Midsized Grant Application Form | Warrington Voluntary Action

Organisation/Group name ^*

Please give us a brief explanation on who your organisation aims to support, and the difference the organisation makes to the people accessing your activities/services ^*

If you are registered (e.g. CIC, CIO etc.) please share a link to your entry where you are registered

Please upload a copy of your governing document  ^*

(may also be known as a constitution, memorandum, articles of association or something else entirely)
One file only.
40 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Please upload evidence of your financial information. ^*

This can be through bank statements, spreadsheet outlining income and expenditure or annual accounts

If you are applying for less than £5k, please provide the last 3 months of bank statements

If you are applying for more than £5k, please provide a years worth of bank statements

Maximum 3 files.
40 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Please upload your current Safeguarding Policies ^*

You can upload your Adult and Children and Young Person policies

Maximum 2 files.
40 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

How does your organisation differ to other organisations in the town? ^*

Are you the only one of your kind? Are you working with a particular group of people with a challenge in common? If you are in healthy competition with others, are there enough participants to go around?

Please share any links to your organisation’s website, and/or social media pages if applicable.

What is the name of your project? ^*

Where will the project take place? ^*

How much money in total are you requesting? ^*

Please list a breakdown of the costings of your project to give the panel a better understanding of what the funding will be used for ^*

Keeping an existing idea/project going

Piloting a new idea/project

Benefit existing participants

Attract new participants

What would you like to do? ^*

Please tell us what your project idea is, the difference it will make, who will benefit from it, how long you estimate it to run for, how you’ll advertise it. Please explain your intentions and desired outcome for the project.

The priorities for this fund is to help address gaps and needs in the community. What is the gap or need you have identified? ^*

How have you identified this gap, by involving your community? ^*

This is a Community Led fund. We believe that people understand what's needed in their communities better than anyone else. Tell us how your community came up with the idea for your project. We want to know how many people you've spoken to, and how they'll be involved in the development and delivery of the project

Here are some examples of how you could be involving your community: Regular chats with members, surveys, steering groups, open days, including community members on your committee and more

Being active and mobile

Connecting with friends, family and community

Healthy lifestyle choices (including eating and drinking)

Living safe and well at homehome

Managing medication and health conditions

Mental health and emotional wellbeing

Money advice, housing and life changes

You can pick a maximum of 3. Thinking back to the question about the gaps/needs that you fill, please take time to identify the outcome/difference you will make and which of the themes fits. We may ask you more about this.

Monitoring

We want to ensure that how you report on your work is proportionate to how much you have been funded and what you do. Share your ideas on what you can provide and we will have a conversation if you are successful on how your project will be reported on.

Written timeline/narrative

Visual timeline/narrative

Case Studies/Surveys/Interviews (qualitative)

Statistics/data (quantitative)

We have our own idea...

Declaration

Some final questions before you submit. Please check you have answered all the questions you need to before submitting

I am an authorised representative of our organisation

Members of our board/committee know this application is being submitted

All documents and information are true and accurate, to the best of my knowledge

Electronic Signature ^*

By providing your electronic signature here you are taking responsibility or this application and any grant awarded.

Please note: Details of applications may be shared with UKSPF project commissioners.

Your Organisation

Your Idea/Project

Monitoring

Declaration

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