Group Name / Reference Number

Locality Partnership Voluntary Sector Grants Scheme 2015/16

SECTION 1: DETAILS OF YOUR ORGANISATION
What is the name of your group/ organisation?
Date your group/ organisation was established:
Provide details of two members of the group / organisation that we can contact about this application.Applicants should not be related to each other.
Name (main contact):
Address:
Postcode:
Daytime telephone:
Email: / Name (secondary contact):
Address:
Postcode:
Daytime telephone:
Email:
We will use your information tocontact you about this application.
We also send regular e-bulletins and updates, if you do not wish to be added to our contact listplease tick here. ?
Does your group / organisation have a bank account? (If no, please ensure you complete section 3 of the form) / Yes ? No ?
If the project involves the use of a park, land or buildings do you have permission to use these? / Yes ? No ?
N/A ?
Where an organisation applies for funding to work with children or vulnerable people, a Safeguarding Policy is needed:
Does the project involve working with children/vulnerable people?
Do you have a Safeguarding Policy? If yes, please include with your application. If no, contact the Thrive Trafford team (contact details in the guidance notes) who can provide advice on what you need to do. / Yes ? No ?
N/A ?
Yes ? No ?
N/A ?
You do not need to be a formal group with accounts and a constitution to apply for a grant but we would like to know if your organisation has the following:
A constitution or rules of association
Financial statement or accounts / Yes ? No ?
Yes ? No ?
If you have previously had a grant from the Trafford Voluntary Sector Grants programme have you returned all of your Monitoring and Evaluation forms?Yes ? No ?
Our eligibility check will consider any previous grants received and the quality of the monitoring information provided.
SECTION 2: FINANCIAL INFORMATION

Please note that if a grant is approved you must keep receipts of all expenditure

Please provide details of your organisation’s bank account. We cannot make payments to personal bank accounts. If you do not have a bank account, you will need a referee organisation to accept a grant on your behalf. If this is the case, the referee group will need to complete both sections 2 and 3 below.
Name of organisation’s bank account
Name of bank/building society
Bank account sort code
Bank account /building society roll number
Please provide an original copy of your bank statement if you would like to receive a direct BACs payment, if successful.
Who can sign the cheques for the bank account? Please give names of at least 2 unrelated signatories
1. / 2.
SECTION 3: REFEREE ORGANISATION
If you are using a referee organisation, please ask them to complete this section. If you are unsure of how to obtain a referee please contact Thrive Trafford.
I confirm our organisation has agreed to accept the grant (if approved) on behalf of the applicant or group and provide details of expenditure for a monitoring report after the project has taken place. It is my organisation’s responsibility to hold the funding. It is the applicant’s responsibility to complete the monitoring and evaluation of the funding.I confirm that our organisation will not benefit from any grant made.
Name of organisation: / Contact person:
Position in organisation: / Phone number:
Email: / Signature: Date:
SECTION 4: FEEDBACK
How did you hear about the Voluntary Sector Grants Programme?
Twitter ? / Thrive Mailout ?
Poster ? / Newspaper ?
Previous application ? / Other ? (please give details)
Did you have all the information you needed to complete the form? / Yes ? No ?
Was the application form easy for complete? / Yes ? No ?
For Office Use Only
Date Received
Monitoring Returned
Documents Received
SECTION 5: ABOUT YOUR GROUP PROJECT
5.1. Tell us about your group: who are you and what your does? (Maximum 200 words)
5.2 Tell us what your project is? (Maximum 300 words)
Provide details of what you will deliver if your application is successful. Think about the ‘what, where, when, who, how’(how will you know what difference will be made?)
5.3Does your project directly benefit the community and residents of the Old Trafford and Stretford Locality?
Yes ? No ?
If no, please explain why you are applying for this fund...
5.4 How do you know your project is needed? (Maximum 250 words)
Have you talked to local people? What have they told you about your project and idea?
SECTION 6:MONITORING & EVALUATION
6.1 How will your project make a difference, how will you measure it and what evidence will you collect to be able to show us this?
Please note successful projects will need to complete project monitoring and evaluation forms, which will be used to monitor progress towards these aims. Thrive Trafford will support you to develop good monitoring plans.
Example Project Aim
To increase the confidence of older people online/ and enable them to use the internet safely / Example Measures
30 individuals aged 65+ attending our training sessions
Online confidence improved in 60% of attendees
Feedback will be gathered with surveys, discussions and photographs before, during and after the training.
Project Aim 1 / Measures
Project Aim 2 / Measures
Project Aim 3 / Measures
SECTION 7: BUDGET
7.1 Please complete the table below showing how much funding you are requesting. How much will your project cost?
Item or activity / A. Total Cost / B. Amount requested from Voluntary Sector Grants
TOTALS
7.2 If the total in column A is higher than the total in column B, tell us where the rest of the funding is coming from (Maximum 200 words)
(Please outline details of any other grant awards, pending grant applications, match funding or donations in kind your project has secured or is in process of securing)
7.3Will you be using the funding to pay another person / organisation to deliver any part of the activity? If so please explain what and why.
(this could be hiring specialist services, management fees, paying another organisation do the activity on your behalf)
7.4How have you worked out your costs? (Maximum 200 words)
You need to provide estimates/quotes/internet pricing of anything above £300. Please ensure costs include VAT(at 20%). Have you provided these? / Yes ? No ?

Would you like some help to complete the form? Please look in the Guidance Notes for details of how to access support. You can call and email us at any time.

Please return to the Thrive Trafford team by e-mailing:

Or post to: Grants Team, Thrive Trafford, Customer Hub, Sale Point,126-150 Washway Road, Sale M33 6AG.

All applications must be received by 5pm, Friday 29th May 2015.

Applications received after this will not be accepted.

THANK YOU

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