TOM AMOS CHARITY (Reg No. 1080954)
APPLICATION FOR GRANT Ref TAGA (will be assigned by the Charity)
DateName of applicant
Address
Email Address
Telephone Number
Mobile Number
Name of Organisation and Charity Commission Reg. No.(if applicable)
Address of Organisation (if different to above)
AMOUNT OF GRANT FUNDING REQUESTED
Brief Details of Project (Excessive detail is not necessary and may reduce the likelihood of a successful application)
RESPONSES TO CRITERIA - A response must be made to all criteria
1. Is the financial health of the individual/organisation such that without the grant the benefits cited in the application cannot be realised? Annual audited accounts and copies of the last three bank statements will be required (and should be provided as a PDF) to be used as an indication of the applicant’s financial position.
2. Describe briefly the main benefits that would justify the application for a grant
3. Do the benefits stated as being realisable by a successful application partially or wholly meet those set out in the objectives of the charity?
The objectives of the Charity are for the benefit of the residents of Little Waltham and elsewhere, (later clarified in a Supplemental Trust Deed as “Little Waltham and elsewhere shall be defined and construed as limited to the area comprising within the Borough of Chelmsford and District of Uttlesford and District of Braintree in the County of Essex”) the provision of recreational facilities in Little Waltham and elsewhere, the advancement of education, the relief of poverty, the advancement of religion, and other charitable objects that are beneficial to the community.
4. Are the benefits cited in the application achievable with the grant, or do other conditions exist that may frustrate their achievement?
5. Please be specific about any contribution that you, the organisation, or any other organisation(s) may be receiving including outstanding grant applications.
6. Will any individual or individuals personally benefit from the grant, beyond the purposes stated? If so, these should be explicitly set out – who, what, when, how.
7. Will any other sources of income be jeopardised by the awarding of a grant by the Charity?
8. Are there alternative ways of funding the need? If so, these should be listed.
9. If a donation were to be funded by the Charity, is there an intention or commitment to repay the Charity? If so, over what period?
10. Is the purpose of the donation specific? Please describe the need benefits and costs – set up and on-going.
11. The Trustees will reserve the right to ask for an interview with applicants to consider complex applications.
I agree to an interview if considered necessary.
12. The Trustees will require character references from applicants who are not known to the Trustees.
I agree to supply character references if required.
NOTES
No weighting should be implied from the order of the criteria, as listed, nor should the prior decisions of Trustees be any indication of any future likely outcome.
In summary, the decision taken by Trustees will reflect their assessment of an application, given the evidence submitted. The Trustees decisions are final and no correspondence (i.e. appeals or feedback) will be entered into.
It should be noted that grant payments are normally paid against a relevant invoice or invoice(s).
ANY APPLICATIONS WHICH DO NOT MEET THE OBJECTIVES OF THE CHARITY OR WHERE THE SUBMISSION DOES NOT FULLY COMPLY WITH THE CRITERIA SHOWN(OR WHERE AN APPLICATION IS NOT SUBMITTED AS A PDF) WILL BE REJECTED.
CHECK LIST
Have you included?
A fully completed application form.
(Please check on our website that you have addressed all the issues and criteria required for submission of an application)
A copy of the last year’s audited accounts.
Copies of the last 3 original bank statements.
Copies of Character References (if applicable).
Please note that all documents should be sent as PDF files to (See for a free PDF writer)