Application to intu Trafford Centre Fountain Fund

Please type your application-written applications will not be accepted.

Please ensure that ALL boxes on the form are completed. You must also include all additional information that is requested. There is a checklist at the end of the form which you should tick off before submission.

This form must also be signed and dated by an approved charity staff member or trustee.

Charity/Community Project Name
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Address
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Tel………………………………………
Fax……………………………………… / Contact name.…………………………..
Position…….…...………………………
Contact Address………………………...
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Tel …………………………………….
Fax …………………………………….
Are you a registered charity?
Yes No .
Charities Register number
………………………………………….. / Are you affiliated to a national body?
If yes, which one?
…………………………………………..
Are you affiliated to local or regional bodies? Please indicate:
…………………………………………..
Please describe the main activities of your charity/community project
(no more than 500 words)
What is the geographical scope of your work?
Local □ Regional □ National □
How many people are involved in running your charity/project? Please give a breakdown of numbers of paid staff and volunteers.
Paid staff …………………… Volunteers……………………
How many users do you support? …………………………………
Who are the service users you support?
Do you have support from your local authority? ______
Name of local authority
Purpose of Application
Please describe the project for which you are seeking funding.
No more than 500 words
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Please describe the benefits that this project will provide, and how many people will benefit from it. Please also state the age groups that will benefit.
No more than 500 words
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Please state the timescale of the project. Start date ……………………End date ………………..
How will you manage the project after a partnership with intu Trafford Centre ends?

Budget

Please state the total cost of the project and provide a breakdown of that amount bearing in mind that the maximum annual donation is likely to be £10,000 (more detail can be attached on a separate sheet if necessary). (2 year partnership maximum)
£
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Total …………….………

If your anticipated project cost totals more than £10,000, how will you raise the balance?
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What funds have you already applied for, or raised, towards this project? Please state where from and whether successful i.e. Lottery funding, local authority grant etc
………………………………………………………………………………… £ ……………..
………………………………………………………………………………… £ ……………..
………………………………………………………………………………… £ ……………..
We’re looking to develop a sustainable relationship with the organisations we’ll be funding. During the 1 to 2 year funding period, please describe ways in which intu Trafford Centre, its staff, and your charity/community project can work together to create a higher profile for this particular cause and enhance the benefit obtained through the funding.
No more than 500 words
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intu Trafford Centre needs volunteers (minimum 10) from your charity for one day every one or two months to help clean and count the money thrown in to the fountains. You cannot apply for this funding and be accepted unless you can confirm that you have adequate support for coin counting.
Please provide the name of a contact in your local authority who would be willing to act as a referee (please check with them before submitting their details). They should know your charity/community project in a professional capacity.
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Local Authority Name and contact information …………………………………………………………………………………………
Please describe how your referee knows your charity
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Thank you for taking the time to complete this application. Please do not send any supplementary papers with this form. If your charity is shortlisted we’ll request any support documentation from you then.
I declare that the above information is accurate and properly represents the affairs and
views of.…………………………………………………………….(charity)
Signature…………………………………… Date…………………………………
Print name ……………………………………………………………………………
Position in the charity/community project………………………………………………………………...

Please return this form and any accompanying documents to:

Charlotte Brown-Community Development Manager

Charity Committee

Management Suite

intu Trafford Centre

Manchester

M17 8AA

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