Want to apply

for the

Esmée FairbairnFund ?

We’d like to know how you might be able to use this funding so please use this application form to tell us all about your ideas.

Please ensure that you have read and understood the Guidance Document issued with this application form.

This form is also available in Braille. Please let us know if you need a copy in a different language.

If you would like to submit your answers to this form in a different way (perhaps as a video or a more creative way) then please let us know but please be aware we will still need answers to all the questions to be fair to everyone else.

Please return your completed forms to us at :

POP+ Funding Programme

c/o Devonport Guildhall

Ker Street,

Devonport,

Plymouth

PL1 4EL

Or you can email them to :

Or you can complete them online by visiting our website at :

About You

Name of Community or Group making the application :

Name of the Project you are proposing :

Contact Details :

Name :

Best Contact Telephone number :

Contact email :

Are you :

A registered charity, CIC or CIO

A community or neighbourhood group – if so where in Plymouth are you based ?

A network or partnership

We are hoping to develop as many new partnerships as possible so….

Will you be working with other groups or communities ? Yes  No 

If yes…….

Who are you hoping to workwith ?

So that we can manage the funds properly you will need to let us know that you have… :

(Please tick the boxes below to confirm this…..)

A formal constitution, charter or adopted Terms of Reference

A ‘Steering Group’, Board or ‘Management Team’ that could manage the fund.

A bank or credit union account to transfer it to.

If you don’t have any of the above, don’t worry…..we can help you to meet this requirement. Just get in touch.

About Your Project

Briefly, please tell us about your idea and how it will change your community for the better.

Box will expand as you type :

Working with the Esmée Fairbairn Fund

Please tick which of the aims of the Esmee Fairbairn fund you think your idea will meet and then briefly explain how you intend to do this in the box below. You can tick all three but it’s fine to only tick one box if you are focusing on one aim.

Addressing the needs of people in Plymouth

Improving the quality of the local community and voluntary sector and its capacity to change Plymouth for the better.

Developing a more effective and equal partnership between the community and voluntary, public and private sectors to achieve change in the city.

Remember to tell us how you intend to do this…….

How will you address the needs of people in Plymouth ?
How will this improve the quality of the local community and voluntary sector and its capacity to change Plymouth for the better ?
How will your project help to develop a more effective and equal partnership between the community and voluntary, public and private sectors to achieve change in the city ?

How will you know if your project is a success ?

See the Guidance notes for ideas on this.

Please tell us when you intend to start your project :

Start dates should be no less than 2 months after the date of this application to allow for funding decisions to be made.

When do you think it will finish ?

Do you think it will need more funding when this grant comes to an end ?

Yes

No

If ‘Yes’ have you thought about how you will keep it going ?

Yes

No

How Much ?

How much are you asking for in total ?

£

What will this pay for ?(Please see Guidance Notes for ideas on what you can include here. This is your budget for the project)

Box will expand as you type

Is there anything else you feel we need to know about your organisation or the project it would like to fund ?

Signed :Dated :