The Bridge Trust - Grant Application

Transcription

1 REGISTERED CHARITY NO: The Bridge Trust - Grant Application Please ensure you download (unless enclosed) and read our guidance notes before completing this application. Please complete as fully as possible. NOTE: This pdf form should not be simply returned electronically if you wish to make an electronic submission the form should be printed, signed and scanned before sending. Application forms received by post are scanned on receipt, please DO NOT FOLD OR STAPLE. 1. Organisation: Name of Organisation: Other Names Used: Principal Objective of Organisation: Is your organisation based within a 5 mile radius of Barnstaple Guildhall (the area of benefit) YES NO If the answer to the above question is NO please explain clearly here how it will benefit people within that area. For Bridge Trust Use Only Date Received in Office: File Ref: Section Number: Amount Requested: Information Complete: If more information required list requests: Date Requested Details Date Received Grants Sub-Committee Meeting: THE BRIDGE TRUST Grant Application Page 1 of 6 - REG CHARITY NO:

2 2. Contacts Please nominate a member of your organisation, either yourself or another, who can be contacted in connection with this application. Name of Contact: Position in Organisation: Address: Telephone Number(s) Address: 3. Category of Organisation Is the organisation a charity? If YES what is its registration number? If NO, does it aim to make a profit? YES NO If a profit or surplus is made what is it used for? THE BRIDGE TRUST Grant Application Page 2 of 6 - REG CHARITY NO:

3 4. Grant Amount Requested: If you are successful in your application, who to whom the cheque should be paid (please note the Trust with not normally make cheques out to individuals). Have you applied to any other organisations for funding, please provide details? 5. What is the Grant For? Other or additional purposes please specify? Who will benefit from the grant: THE BRIDGE TRUST Grant Application Page 3 of 6 - REG CHARITY NO:

4 6. Financial Information Does the organisation produce accounts: YES NO If the answer to the above question is YES please provide a copy of your last full year s accounts or, if your organisation is less than a year old, accounts for the year to date. If the answer to the above question is NO please provide as much supporting information as possible, at the very least we would expect to receive an income and expenditure statement and information on closing bank balances (copy of bank statements). If your are not able to provide this information please explain why here: IF THE FINANCIAL INFORMATION YOU ARE PROVIDING DOES NOT SHOW A STRONG NEED FOR THE FUNDING YOU HAVE ASKED FOR, PLEASE EXPLAIN WHY YOU ARE APPLYING THE BRIDGE TRUST Grant Application Page 4 of 6 - REG CHARITY NO:

5 7. Additional Information If there is any further information that would help the trustees in making their decision whether or not to make a grant please include it here (Continue on a separate sheet if necessary)? THE BRIDGE TRUST Grant Application Page 5 of 6 - REG CHARITY NO:

6 8. Declaration I declare that the information I have supplied is true and accurate to the best of my knowledge and that I am authorised by my organisation to make this application. I understand that the Bridge Trust is under no obligation to make an award and any such award, if made, is at the sole discretion of the Trustees of the Bridge Trust Signed: Name: Position in organisation: Date: If you are not the principal contact named in (2) above please provide the information below in case we need to contact you to clarify anything in this application. Address: Telephone Number(s) Address: THE BRIDGE TRUST Grant Application Page 6 of 6 - REG CHARITY NO: