You & Your Organisation. Welcome to The London Marathon Charitable Trust's online application form for a Major Capital Grant.

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1 Major Capital Grants Application Form City You & Your Organisation Welcome to The London Marathon Charitable Trust's online application form for a Major Capital Grant. This application form is for funding requests of between 20,001 and 150,000 towards facility improvement projects. If you are seeking funding of between 5,000 and 20,000, please use our Small Capital Grants application form. To help you complete the online application form we have provided hints and tips in our Major Capital Grants Application Guide, available here, and our Frequently Asked Questions (FAQs), available here. We have included (i) buttons for some questions, which provide guidance on how to answer the question. Please save your application so you can logout and return to your application at any time before submitting. You can a copy of your application to yourself by clicking draft in the top right-hand corner just before you click submit. If you are unable to submit an online application, please call Your Organisation Applicant Organisation Name Please provide the legal name of the applicant organisation. The application must be submitted by the organisation which owns or holds the lease for the site you wish to build on or renovate. (The applicant organisation name should correspond with the name on the security of tenure document, governing document and bank statements.) Registered Address of Applicant Organisation (please enter the full address) Post Code If Other, please specify below: Organisation Type Which of the following best describes your organisation? Website Address Registered Charity If you are a registered charity, what is your charitable status? <None> Charity Commission Registration Number If your organisation is a registered charity, please enter the registration number here.

2 Company If you are a company, are you: Company Registration No If your organisation is a registered company, please enter the registration number here. Community Amateur Sports Clubs If you are a Community Amateur Sports Club (CASC), what is your CASC registration number? VAT Registration Number If your organisation is registered for VAT, please enter your VAT registration number here. Primary Contact (at Applicant Organisation) Please provide details about the primary contact for the project. This person will receive all official correspondence and guidance about the application. This person must be a representative of the applicant organisation which holds security of tenure over the project site. Title <None> First Name City Phone Last Name Position in Organisation This address will be used for all correspondence and guidance we send you. Address for Primary Contact Post Code Mobile Phone Secondary Contact (at Applicant Organisation) Please provide the details for a second senior contact for the applicant organisation (for example Director, CEO, Treasurer, Company Secretary and so on).

3 Title <None> First Name Last Name Position in Organisation Address Address for named contact - (please enter the full address, DO NOT USE "As above") City Phone Post Code Mobile We want to support organisations that are well-run, aspirational and inspirational. (300 words max.) Please tell us about your organisation, its objectives, governance, partnerships and achievements. If you are making a joint application, please provide information on the different organisations involved in the project. Organisation / Project Video If you wish you may provide us with a link to a video with more information about your organisation and/or the proposed project. Please enter the URL here. Finances Please provide the following details as stated in the most recent annual accounts of your organisation. Do not include ' ' signs in the below fields. Account Year Ending

4 Total (Gross) Income Total Expenditure Savings (reserves, cash, investments) If savings are more than your annual expenditure for either organisation, what are they for? If any accounts are showing a deficit or net current liabilities, please provide a brief explanation. Your Project What is the title of your project? Your Project Please tell us about the project you are seeking funding for. (250 words max.) Focus on how you will improve the facilities at the site. Please explain how the facility improvements will enable you to better engage and support people to be physically active at the site, particularly those who are currently physically inactive. (250 words max.) Focus on the people that will benefit from the project and the activity programmes that the improved facilities will support. More about your project Need for your project (500 words max.) Please explain why the facility improvements are needed and tell us about the issues that the project is addressing.

5 Impact of your project (500 words max.) Please explain how you plan to use the improved facilities to engage and support more people to participate regularly in sport and physical activity, particularly those who are currently physically inactive. Sustainability of your project (500 words max.) Please tell us about how the facilities will be managed, maintained and marketed to ensure they are financially sustainable and benefit the community for years to come. Project Timescales Project Start Date When do you intend to start the building or renovation work on site? Please note you will be unable to start building/ renovation work until LMCT funding is confirmed. Please allow 6 months from the date of application. Project End Date When do you anticipate the facility improvements will be completed? Has Work Started? Has your organisation begun any building and/or renovation work on site? LMCT is unable to fund any work which has already started. If work has started, what work has been undertaken so far? (300 words max.) Projects must start after you receive a Letter of Offer from The Trust. We expect projects to have started no later than 6 months after the grant is awarded and to be completed within 2 years. Please see *** to view timescales and find out more about the Stage 1&2 process.

6 Project Post Code Please provide the post code of the site where the project is taking place. Our Funding Priorities Local Authority Area In which local authority area is the project site located? Sports and Physical Activities Which sports and other physical activities will your project support? (You may add up to 5 choices.) Other Sports and Physical Activities If you selected "Other", please specify the sports and/or physical activities here. Project Address Please provide the address of the site where the project is taking place. Map Showing Project Location Please provide the URL to a map showing the exact location of the project site. Ownership of Your Facility Ownership What security of tenure do you currently hold over the project site? Please note that a licence is not an acceptable form of security of tenure. Years remaining on current leasehold If you own a leasehold property, how many years remain on the leasehold? For information on the minimum security of tenure length required, please refer to our Major Capital Grants Application Guide. Planning Permission Will your project require planning permission? Planning Permission (150 words max.) If your project requires planning permission, please outline the measures you have already taken to date and any future steps you will take in order to secure planning permission. If you have already secured detailed or outline planning permission, please provide details of the planning application here (e.g. application number and an update on when a decision is expected).

7 Ownership Likely to Change Is the ownership and / or lease arrangement of your facility likely to change in the near future? Any future change will require the award to be transferred to the new party and could be subject to repayment. Outcomes and Beneficiaries Your Impact This section focuses on the outcomes you are aiming to achieve through the project, the people that will benefit and how you will measure success. We support projects which can clearly demonstrate how the proposed facility improvements will help people who are the least active to become regular participants in healthy physical activity, sport and/or play. Outcomes Please list up to 5 outcomes against which you will assess the success of your project. Please note that should you receive a grant, you will be required to report back on the project's impact on helping you to achieve these outcomes. We are particularly interested in outcomes related to engaging and supporting people who are currently physically inactive to become regular participants in healthy physical activity, sport and/or play. Outcome 1 How will you work towards this outcome and how will you measure impact? (150 words max.) Outcome 2 How will you work towards this outcome and how will you measure impact? (150 words max.) Outcome 3

8 How will you work towards this outcome and how will you measure impact? (150 words max.) Outcome 4 How will you work towards this outcome and how will you measure impact? (150 words max.) Outcome 5 How will you work towards this outcome and how will you measure impact? (150 words max.) Beneficiaries Current Activity Levels In the last 12 months, how many people have been active at the facility you'd like to develop? If your facility has not been used for the last year you should enter "0" here. Future Activity Levels How many more people will have the opportunity to be active at the project site in the 12 months after the facility improvements have been completed? Under-Represented Groups Targeted Which of the following under-represented groups will become more physically active as a result of the project? Please select all that apply. Working with Target Groups (250 words max.) Please tell us about the people who will benefit from your project and how you will engage and support them to be physically active? Monitoring and Evaluating Impact (250 words max.) How will you monitor, measure and evaluate use of the facilities, and who will be responsible for this?

9 Your Budget & Funding Request Your Budget Please review our Major Capital Grants Application Guide, available by clicking here as well as our FAQS available here which includes a section on completing this important part of the form. To download the LMCT Project Budget Template click here Notes on how to complete the form are included in the document. You will also be asked to provide details of the partnership funding you have secured/are working to secure in the next section. Total Project Cost Please provide information on the projects costs and grant request. Do not include ' ' signs in the below fields. Total Project Cost Your Capital Funding Request Total Project Capital Cost Requested Capital Amount How much capital funding are you requesting from The London Marathon Charitable Trust? Your request must be between 20,001 and 150,000. Revenue Funding Total Project Revenue Cost Revenue Request Are you requesting revenue funding from LMCT?

10 Revenue Funding Please review our Major Capital Grants Application Guide, available by clicking here, which includes a section on completing this important part of the form. You can apply for revenue funding equivalent to a maximum of 10% of your total funding request. The total combined capital and revenue funding request cannot exceed 150,000. The revenue funding must go towards one-off costs associated with activities which are essential to ensuring engagement and support of those who are currently inactive to participate in sport and/or physical activity at the project site. Revenue funding can also be requested for costs associated with effectively monitoring and evaluating the impact of the capital grant. This is an optional revenue funding request and should only be made if you can present a strong case supporting the need for additional support to enhance the impact of the capital project. Revenue grants are awarded at the Trustees' discretion. We will only consider awarding revenue funding after the capital project has been approved for funding. Eligible one off revenue costs include taster sessions, marketing campaigns and monitoring and evaluation. Requested Revenue Amount How much revenue funding are you requesting from LMCT? Your request can be for up to a maximum of 10% of the total capital funding request from LMCT. The total combined capital and revenue funding request cannot exceed 150,000. What % of the funding request does your revenue funding request represent? Please note that you can claim a maximum 10% of the total funding request as revenue funding and the total combined capital and revenue funding request cannot exceed 150,000. Your Revenue Funding Proposal Please explain how you would spend a revenue grant from LMCT? (200 words max.) How will the revenue activities described above enhance the impact of the capital project on physically inactive people and improve your ability to monitor and measure this impact? (200 words max.) Why does your organisation require additional revenue funding to cover these costs? (200 words max.)

11 Funding Overview Please provide details of all partnership funding that you need to secure in order to deliver the project. Partnership or other funding - Capital Partnership or other funding - Revenue Non-cash or in-kind funding - Capital Non-cash or in-kind funding - Revenue Partnership Funding Breakdown Please provide details of both confirmed and unconfirmed capital and revenue funding for the project. If you have not yet secured the funding please indicate this by selecting 'unconfirmed'. Funder Name 1 Capital 1 Revenue 1 Funder Name 2 Capital 2 Revenue 2 Funder Name 3 Capital 3 Revenue 3 Funder Name 4 Capital 4 Revenue 4 Funder Name 5 Capital 5 Revenue 5 Funder Name 6 Capital 6 Revenue 6 Funder Name 7 Capital 7 Revenue 7 Funder Name 8 Capital 8 Revenue 8 Is this confirmed? (1) Is this confirmed? (2) Is this confirmed? (3) Is this confirmed? (4) Is this confirmed? (5) Is this confirmed? (6) Is this confirmed? (7) Is this confirmed? (8) Funder Name 9 Capital 9 Revenue 9 Is this confirmed? (9)

12 Funder Name 10 Capital 10 Revenue 10 Is this confirmed? (10) Funder Name 11 Capital 11 Revenue 11 Funder Name 12 Capital 12 Revenue 12 Funder Name 13 Capital 13 Revenue 13 Funder Name 14 Capital 14 Revenue 14 Funder Name 15 Capital 15 Revenue 15 Is this confirmed? (11) Is this confirmed? (12) Is this confirmed? (13) Is this confirmed? (14) Is this confirmed? (15) VAT Recovery How has VAT been addressed within your project costs and can you recover VAT on expenditure for this project? Supporting Documentation Supporting Documents In this section we ask you to upload your supporting documentation. Please click on the 'Choose file' button to locate your file on your computer, select the file and then click on the 'Upload' button. Please note that all required field documents must be uploaded in either excel or pdf format. All other uploads must be uploaded in pdf format (to ensure formatting is not lost or altered). If you have any issues with uploading your documents, please contact us on Thank you. Budget Please upload your Project Budget Document here. Governing Documents for Security of Tenure Holder Please upload a copy of your organisation's Governing Document. For example, this may be a constitution, memorandum and articles of association, trust deed or other formal document (not required for statutory bodies). Audited Accounts Please upload your organisation's latest audited or independently examined accounts (as applicable) duly signed (not required for statutory bodies) Copies of the accounts must be signed by both the Trustees and the auditors or independent examiner and must relate to the organisation's most recent year-end. If the most recent year-end took place within six months of the application date, accounts for the previous year are acceptable. If you have an active application, we ask that you send your updated accounts as soon as you

13 receive them. Bank Statements A copy of your organisation's bank statements for the 3 most recent months (not required for statutory bodies). The bank account should be in the name of the applicant organisation (which holds security of tenure over the project site). Bank Statements (2) Bank Statement (3) Security of Tenure Please upload evidence of security of tenure over the project site in the name of the applicant organisation, for example lease or freehold title documents. Pictures 1 Please upload any pictures Pictures 2 Pictures 3 Declaration Prefix First Name Declaration Before you submit your application to us we require you to declare that you: - Have the authority to apply for funding on behalf of the applicant organisation which holds the security of tenure; - Agree that you understand our guidlines; - Agree to us holding and using your data in accordance with the Data Protection Act Please enter your name and job title as the person making the declaration. Job Title Information Only Last Name Declaration of Authority Please confirm by ticking this box that you have the authority of your organisation to make this application. No For

14 Our Guidelines Please confirm by ticking this box that you have read and understood our guidelines and where appropriate, have included all the documents requested. No Data Protection Please confirm by ticking this box that you agree to the London Marathon Charitable Trust holding and using your data in accordance with the Data Protection Act No Where did you hear about us? Please select one of the following that best describe how you heard of our grant programmes. Other If you selected other, please tell us how you heard about us. Upon submitting an application form, you will receive an automatic acknowledging your submission and containing a copy of your application form. If you do not receive this , please check your junk or spam folders.

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