The Bingham Trust Application Form for a Grant
THE BINGHAM TRUST – APPLICATION FORM FOR A GRANT
TAX REQUIREMENTS:
Please note that under UK Government tax compliance regulations, designed to combat tax evasion, the Bingham Trust will:
- Assume that you reside in the UK and that you pay UK tax, if you are required to do so.
- Share information with Her Majesty’s Customs and Excise, if we are required to do so.
- Retain the information you have given us for six years.
If you are not resident in the UK for tax purposes or you do not agree with these three numbered paragraphs then you must not apply to us for a grant.
By signing this application form you confirm to us that you agree with these three numbered paragraphs.
PLEASE COMPLETE IN BLACK INK, OR PRINT
ALL SECTIONS (IF APPLICABLE) MUST BE COMPLETED. ANY FORMS WHICH ARE NOT COMPLETED FULLY AND CORRECTLY WILL BE RETURNED TO YOU.
1. YOUR NAME…………………………………………………………………………......
THE NAME OF YOUR ORGANISATION (IF ANY)…………………………………......
YOUR ADDRESS………………………………………………………………………......
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YOUR PHONE NUMBER………………………………………………………………......
YOUR EMAIL ADDRESS………………………………………………………………......
HOW MUCH MONEY ARE YOU APPLYING FOR? £......
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2.WHY DO WISH TO APPLY FOR A GRANT?......
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3. ARE YOU AN ORGANISATION? (E.G. A CHARITY, A COMMITTEE, A CLUB ETC) YES / NO (DELETE EITHER YES OR NO)
IF “YES” NOW GO TO QUESTION 4. IF “NO” NOW GO TO QUESTION 5.
4. (THIS QUESTION IS FOR ORGANISATIONS ONLY)
WHAT ARE THE AIMS OF YOUR ORGANISATION?
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STATE THE NAMES OF YOUR MANAGEMENT COMMITTEE MEMBERS:
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DO YOU HAVE A CONSTITUTION / RULES / ARTICLES OF ASSOCIATION OR SIMILAR OPERATING PROCEDURES? YES / NO (DELETE EITHER YES OR NO) IF “YES” PLEASE SEND US A COPY
WHAT IS THE TOTAL COST OF YOUR PROJECT?......
HOW MUCH MONEY DOES YOUR ORGANISATION ALREADY HAVE FOR THIS PROJECT ?......
HOW MUCH MORE DO YOU NEED?......
WHO ELSE HAVE YOU ASKED FOR MONEY FOR THIS PROJECT? ………………………………………………………………………………………………………………………………………………………………………………………………......
HOW MUCH HAVE THEY AGREED TO PAY?......
HOW WILL PEOPLE BENEFIT FROM YOUR PROJECT?......
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….……………………….WHAT PROPORTION OF THESE PEOPLE LIVE WITHIN THE SK17 POSTCODE AREA …………...... %
5. (THIS QUESTION IS FOR INDIVIDUALS ONLY – NOT FOR ORGANISATIONS)
WHOM HAVE YOU SPOKEN TO ABOUT THIS APPLICATION? (E.G. CITIZENS ADVICE BUREAU, SOCIAL SERVICES, CHARITIES, THE COUNCIL ETC)
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(PLEASE ENCLOSE A LETTER FROM THEM SUPPORTING YOU)
HOW WILL YOU BENEFIT FROM THIS MONEY?......
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WILL ANY OF YOUR FAMILY OR FRIENDS BENEFIT FROM THIS MONEY? YES / NO (DELETE EITHER YES OR NO)
IF “YES” HOW WILL THEY BENEFIT?......
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IF YOU ARE ASKING FOR MONEY TO BUY GOODS OR SERVICES WHERE WILL YOU BUY THEM FROM?......
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(PLEASE PROVIDE 2 QUOTES FOR ITEMS REQUESTED)
If the application is successful, to avoid a delay in processing the grant, we will need details of whom to make the cheque payable. (please note that the Bingham Trust cannot make cheques payable to individuals). If the grant cannot be paid by cheque, please contact us on 07966 378 546).
6.IF APPLICABLE PLEASE GIVETHE NAME OF SUPPLIER OF GOODS/SERVICES OR ORGANISATION FOR CHEQUE TO MADE PAYABLEHERE ......
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7. DECLARATION – ALL APPLICANTS TO COMPLETE AND SIGN.
I declare that the above information is correct and I apply for the money mentioned in paragraph 1 above.
I declare that the money will only be used for the purposes I have explained and if any of it is unspent, I confirm I will return it.
If I am applying on behalf of an organisation, I confirm that I have the Management Committee’s permission to do so.
I agree to the Bingham Trust consulting with other persons or organisations who might support me in my application.
I agree to the Bingham Trust holding the information that I have supplied to them on a computer and by other storage methods but I understand that they will not divulge my information to anyone else (except when required by the Charity Commission)
I will not require any papers that I have submitted with this application to be returned to me, except where I have specifically requested it in this form.
SIGNED …………………………………………………………………………………......
STATE YOUR OFFICIAL POSITION IN ANY ORGANISATION MAKING THIS APPLICATION (IF APPLICABLE)……………………………………………………......
DATE………………………………………......
Send your application by post to:
Ms E Marshall
The Bingham Trust
Unit 1, Tongue Lane Industrial Estate
Dew Pond Lane
Buxton
SK17 7LN
Or by email (but no large attachments please) to: