Registered Charity Number 1164021

APPLICATION FOR FUNDING

We prefer that this form is completed and returned electronically if possible.

Please feel free to expand the boxes as required

Name of Organisation:
Charity registration no:
Website:
Contact name:
Position of applicant:
Email:
Telephone Number:
Date of application:
Amount requested per annum:
Duration - no of years?
About your Organisation:
National or Local charity? If local, please state the county or area of operation:
Annual turnover?
Current level of reserves?
Have you received a grant from The Blagrave Trust before?
Has an outline proposal been considered? If yes, please tick relevant area(s)
( ) NEETs
( ) Outdoor Education
( ) Healthy Relationships
Main Objectives of the Organisation:
What does the organisation do? What is the problem you are trying to solve? Who benefits?

Please keep your answers brief. You can send us supporting documents, e.g. impact reports, if they answer the questions instead of completing the sections in full. Please make sure the origin and date of these documents is clear.

Purpose for which the grant is requested and the period of operation:
What will the grant deliver and how do the activities help solve the problems the organisation is trying to address?
Approximately how many prospective children or young people will be assisted and what is the age range?
Year 1:
Year 2:
Year 3:
What is the evidence on which the charity’s work and this project is based If you wish, instead of completing this section you can send us a copy or include a link to the evidence. (Please reference the source of any data).
Please provide information on the key output that you expect from this grant over the duration of the work.
Year 1:
Year 2:
Year 3:
Please provide information on the key outcomes that you expect from this grant over the duration of the work.
How do you ensure that the young people you are assisting are meaningfully engaged in the design, delivery, monitoring and evaluation of your services?
Does your organisation have a child safeguarding or child protection policy and how do you ensure its implementation?
Finances:
Please provide (feel free to attach) a detailed income and expenditure showing confirmed income for
the particular project. Please also provide revenue and costs for the last financial year and reserves
at the end of last financial year (please attach latest annual report and accounts).
How would you describe your charity’s financial health?
Management and governance: please give details of your management/reporting structure and
outline how you ensure that your governance arrangements are appropriate and effective.
Partnerships and collaboration: Explain any collaborative working. How do you endeavour to reduce duplication and learn from other organisations?
Results: How are you monitoring your results and impact?How are you learning and improving as
an organisation?
Please give details including email addresses of two independent referees indicating in what
capacity you have dealt with them. Please check with them first that they are
available and willing to provide a reference.
In the event that a grant is awarded please provide bank details:

Your consent

By providing The Blagrave Trust with your personal data you consent to the collection and retention of any information you provide on our database. We will use this information to help assess your application and administer any grant we award. By applying to the Blagrave Trust you are allowing us to approach other funders who may have supported you previously.

You have the right to ask for a copy of the information we hold about you and to have any inaccuracies in your information corrected.

If your application is successful, you must be willing to take part in, where appropriate, any publicity activities.

Do you have any comments to make on the Trust’s procedures and this application form to help us improve our practice?
Your application should be signed by the main contact and senior officer of your Management Team/Board:
Signature ………………………………… Print Name……………………………
Position……………………………………. Date……………………………………..
Signature ………………………………….. Print Name…………………………….
Position……………………………………….. Date………………………………………

1