Application Form Demo – The Elmley Foundation

N.B. The Foundation rarely makes grants over £2,000 to unexpected applications. Applicants are strongly advised to contact us before making a formal application. Please visit our website www.elmley.org.uk for further information.\n\nPlease ensure that all sections of this application form are fully completed. It is not sufficient to say “see attached documents”.\nPlease ensure that the form is signed by an appropriate officer of the organisation.\nIf you are an individual artist, please interpret the word “organisation” where relevant as applying to you.\nThe Foundation requires organisations working with children, young people or vulnerable adults to have a safeguarding policy. If this project falls into that category, and your application is successful, confirmation of a safeguarding policy that has been reviewed within the last two years, and overseen by a named lead member of staff, will be required.

Name of organisation *

Please summarise the purpose of the proposal, project, services or activities for which you are seeking funding.

PART A\nInformation about your organisation

Name of contact person *

Position in the organisation

Address line 1

Address line 2

Town / City

Postcode

Telephone number

Mobile

Email address *

What is the legal status of your organisation? (more than one may apply)

Company limited by guarantee

Please describe your legal status if other

Do you have a formal constitution?

Yes

Briefly describe the aims, objectives and activities of your organisation.

What is the geographical target area of your organisation’s work?

PART B\nInformation about the proposal, project, services or activities for which funding is sought

What are you expecting to achieve with this project?

Who do you expect to benefit from the activities?

Who will work on this project? What resources and materials will be needed?

How will you know if the project is successful in achieving what it set out to do?

What is the total cost of the project?

Artist's fees	£
Other fees	£
Hall/venue hire	£
Materials	£
Marketing and Communications	£
Publicity costs	£
Other (please list)	£
TOTAL EXPENDITURE	£

How will you raise the money?

Source	Total	Secured/Pending?	Decision date?
Local Authority	£
Other grants – 1	£
Other grants – 2	£
Other grants – 3	£
Sponsors	£
Fundraising	£
Contribution from reserves	£
Other sales	£
Fees	£
Other – 1	£
Other – 2	£
Other – 3	£
The Elmley Foundation	£	————	————
Ticket income	£	Price range: £ to £
TOTAL INCOME	£

N.B. The figure for total income must equal the figure for total expenditure.

What is the total annual income and expenditure of your organisation?\nPlease use figures from your most recent annual accounts, or projected cash flow forecast if no annual accounts exist.

Accounts period from

Income	£	Expenditure – Principal Items	£
Government grants
Local authority grants
Donations from businesses
Grants from trusts
Fundraising
Fees, rents, sales, charges
National Lottery
Other sources
TOTAL INCOME		TOTAL EXPENDITURE

Restricted funds (£)

Unrestricted funds (£)

Declaration

When you have completed the application please sign this declaration.\n\nTo the best of my knowledge the information I have provided on this application form is correct. If the Elmley Foundation agrees to make a grant this will be used exclusively for the purposes described.

Full name of signatory

Position in organisation

Name of organisation (confirmation)

Signature

Draw your signature above using your mouse or finger

Date signed

Please upload a copy of your Constitution and latest audited accounts.\nUpload your supporting documents below. Accepted formats: PDF, Word (.doc/.docx), JPG, PNG. Maximum 10 MB per file.

Upload your supporting documents below.

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