Breaking the Cycle: Application form

Welcome to the Barrow Cadbury Trust application form

We hope you find this form straightforward to complete. If you have any problems with completing it, please contact us on 020 7632 9060 or use the help link in the bottom left hand corner of this page which will take you to our email address (general@barrowcadbury.org.uk)

You can either type directly into the form or, if you prefer, you can cut and paste from another application such as Word. You can change the size of the text boxes in the form by dragging the bottom right hand corner. You are strongly advised to save your form regularly. We suggest, as a minimum, that you save when you complete each page. To save your form, use the hyperlinks at the top and bottom of the form. You will be asked for a password and, once you've saved the form, you will be sent an email with a link to your form and a note of your password. We do not have access to your password, but if you forget what it is, you can reset it yourself or ask us to send you a new password.

Many of the fields in the form are compulsory. These are marked with a red asterisk. If you do not complete compulsory fields, you will not be able to submit your application to us.

Once you have completed the form, click on the "Submit" button. Your complete form will appear on the screen for you to review. Once you are happy with it, click the "Confirm" button. You will receive an email acknowledgement with a copy of your form once you have successfully submitted it.

After the closing date we will review all the applications and may ask you for additional information, including copies of your most recent annual accounts and your governing document (for example Articles of Association, Constitution or Rules). Please make sure they are up to date, we cannot fund organisations that do not have up to date accounts (unless this is your first year of operating) or governing document.

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At Barrow Cadbury Trust, we’re committed to protecting and respecting your privacy. You can see the full text of our privacy policy on our website here.

As part of this application form, we collect information about you to enable us to contact you. We may use your information to:

· Contact you regarding your grant application and, if successful, any subsequent grant;

· Contact you regarding matters that are relevant to the Trust’s and your organisation’s mission;

· Send you communications which you have requested;

· Seek your views or comments on the services we provide;

· Notify you of changes to our services.

We will not sell or rent your information to third parties. Once grants have ended, information will be stored for historical and research purposes. Electronic information is stored on our database and paper copies are transferred to and managed by Archives and Collections at The Library of Birmingham. Full details of research access to archived materials can be found in our privacy policy here.

By submitting this application form, you agree to us using your personal information in this way.

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Page 2 - You and your organisation

Your contact details

Your first name

Your last name

Legal name of your organisation

This must be the legal name of your organisation (the name that is on your governing document)

Any other name your organisation is known by

For example this might be an operating name or set of initials

First line of your organisation's address

City

Post Code

Website

Your job title/role

Please tell us what role you have in the organisation (your job title or Board position).

Your telephone number

Your email address

Your mobile phone

About your organisation

Your organisation's legal status

Charity number

Companies House number

Your Companies House number must be 8 digits long. If it less than 8 digits, add zeros at the beginning to make it up to an 8 digit string. For example: xxxxxx becomes 00xxxxxx.

Name of regulator and registration number

Number of staff (full time equivalent) employed by your organisation

Number of Trustees/Board members

In which year was your organisation established?

Your organisation's senior contacts

First name of the chair of your organisation (or another committee officer if you are the chair)

This must be a different person from the person filling in the form named above. If you are the Chair of the organisation and the main contact for this application, please give the details of a second office holder such as Treasurer or Secretary.

Last name

Role in the organisation

Email address

Phone number

Address for correspondence (if different from that of the organisation)

First name of your most senior staff member

Last name

Role in the organisation

Email address

Phone number

Your commitment to the programme

Who from your organisation will be participating in the learning process?

Please give the name of the individual

Tick here to confirm that if funding is awarded you/they commit to participating in the learning process, and to sharing learning where you/they can

About your organisation

Tell us a bit about your organisation. What are its aims? (100 words max)

What does it do and who benefits from its work? (150 words max)

How does its work relate to economic and racial injustice? (150 words max)

Page 4 - About your project

Your project details

Title of your project (max 55 characters)

Please give your project a name of no more than 55 characters

How much are you applying for? (maximum grant size £15,000). Use numbers only, not commas, decimal points or pound signs (e.g. 9000, 15000)

Planned start date

It may take us up to four months to assess your project (usually less for smaller applications). Please bear this in mind when setting a start date, and be realistic about what you can achieve.

Planned end date

Is your work intended to benefit particular groups of people? Please tick all that apply.

At least 75% (three quarters) will be from communities that experience racial inequity At least 75% will be migrants, refugees or asylum seekersAt least 75% will be women or girlsAt least 75% will be young adults (18-25)At least 75% will be LGBT+ people At least 75% will be disabled people including those with sensory, learning or physical disabilities, mental health support needs or long term illnessAt least 75% will be people who are educationally or economically disadvantagedOur work will not target any of the groups listed above

Why do you want to be part of Breaking the Cycle? (150 words max)

What difference will it make to your organisation? (150 words max)

Equality and equity

Working towards a more just and equal society is at the heart of the Barrow Cadbury Trust's approach. We have a particular focus on gender and race inequality, and expect the organisations that we fund to build an equalities perspective into their work.

Please tell us how your project will help reduce race inequality. If you feel you have described this in earlier parts of the form there is no need to add anything, but please use this space if you'd like to tell us more.

Please tell us how your project will help reduce gender inequality.

Impact

What do you hope to gain from the learning process? (100 words max)

What difference to your organisation and those you exist to help do you expect your participation in Breaking the Cycle to make? (150 words max)

Here we are looking for the change you expect/hope your project to lead to. For example you might be looking for your ideas to influence local or national policy, or to demonstrate a new way of addressing a complex problem, or to lead to change for individuals.

Page 5 - Budget and finances

Your organisation's finances

In order to assess your organisation's financial health we need to understand your organisation's financial situation:

What do you expect your expenditure to be for the current financial year (please use numbers only, no £ or commas)?

How much of that have you secured so far (please use numbers only, no £ or commas)?

If you have a funding gap, what are your plans to close it?

What is the end date of your last financial year?

If you have reserves, please tell us how much.