those who live, work or study in the town.

 There is a postcode checker on our website to assist with town resident numbers;
      
C3
*Please tell us about your beneficaries and what support do they need?

      
C4
*What activities are you planning as part of your project? For example you might be running drop in or training sessions or a weekly club.

      
D1
*How much do you anticipate the total cost of the project to be?
Even if you are not asking the Town Trust to fund certian items or costs please include these in your your total. 		      
D2
*Please tell us about everything you need to deliver your activities. Please detail the cost per item.
The total of this table should match the total project cost.
Item Cost
  ?
     
D3
*How much are you applying for from the Town Trust? Please round your answer to the nearest £5.
The maximum is £2,000 		      
D4
*If you are planning to match fund, please tell us how.
      
     
D5 If you are applying to anyone else for funding for this work, please give full details (to whom applied, amount applied for and date when decision expected)
Name of Funder Receipt date/decision expected Amount rec'd or applied for
   
E1 *What is the legal status of your organisation?
If your organisation type is not listed above, please tick Other. 		      
If 'other', please specify your organisation type.
      
E2
*When was your organisation founded?

      
E3
*Please give details of your governing body or committee.

Office Name
Chair
Treasurer
Secretary
Other members
-
-
-
-
   
E4 *How many paid employees does your organisation have?
You must enter a figure; enter 0 if there are no paid employees. 		      
E5 *How many volunteers does your organisation have?
If your organisation has no volunteers please enter zero 		      
E6
*Is your organisation registered for VAT?
      
F1 *Safeguarding Policy
      
F2 *Public Liability Insurance
      
G1
Please upload your latest annual report and accounts. If there are any reasons why you are unable to supply these, please contact us at applications@stratfordtowntrust.co.uk
        
G2
Please send any other supporting information as appropriate E.g. evidence of need, a detailed budget plan, case studies.
Re-uploading a file overwrites the current file 		        
G3 Please upload your Project delivery plan, if applicable.
By Project Delivery Plan we mean a timetable for the project showing the key activities and the dates that these will commence. The detail of this timetable will vary according to the size of your project. 		        
H1
If you are a new applicant, please tell us how you heard about Stratford Town Trust.
      
H2
*

If your organisation is awarded a grant, how will you acknowledge the support of the Town Trust?

Support and guidance on promoting your grant will be provided
      
I1 *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.
      
I2 *I certify that I am authorised to submit this application on behalf of the Organisation/Charity/Project seeking a grant from the Town Trust.
      
I3
*If this application is awarded a grant I hereby authorise the Town Trust to include details of the grant in their publicity and agree to provide feedback on our work which may also be used in any publicity the Trust undertakes.
      
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