Annual revenue community support grant application (from £1500)

Instructions
Please use this form to apply for an annual revenue community support grant of £1500 and above.
Organisation contact details
Organisation name
Project name (if different)
Address
Postcode
Website
Contact person

This must be someone from your organisation who knows about your project and can be contacted during office hours. This is normally the person completing the form.
Position in the organisation
Email
Phone
Specific communication needs such as large print, textphone, sign language, other language.

About your organisation
Organisation start date: when it first started meeting or running activities or projects. Month and year.
Type of organisation
Registered charityExempt or expected charity registered with the Inland RevenueCompany limited by guaranteeCommunity group/club/societyOtherOther
Registration or company number where relevant
Organisation purpose: brief description. Describe the usual activities/ services you provide. If you are a new organisation, describe the services/activities you plan to provide.
Please attach your constitution (Word or PDF file, maximum 2MB).
How often does your management committee meet?
Number of paid staff
Number of volunteer staff
If you are a branch of, or related to, a larger organisation, please provide details.
Please tell us about any recognised quality standards your organisation holds or is working towards.

(Quality Standards informs us and helps you to say what you do. Do what you say. Record what you do and provide evidence for improvements.)
Please attach your equal opportunities policy if you have one.

(Word or PDF file, maximum 2MB) (your policy must address all the areas identified in Wycombe District Council’s Equal Opportunities Policy which you can find on our website.)
Please state what particular steps you plan to take to implement the equal opportunities policy through the project or activities you are planning. (We have a duty to look at the way groups they fund deliver services and how the organisation promotes equality of opportunity. Please give examples of how you challenge discrimination; combat harassment; work to eliminate unlawful practices; implement your policy through recruitment practice and accessibility of services.)
Please tell us how users are involved in the development, management and delivery of the project/service. (For example: user involvement on the management committee or continuing monitoring and evaluation of user feedback.)

Your project
Describe the projects/activities you plan to use this grant for.
What project or activities will take place if you receive a grant?
What will the key milestones be?
Please explain how you know that people in your community want this project and what difference you hope the grant will make?
Is this grant application for funding to enable
Continuation of existing serviceExpanded serviceNew service
How many people do you expect to benefit directly from your project / service/ activity?

Linking with our priorities
We have key aims and objectives which define priority areas of work. More information on the priorities is available in the grants information pack
Please explain how you will meet the relevant outcomes for each priority.
Place: A great place to be • To be a place people visit and enjoy • To be known for its natural beauty and wildlife • To be a safe and attractive place • To offer homes that meet housing needsPeople: Strong communities • Our communities work well together • To ensure that people can get help when they need it • People to be healthy and active • To support people and organisations who help othersProsperity: Growth and prosperity • Everyone who wants to work or train to be able to do so • The creation of new and growing businesses • Better physical and digital connectivity • Sustainable economic growthProgress: Efficient and effective • To make it easier for our customers to get what they need • Our elected members and staff to be our advocates • To make the best use of resources • To do the right things in the right way
Place: A great place to be
People: Strong communities
Prosperity: Growth and prosperity
Progress: Efficient and effective
How do the activities of your organisation link with our strategies, eg community plans?

You are not expected to contribute to all the strategies only those that are relevant for the area in which your organisation work. For details of the relevant strategies please visit www.wycombe.gov.uk. If you would like additional support in completing this section please contact the Commissioning and Grants Officer
How will you know that the project/service has been successful? How will you measure success?

Please tell us what you will do to keep the project/service on track or how you will recognise its success. Please note that there will be monitoring requirements should your application be successful
Are you aware of any other organisation delivering a similar project/service within the area? How is the service you provide different to the one that is already in existence?

Please tell us what is unique about your service. Eg targeting a particular section of the community or additional service to one which already exist
What are the main risks for the success of the project/service, and how will you manage these risks?

Risks to your project are things such as: Health & Safety; financial challenges; increased need for the service; staffing issues
What are your plans for the future of the project/ service when this funding comes ends?

Please tell us about your plans for the project/service after funding concludes. Will the project come to an end or continue? Please tell us what you intend to do.
What insurance cover does your organisation have?

Please list the cover you hold. Please include copies of any insurance certificate/s with this application, e.g.: employer liability, public liability, professional indemnity.
Tell us how much money you need for your project/service and provide a breakdown of what the money is for.

Please use general headings. In Column A tell us how much funding you are requesting. In column B tell us about the total cost. (A detailed breakdown should be shown on your income & expenditure and project budget). Remember to add VAT where it applies. Please total all columns. These totals will tell us whether there is a gap between the total cost and the grant you are requesting from us.
Or upload spreadsheet
Please provide details of other applications to other funding sources for this project/service?
Provide details of any other partners and what they are contributing, eg in kind support

This can be in cash, or an estimate of any ‘in kind’ contribution such as: a) the amounts of volunteers’ time, or b) the value of hiring a venue you are using for your project.
Please tell us whether your services users will be charged for the service? If so what will be the charge?
Value for money: please demonstrate how you will deliver your activities in an efficient and cost-effective way

This information will assist us in understanding how you plan to use your resources and any grant awarded to you, to gain maximum benefit for your service users.
What is the budgeted total annual income of your organisation in the current financial year?

Current financial year refers to the financial year in which you are making this application
What is the budgeted total annual expenditure of your organisation in the current financial year?

Current financial year refers to the financial year in which you are making this application
If your accounts show a substantial unrestricted surplus/ reserve, (ie over £5,000 and more than 6 months of annual turnover) please say a) how much and b) how you plan to use/invest it.

What will your surplus/reserve cover. e.g. support costs; 3-6 months running costs
Please confirm that the project funding will not be used for any party political or illegal purposes and that projects will not promote views or allow activities that contravene our Equal Opportunities Policy, or that seek to cause, exacerbate or exploit tensions or misunderstandings within the local community. In particular, activities that include inciting or promoting religious, sexist or racist violence will not be permitted.
Yes
Please confirm that the organisation, or any member thereof, has no direct or indirect personal interest with one of our elected members or officers.
Yes

Your bank or building society account details.
Please double check that the information you provide is accurate. You can only apply for a grant if you have a bank/building society account in the name of your organisation. We need this information to pay your grant without delay, if your application is successful.
Organisation's account name
Bank/building society name
Bank/building society address
Sort code
Account number
Building society roll number (Building society accounts only)

Authorised signatories
List all the people who are authorised to sign cheques or withdrawals on this account. We will only pay grants into an account which requires at least two people to sign each cheque or withdrawal. It is recommended that these people should not be related.
Authorised signatory 1
Position 1
Authorised signator 2
Position 2
Authorised signator 3
Position 3
Authorised signator 4
Position 4
How many people have to sign each cheque or withdrawal from this account?
Is your organisation less than one year old?
YesNo

Accounts
Provide the following details from your most recent annual accounts. You should take these figures from your most recent annual accounts, which you also need to send us.
Account year ending.

Day, month and year.
Total (gross income)

Value in £
Minus total expenditure

Value in £
Equals loss/profit for the year.

Value in £
Savings (reserves, cash or investments)

Value in £
How old is your organisation
Less than one yearOne year or older

Upload annual accounts
If your organisation is one year old or older, please send your most recent annual accounts.

Upload financial projection or budget.
If your organisation is less than one year old, please send us a financial projection or budget.

Signature of main contact
Signed [Full name]

This must be the signature of the person named as main contact and not be the same person who has signed below.
Date
I confirm that, to the best of my knowledge and belief, all the information in this application form is true and correct. I understand that you may ask for additional information at any stage of the application process.
Yes
Senior contact (this can be a trustee)
Please give details of a senior member of your organisation. For example, this may be the Chair, Vice-Chair, Secretary, Treasurer, Head Teacher, Chief Executive or Director.
Signed [Full name]

This person must read and sign the application. This must not be the same person who has signed above.
Date
Position
Email address
Contact address
Postcode

Additional Information
Important information about the people who will benefit from your project.
How many people are involved in running your organisation? Management committee members

There must be at least three management committee members.
How many people are involved in running your organisation? Volunteers
How many people are involved in running your organisation? Other
Of the people you included in your total above, which groups do they belong to.
Disabled peopleYoung people (25 or under)Older people (60 or over)People of minority ethnic originOther
Which age groups do you hope to benefit through your project?
0 to 56 to 1011 to 1617 to 1819 to 2526 to 5960 and over
What percentage of people who benefit from this project/service live within the Wycombe area?
How would you describe the people who will benefit from your project?
People living in rural areasPeople living in urban areasLow incomeDisabled peopleOther

Diversity
How would you describe the people who will benefit from your project?
White BritishWhite IrsihWhite OtherWhite and Black CaribbeanWhite and Black AfricanWhite and AsianOther mixedIndianPakistaniBangladeshiOther AsianCaribbeanAfricanOther BlackChineseOther ethnic group

Document checklist
Please ensure that you have sent us the relevant documents.
List of Decision Makers/ Committee Members/ Trustees (showing names and positions)
Minutes of last four meetings.
Child protection policy (if appropriate)
Vulnerable adults policy (if appropriate)
Bank statements (last three months)
Business plan (if application is for £10,000 or more)
Relevant insurances certificates
Copies of relevant certificates demonstrating quality standards or affiliation to umbrella bodies.