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Islington Giving application form

Islington Giving is committed to working towards becoming a more inclusive funder. As part of this work we are interested in how organisations demonstrate that they are taking steps towards identifying and removing barriers preventing people living with disabilities from taking full advantage of your offer.

For clarity, people living with disabilities, can be interpreted as anyone living with a physical disability, learning disability and/or mental ill-health.

Islington Giving is committed to ensuring our processes are accessible to all. Please contact us if you would like to discuss providing the information required in a different way. Phone: 020 7288 6942 Email: nikki.wimborne@cripplegate.org.uk

Please ensure that you have read the guidelines before making an application.

IMPORTANT: Please set up an account at the beginning to avoid losing data. Click on the save my progress and resume later link on the bottom right of the screen and register your email and a password. You can then save your application and come back to it at any time.

Where word counts are indicated on the form, please note that these are a rough guide only.

You can save your application and come back to it at any time.

If you have any questions or wish to discuss your application, please get in touch.

Contact Details

Organisation Details

Organisation name

Address

Street

City

Post code

Phone

Please enter a number with no spaces or hyphens, eg: 02077778888

Website

Email Address

Primary contact for this grant

Title

First Name

Last Name

Job title / Position in organisation

Work Phone

Please enter a number with no spaces or hyphens, eg: 02077778888

Mobile Phone

Please enter a number with no spaces or hyphens, eg: 07777777777

Email Address

Contact Address (if different from main organisation address)

Street

City

Post code

Page 2

About your organisation

1. What is the legal status of your organisation?

If you selected 'Other', please give details:

2. What year was your organisation established?

3. What are the aims and objectives of your organisation?

100-200 words

4. Please list the names and positions of all members of your organisation's governing body, (if not included in your attached accounts):

5. How would you describe the leadership of your organisation? Does your leadership represent the community your organisation serves? By leadership we mean trustees and senior managers:

6. Please describe your organisation's approach to safeguarding:

200-300 words

7. Please describe your organisation's approach to risk management, including what relevant insurance cover you have in place:

100-200 words

8. How many people have directly benefited from your organisation's work or services in the last 12 months?

9. What was your organisation's total income in your last financial year?

Please give the figure for the most recent financial year, even if your attached accounts are older.

10. Please tell us how your organisation was funded in your last financial year (if not included in your attached accounts):

We would like to know how much of your income came from statutory funding / trusts and foundations / membership or user fees / other sources. Please also list any single sources of income that account for more than 10% of the total.

11. Please list any funding you have received within the last 3 years from the following members of the Islington Giving coalition: Cloudesley, The Morris Charitable Trust, City Bridge Trust, The Paul Hamlyn Foundation, Big Lottery, Goldsmiths Company Charity:

This will not effect the outcome of your application - it is for internal reference only.

12. How many full time staff do you employ?

Please do not leave this question blank - enter 0 if necessary.

13. How many part time staff do you employ?

Please do not leave this question blank - enter 0 if necessary.

14. How many people have volunteered for your organisation within the last 12 months?

Please do not leave this question blank - enter 0 if necessary.

15. Islington Giving believes how you treat people is key to determining how successful your service can be. Please describe how you put relationships at the heart of all that you do.

Page 3

About your Project

Question 1

Which of Islington Giving's funding priorities best describes your project?

Question 2

Project Title

Question 3

Project Start Date

Question 4

Project End Date

Question 5

Please describe your Project

We are particularly interested in: 1) the timeline, and number / locations of activities; 2) how you plan to engage people, and whether you are targeting particular groups of people; 3) details of any partnerships the project will involve. 400-500 words

Question 6

How will you ensure your project is inclusive, and how will you help people to overcome any potential barriers to participation?

300-400 words

Question 7

Please describe the need for your project and how this has been assessed:

We are particularly interested in any aspects of the project that have been designed with input from the people you plan to support. 300-400 words

Question 8

Please tell us why your organisation is best placed to meet this need:

300-400 words

Question 9

How many people will directly benefit from this project?

Question 10

How many of these will be Islington residents?

Question 11

How many volunteers will be actively involved in the project?

Please do not leave this question blank - enter 0 if necessary.

Page 4

The difference you will make

Question 1

What difference will your project make to the people you work with?

400-500 words

Question 2

Please describe how you will know what difference your project has made:

400-500 words

Question 3

How will you ensure the positive outcomes of your project can be sustained for the people you work with?

300-400 words

Page 5

Your budget

Question 1

What is the total budget for your project?

Question 2

How much money are you requesting from Islington Giving?

We require a detailed breakdown of the full costs of the project, including details of how any other funds will be raised. We actively encourage the addition of a budget line to enable your offer to be more inclusive and accessible to people living with disabilities.

Please remember to upload your budget at the end of your application with the other documents required.

Page 6

Working with us

Please tell us anything else you would like us to know about your project and how it will benefit Islington residents:

Islington Giving encourages everyone we support to become an ambassador for the programme, for example by hosting visits from donors or attending Islington Giving events. Please tell us if you have any ideas about how you could help us to raise the profile of need in Islington and create opportunities for residents:

100-200 words

Declaration

Information in this form will be used for assessment and monitoring purposes. Some details will also be recorded on a database, which will be used to gather general information that may be made public. However, individual details will not be made public without permission. If you would like to discuss this further, please contact Islington Giving.

By submitting this application you are declaring that an appropriate member of your organisation's governing body has read and agreed to the above, and has approved the contents of the application.

Your name:

Your position in the organisation:

Supporting documents

Please attach the following documents.

If you have previously applied for a grant from Islington Giving, Cripplegate Foundation or Islington Council's Community Chest and your governing documents have not changed, you can skip attachment 1.

To attach a file, click the 'Choose File' button and select the file you need.

To change the file (eg, if you accidentally attach the wrong document), just click the 'Choose File' button again and select the correct file. This will replace the first file.

To remove a file without replacing it, click the 'Choose File' button and then click 'Cancel'.

1. Constitution or governing document

2. Recent bank statement

Please ensure the uploaded document clearly shows the bank name, bank account name, account number and sort code.

3. Annual accounts for the most recent year available

You may attach draft accounts if a final version is not yet available.

4. Draft annual accounts and/or Management accounts for current year if annual accounts are over 6 months old

5. Project budget

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