Stage 1 Application
Heathrow Communities for Youth
Please read the Guidance and Criteria before completing all sections of this form.Section1 – Contact Details
Organisation:
Organisation address:
Postcode:
Type of organisation:
Registered charity Please supply your charity number
Community Interest Company Community or volunteer group or club Residents Association Other
If other, please provide further information
Organisation website or other on-line work for example a blog, social media, etc.
Your role/ position in the organisation:
First Name: / Surname:
Email: / Telephone Number:
Section2 – Application Summary
Project Title:Total Project Cost (maximum of £100,000): / Amount requested (maximum of £25,000):
Which eligible borough(s) does your project cover?
Ealing Hillingdon Hounslow Slough Spelthorne
Please provide a summary of your project (up to 50 words):
Match funding secured so far? (This should be a minimum of 10% as per Guidance and Criteria):
Proposed Start Date: / Proposed Completion Date:
Which theme does your project meet? (See Guidance & Criteria)
A1 A2
Where did you hear about the awards?
Press Letter Applied before Website Other (give details below)
Section 3 – OrganisationSummary
What are your organisation’s main aims and objectives?How many members are in your organisation? (This could be regular volunteers, staff, trustees, committee members, depending on the nature of your organisation – please give a thorough breakdown).
Do you have a constitution and organisation bank account?
Constitution Yes No Bank Account Yes No
Has your organisation previously received funding from Heathrow Airport, Terminal 5 charity, Communities Together, Youth or Tomorrow fund?
Yes No If “Yes” please tell us the URN (E.g. HIL101-Y13) and the amount that was awarded:
What is your organisations annual income?
Section4 – Project Information
Where will your project take place? (Give address/s where possible, if covering a less specified area, give us as much detail as possible):Please answer the questions below to give a more detailed description of your proposed project. It is important that youdemonstrate you have considered the Guidance and Criteria. The table following will help you to describe the structure of your project.
What is your proposed activity, and what do you want to achieve by doing it? (50 words)
Who will engage with the project and how will it benefit them? (50 words)
How do you know the project is needed? (50 words)
What is your long-term vision to maintain the resource or project going forward? How will it have lasting impact? (50 words)
How will you measure the success of your project?
Is this application to support work or activities you’ve carried out before (in previous projects), or completely new?
How will you publicise your project?
Who will do the work and how many people will be involved?
Please provide detail of other partners in this project and their contribution:
How many people will benefit from this project? Please provide a thorough breakdown.
Would you like us to advertise your organisation or project as a volunteering opportunity to HAL staff and other local companies and groups/individuals?
Yes No
Is this grant capital, revenue, or a mix?
Capital Revenue Mix
Please provide a breakdown of the costs for your entire project – funds secured, funds as yet unsecured - including funds from Heathrow Community for Youth. This table should show us how you will raise any outstanding funds, and shout total the full project cost.
Item/activity / Cost / Funding Source / Is it secured?
Total
Section 5 – Agreement
On behalf of (name of organisation/group)I confirm that
- I have read the Guidance and Criteria for this grant stream
- I have read the Tips for writing funding bids
- This application is accurate to the best of my knowledge and I agree to abide by the conditions of the grant scheme.
- Where requested, I am able to submit copies of our constitution and any other documentation referenced in this form.
Signature: / Date:
Name printed: / Your position in the organisation:
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