To be completed by CLA Charitable Trust:
Application reference number:
CLA CHARITABLE TRUST
GRANT APPLICATION FORM
Please see the Guidelines for information on our grants
Contact Details
Name of Organisation:
Address:
Post Code:
Telephone: Mobile: Email:
Name of main contact: Job title:
Position in Organisation:
Type of organisation
Registered Charity Charity No:
Registered Company Company No:
Social Enterprise
Voluntary Organisation
Other (please specify)
Year Founded:
Please provide Gift Aid No (if applicable):
Your organisation
Tell us a little bit about your organisation. When was it established? What do you do? Who does it benefit?
Your Application
Type of grant you are applying for:
Project Running costs Capital Other, please specify:
Describe the project for which you require a grant: What services or activities will you carry out? Will it be a joint project? If yes, please list who will you be working with. Who will benefit? Have you already raised some of the funds? If yes, please specify. If you are applying for a grant towards general running, what would you spend the grant on? Please specify where the project will be carried out (geography wise).
Financial Information
Amount you are requesting: £
What is the total cost of your project? £
How much have you already secured towards the total budget? £
Details of other funding applications you have made towards this project:
Funders Amount requested Outcome (Granted/Not Granted)
1. £
2. £
3. £
4. £
If you have received a grant from the CLA Charitable Trust during the last 3 years, you must answer the following questions:
How much were you granted by the CLA Charitable Trust? £
When was the grant awarded?
What was the grant spent on? Was it spent as intended?
In order for your application to be considered, please return this form (fully completed and signed) together with the following documents to the CLA Charitable Trust, 16 Belgrave Square, London SW1X 8PQ.
breakdown of costs and budget for the project
latest set of audited accounts
Any incomplete applications will not be considered.
Declaration and Signature
I declare that the information I have given in this application is true and accurate to the best of my knowledge. I understand that knowingly providing false information will invalidate this application and may result in the requirement to repay any grant that may be made. I confirm that if any grant is made by the CLA Charitable Trust to us, it will be used for the purposes described in this application. Failure to do so may result in the requirement to repay the grant.
Signed on behalf of (Organisation name):
By (please print name):
Date: Click here to enter a date.
Signature:
Charitable Trust, 16 Belgrave Square, London, SW1X 8PQ
T. 020 7235 0511 E.
Registered Charity No: 280264