Welcome to the Heart of England Community Foundation application form for the Birmingham Fairer Futures Fund - Localities Small Grants.

Before you proceed with your application, please read the following information carefully.

You will process my details in accordance with the following policies and information:

• Privacy Policy

• Essential Information For All Applicants

Please note that we do not score questions individually. Some have a higher word count because we require more information from you. The questions are designed so that we can determine if your project, activity, or service meets the criteria and so that we can ensure we have all the information the panel require to make a decision. If we think there is some information missing a member of the team will contact you.

Guidance has been provided for some of the question (written in pink) to support with your answers.

Impact Section: please ensure the impact measures & categories selected/number of beneficiaries are realistic and achievable and you are collecting this information throughout the life of your project, activity, or service. These will form the basis for your end of grant reporting.

Before completing this application form, please refer to our Fund Fact Sheets for details of the funding programmes available.

If you are unsure about applying or have any other queries then please contact your local NNS or our Grants Team on 024 77800 520 or e-mail us: info@heartofenglandcf.co.uk and we will be happy to help. Good luck and we look forward to receiving your completed application.

The contact person should be someone who has a good knowledge of the application as this is the person we will contact if we have any queries.

As it appears on any governing documents.

We'd like to keep in touch with you during the grant application process and beyond, so please  provide your organisation's website and social media details if you have any.

Organisation legal status (select all that apply)

You will need to attach a bank statement from within the last three months at the end of this application so that we can check the account you want this grant to be paid into, if successful.

Bank address

If you do not have a name for the project, activity or service that is ok. 

If your project, activity or service is on-going, you should enter the start and finish dates of the funding period.

We realise that you cannot give exact figures but please estimate as accurately as possible. This information is important and will be used to evaluate the Project, Activity or Service at the end of the grant period.

Please select a maximum of three issues from the list above

You can select a maximum of two issues from the list above

You must select a maximum of three ages from the list above

To help us understand what you're planning to spend the money on, we would like you to provide a breakdown of your costs. 

Please enter a separate budget for each year your project will run.

Remember that you can only apply for £15,000 per year. Keep your costs reasonable and value for money

To help us understand what you're planning to spend the money on, we would like you to provide a breakdown of your costs. 

Please enter a separate budget for each year your project will run.

Remember that you can only apply for £15,000 per year. Keep your costs reasonable and value for money

To help us understand what you're planning to spend the money on, we would like you to provide a breakdown of your costs. 

Please enter a separate budget for each year your project will run.

Remember that you can only apply for £15,000 per year. Keep your costs reasonable and value for money

These are the amounts you've entered on the previous page

These are the amounts you've entered on the previous page

If you are applying to us for the first time using this form, you need to attach all of the following documents. If you have applied to us using this form within the last 12 months, you only need to attach a recent bank statement.

Please do let us or your NNS know if you require support with governance for your organisation. All documents should be up-to-date and in line with the latest changes to legislation. You will need a named designated safeguarding lead as part of your policy.

Support is available on our website

By ticking the box below:

• The grant will be used only for the exact purpose specified in the approved application, and no other purpose.  The offer letter, which confirms the award, will also explain if Heart of England Community Foundation (HoECF) wants us to alter any part of this application.
• No major change can be made to the project without the express written approval of HoECF.
• We will not sell or otherwise dispose of any equipment or other assets purchased with the grant without the express written approval of HoECF.  If we sell any equipment or assets, we may have to repay a part of any money so received.  The amount which we repay will be in direct proportion to the share of the project costs which came from HoECF.  The decision taken by HoECF on the amount to be repaid will be final, except in the case of a clear error.
• No purchase or order of any goods or services specified by this approved application has been made before we received the offer letter confirming the grant.
• If a pilot project is funded by this grant, we understand that HoECF will not automatically fund any later project.
• We will not change the sections of our Constitution which relate to purposes, paying members of the governing body, distribution of assets, or admitting members without first receiving the express written permission of HoECF.
• We will inform HoECF of any changes to our bank or building society accounts.
• We will comply with any relevant legislation affecting the operations of the project.
• We will acknowledge HoECF and the funder in our Annual Report.  Our Chair or Secretary’s report at the AGM, the accounts covering the grant period, and in any publicity material we produce about the project.  We will supply copies of all these documents if requested.
• We agree that HoECF and the funder can use our name and the name of our project in its own publicity materials, and we will inform them of any situation where confidentiality is a particular issue.
• We will spend the grant within the timescale specified within our application.
• If we do not spend the entire grant, we will promptly return any unspent balance to HoECF.
• We will monitor the project, and complete and return all required Monitoring Reports to the schedules provided.
• We understand that HoECF will not increase the amount of the grant if we overspend.
• We will keep all financial records and accounts, including receipts for items bought with the grant, for at least two years from receipt of the grant.  Receipts for items of expenditure over £200 should be retained and copies submitted with monitoring forms.  These records will be made available to HoECF on request.  We understand that this does not release us from our legal responsibility to keep records for a longer period.
• HOECF may withhold the grant, or ask us to repay the grant, in whole or part, in the following circumstances;
• If we fail to keep this contract in any way.
• If the application form was completed dishonestly or the supporting documentation gave false or misleading information.
• If we do not follow equal opportunities practice in employing people, recruiting new members and providing our services.
• If we do not implement and follow our Child Protection Policy/Vulnerable Adult Policy (if appropriate) in all aspects of our activities.
• If any member of our governing body, staff or volunteers acts dishonestly or negligently in their work on behalf of the group at any time during the project.
• If we fail to complete the project within the specified timescale within our application.
• If we close down, become insolvent, go into administration, receivership or liquidation (sequestration), or make arrangement with our creditors.
• If our group closes down, we will not sell or otherwise dispose of any equipment and assets without first receiving the specific written agreement of HoECF.
• These terms and conditions will apply until we have spent the entire grant and HoECF has received and approved our Monitoring Report.  If we bought any equipment or assets with the grant, these terms and conditions will apply until the end of the working life of the assets.
• HoECF reserves the right to impose further terms and conditions on the grant in the following circumstances;
• If we are in breach of the Grant Agreement.
• If any part of the other sources of funding for the project referred to in our application to HoECF is withdrawn.
• If HoECF becomes aware of any actions on the part of the members of the governing body, volunteers or staff of our organisation or any person or organisation substantially involved in the delivery of the Project which may have a detrimental effect on the Project.
• If in the reasonable opinion of HoECF such conditions are necessary or desirable to ensure delivery of the Project in the manner anticipated in our grant application; or following an agreed change to the Project.
• We may not assign, change, subcontract or novate this Grant Agreement or the Project without the prior written consent of HoECF.
• This Grant Agreement shall as regard this Project supersede all prior understandings between you and us and shall constitute the whole agreement between us and shall not be modified or varied without the prior written consent of HoECF.
• These conditions shall be governed by and construed in accordance with the law of England and the parties hereby choose and submit to the exclusive jurisdiction of the English courts.
• No provision of this Grant Agreement is intended to or create any right or benefit enforceable against the parties to this Grant Agreement under the contracts (Rights of Third Parties Act 1999).
• We also give permission for HoECF to record the information given in this form electronically and understand that personal information will be treated confidentially. All information will be held in line with the Data Protection Act 1998 and other relevant legislation. The only purposes the information will be used for is deciding whether or not a grant can be awarded to your group, for customer care, for publicity and for monitoring. The information will be used anonymously for monitoring purposes and will not affect the outcome of your application. By providing us with accurate information you are enabling us to improve the support we can give to voluntary and community groups across the county.
• We agree that my organisation will help with and be involved in publicity about the grant if we are successful and I agree to being contacted by HoECF.