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Cripplegate Foundation Main Grants application form

Thank you for your interest in Cripplegate Foundation's Main Grants programme.

Cripplegate Foundation is committed to working towards becoming a more inclusive Foundation and therefore want to ensure 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 6940 Email: anne.shewring@cripplegate.org.uk

We are also interested in helping organisations to identify and remove barriers that prevent 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.

Please save your application at the outset by setting up a username and password. This will enable you to come back to it at any time and reduces the risk of losing what you input.

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

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

Organisation Details

Organisation name

By the way, please only type letters or numbers in this field - our system can't cope with special characters (eg & % $ *). Thanks, and sorry for any inconvenience.

Address

Street

City

Post code

Phone

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

Website

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

About your organisation

1. What is the legal status of your organisation?

Charity Number (leave blank if not a registered charity):

Company Number (leave blank if not registered with Companies House):

If you selected 'Other', please give details:

2. What year was your organisation established?

3. What are the main issues facing your community and what are the main challenges you think your organisation will face over the next three years?

Please use this section to tell us about the impact of Covid 19 on your service and the people you work with (400-500 words)

4. This funding programme is prioritised for organisations led by and for marginalised groups. If not included in your attached accounts, please list the names and positions of all members of your organisation's governing body and confirm that over half of your board and/or senior staff are from the community that you are supporting?

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

200-300 words

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

100-200 words

7. What was your organisation's total income in the last financial year? Please enter the figure in the box below and use the box underneath to tell us the main sources of funding? (if not included in your attached accounts):

Please give the figure for the most recent financial year, even if your attached accounts are older. Please note, this fund will prioritise organisations with an annual income under £250,000

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.

8. How many full time staff do you employ?

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

9. How many part time staff do you employ?

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

10. Cripplegate Foundation believes how you treat people is key to determining how successful your service can be. Please describe the approach your organisation takes when working with people and what kind of impact this has on those using your services. Please provide an example of how you have worked with a resident:

When answering this question you might want to take a look at our HOW NOT WHAT website (300-500 words)

11. Can you tell us how you work in partnership with other groups and what impact this has on your service and the people you support?

About the work/project you are requesting funding for

1. Project title

If you are applying for core funding just write Core Funding in the box above. Please only type letters or numbers in this field - our system can't cope with special characters (eg & % $ *).

2. Please describe your work/project: what are the three main ways your organisation supports the community you work with?

Please use this section to tell us anything you think we should know about your organisation/project not covered elsewhere in this application 400-500 words

3. Date you would like funding to commence

4. Date funding will end

5. How might an annual grant of £10,000 support your plans over the next three years? (We are particularly interested in how this funding could have a positive impact on service development including increasing capacity and extending reach)

Please note: The £10,000 figure is an indicative amount and actual grant award could be more or less depending on what you are seeking funding for and overall competition for funds (300-400 words)

6. How will you ensure what you deliver is inclusive, how have the people using your services been involved in the design of your work and how do you help people overcome any potential barriers to participation?

300-400 words

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

8. How many people do you anticipate directly benefiting from your work/project through this funding?

If you are applying for core funding please include total numbers of anticipated beneficiaries for your organisation as a whole.

9. How many of these will be Islington residents?

10. How many people volunteered for your organisation in the last 12 months?

11. How many volunteers will be actively involved in your work/project through this funding?

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

The difference you will make

1. How does your work help Islington residents to overcome disadvantage, poverty and isolation?

400-500 words

2. What evidence will you use to demonstrate the difference you have made for the people you work with?

300-400 words

3. How will you ensure the positive outcomes you help achieve for the people you work with are sustained?

Your budget

We require a detailed breakdown of the full costs of your proposed work, including details of how any other funds will be raised. 

If you are applying for core funding, please provide an organisational budget which shows secured and pending income with sources of funding identified.

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 upload a budget file at the end of your application with the other documents required.

1. What is the total budget for your project?

2. How much money are you requesting from Cripplegate Foundation?

Declaration & supporting documents

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 Cripplegate Foundation.

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. Project or organisation budget

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