Together GrantsApplication Form 2014

1. About the applicant organisation

Name of church or organisation:
Organisation address (including town and postcode)
Charity number (if applicable)
Phone: / Organisation email:
Website:
Please detail how many staff/ volunteers your organisation has / Number of full-time paid staff:
Number of part-time staff:
Number of volunteers:

2. About you

Your name (including title)
Your position in the organisation:
Your contact address, if different from above (including town and postcode)
Phone: / Your email:
Website:

3. About your proposal

Have you applied to CUF before? / Yes / No / Don’t know
If yes, under what name:
Please quote previous CUF reference number:
Full postcode of the area in which you will be working.
Please describe the specific piece of work you are looking to carry out in under 25 words.
Please detail costs associated with the project for which you are applying / Total cost of project / £
Amount requested / £
Amount already raised: / £
Is your organisation or the one you are partnering with funded by (or applying to) J Paul Getty Jnr Charitable Trust? If so, please give details.

4. About your organisation

What is the main purpose of your organisation?
If a church, are you connected to a specific denomination or network:
Average congregation size:
Describe your faith basis, or if you are a church, how this proposal fits into the diocesan strategy and/orwhat other churches are doing in your area

5. Working Together

Please give the name of the church or organisation that you will be working with:
Who is the key contact there? / Name:
Email address:
Phone number:
In what way is this church or organisation contributing to this idea? Please give details of how they have been involved in planning and what they will do
(If you are working with more than one church or organisation, you are welcome to give further details on an additional sheet.)

6. About the need and how you intend to tackle it

a) How will this activity tackle poverty locally? What need will it address and what evidence do you have of that need? What activities are you planning to do? (300 words max)
(i.e. What? Why? When?)
b) How have people in the local community helped to develop this idea? How might they get involved in the activity? (200 words max)
c) What difference will this project make? How will it impact people in need? (200 words max)
d) Who will be undertaking the work, what experience do they have and how will the project be managed? (200 words max)
(i.e. Who and How?)
e) How will you build on this work in the future? What do you expect this to lead onto? (200 words max)

Required documents

Please indicate that you have included the following / Latest Annual Report and audited accounts
Breakdown of expenditure
Copies of written quotes or estimates (if applicable)

Declaration

I am authorised to act on behalf of the aforementioned organisation in relation to this application, and to the best of my knowledge all information given is a truthful representation of facts
Signature of applicant: / Date:
Signature of partnering organisation:
(key contact from part 5) / Date:
Signature of Link Officer: / Date: