Please ensure you have read the LBWF Arts Grant Guidance Information and have checked the
FAQ at www.walthamforest.gov.uk
before completing this application form. Failure to do so may negatively affect your application if key advice is missed.
Please return this form by email with the subject marked clearly as “ Arts Grants application” to culture@walthamforest.gov.uk
by the deadlines stated in the guidance.
Please read the following information carefully:
The information that you supply will be used to evaluate your application. Please include all additional information requested.
Please answer questions as fully as possible, applying a (  ) or N/A (Not applicable) where appropriate.
Before completing this form please ensure you have read the following documents:

Arts Development Grants Guidance Information

Scoring criteria

Frequently Asked Questions document (FAQ) – This will be updated in response to questions and queries as they are raised .
Please note the maximum grant available is £6,500. Any applications requesting more than this amount will NOT be assessed.
Please do not send any other documentation with this form, only the information supplied on this form will be used for assessment purposes.
Please note we will only fund individuals who are artists, performers, writers, promoters, presenters, curators or producers. However, applications from an individual artist will have to be submitted in collaboration with a registered charitable organisation.
Name:
Address:
Postcode:
Telephone :
Employment status:
Email:
If successful you will be required to provide proof of employment status including your unique tax reference number

Name of organisation:
Address of organisation:
Postcode:
Telephone : Email:
Contact person in your organisation responsible for this application:
Position in organisation:
Telephone: Email:
When was your organisation set up?
What is the status of your organisation? (Please tick

)
Un-incorporated voluntary organisation
Housing association
Registered charity
Registered friendly service
Registered charity number
(if applicable)
Organisation limited by guarantee
Other (please state)
Has any member of the management committee been employed by this council within the last 5 years? (Yes/No)
If yes, please give names, dates and capacity:
Does any member of the management committee have any relative who is employed by the council or is a Councillor? (Yes/No)
If yes, please give names and relationships:
Please provide the aims and objectives of your organisation

Annual income: (please tick which applies)
£0 – 100,000
£100,001 – £250,000
(NB if you or your organisation has an income over £250,000 you are NOT eligible for this grant)
How many paid staff are in the organisation?
Job Title Full /Part time
i. Do you carry out a Disclosure and Barring Service (prev. CRB) check on staff and volunteers working with children and/or vulnerable adults? (Yes/No) ii. Do have insurance including Public Liability and Employers
Liability (Yes/No) iii. Do you have an equal opportunities policy and code of practice?
(Yes/No) iv. Do you have a protection of vulnerable adults’ policy and procedure? (Yes/No/NA) v. Do you have a child protection policy and procedure?
(Yes/No/NA) vi. Do you have a complaints procedure (Yes/No/NA) vii. Has your organisation any national accreditation? (Yes/No)
E.g. IIP, Community Legal Service Quality Mark, PQASSO, OFSTED registered, Quality in Study Support, Quest, RSA etc.
Please provide details
If you are successful in your application, you will need to provide copies (if applicable) of all of the above policies and documents prior to any grant agreement being signed or funds released. You will be required to provide these within two weeks of the grant offer or the offer will lapse.

(See 2.7 in Guidance)
Question 1 relates to the priorities for this funding round and has a weighting of 25
1. What is your proposed activity and how does it deliver the priorities set for this funding round?
What will this grant fund? (500 words maximum)
Questions 2 to 4 relate to the Cultural Impact and Artistic Quality which has a weighting of 25
2. How will your application differ from existing arts activities or events in the borough, and how will it raise the standard and profile of the cultural offer in Waltham Forest? (500 words maximum)
3. How many people do you expect to engage (Participants / Audience)?
Participants
Audience (Live)
Audience (Online, Broadcast, In Writing)
Other (Please specify)
Volunteers
Artists

4. Give examples of your work, explaining your concept and how this was realised? Where these examples include a collaboration with other artists please highlight your role and contribution to the piece / project. (500 words maximum)
Question 5 -7 relate to track record, delivery method and resources and has a weighting of 20
5. Please give details of your and / or you r organisation’s achievements and track record in delivering similar projects to Waltham Forest or a borough / area with similar demographics. (500 words maximum)
6. Who will be involved in the delivery of your project, what is their relevant experience and how will the project be managed? (Include all partners) (500 words maximum)
7. 7. What resources do you need to deliver the project? How will these be managed?

Question 8 relates to long-term sustainability which has a weighting of 10
8. Would you intend this activity to continue after this grant? How can it be sustained and/or how can you ensure the legacy of the creative work is used effectively? (250 words maximum)
Questions 9-11 relates to Equality and community cohesion which has a weighting of 5
9. How would you ensure that your planned project is promoted widely within the borough and participation is accessible to all sections of the community? (250 words maximum)
10. How will this activity / project encourage and develop relationships between people from different communities? (250 words maximum)
11. How will this activity / project successfully involve volunteers, how will you effectively manage them and what will they gain? (250 words maximum)

Question 12 relates to self-evaluation which has a weighting of 5
12. How will you evaluate your project? How have you used evaluation from previous projects to inform and improve projects? (250 words maximum)
This section will cover value for money with a rating of 10
Task Description
Amount applied for from
LBWF
Match or other funding
In-Kind
Total
13. Please give a breakdown of how you will spend the money
(Please be as detailed as possible)
Amount £
Item (e.g. Event insurance MANDATORY, marketing, equipment, volunteer expenses)
EXAMPLE : 1 x Van hire @ £75 per day x 5 days cost £375
1 x Meeting room hire @ £50 per day x 3 days cost £150
Amount requested from LBWF
Match or
In-Kind
TOTAL
Total

14. Would you be able to provide a reduced project if you were allocated less money? (Yes/No)
This information may be used in the eventuality that there are insufficient funds remaining to make an offer at the amount requested. If you are able to delivery your project on a smaller scale, please provide details below.
If YES, please complete the following: a. What is the minimum you would require? b. How would the project delivered differ from the original request?
Please provide details of any changes in areas such as i.e. activities delivered, location of delivery, numbers of residents attending and audience numbers engaged. c. Please give a cost breakdown of how you will spend the reduced sum of money:
Item (e.g. Event insurance MANDATORY, marketing, equipment, volunteer expenses )
Total Amount requested from LBWF
Match or In Total
Kind
TOTAL
15. Other funding applied for from LB Waltham Forest
If you are applying to other Waltham Forest Council services for funding or have been in receipt of funding in the last 2 years please give details.
Funding Amount From To Details (what is the funding for)

16. Please provide the names and contact telephone numbers for two referees; they must be familiar with your work. Referees will be contacted if your application is shortlisted
Referee 1
Name:
Telephone :
Referee 2
Name:
Email:
Telephone : Email:
When you have completed this form, please read and sign the section below.
I/We certify that the information supplied is accurate to the best of my/our knowledge and that I/we accept the conditions and undertakings requested in the application.
I/We also understand that it is a criminal offence, punishable by imprisonment, to give or offer any gift or consideration whatsoever as an inducement for reward to any servant of a public body and that any such action will empower the council to cancel any contract currently in force.
Name: ………………………………………………………………………………….
Position: ……………………………………………………………………………….
Organisation: ………………………………………………………………………….
Signature: ……………………………………………………………………………..
Date: ………………………………………….
The undertaking should be signed by the applicant(s) or authorised representative in his/her own name and on behalf of the organisation.
Before returning this application form, please ensure that you have:

Answered all the questions

Understood enclosed all evidence requested

Signed and dated the above undertaking
Failure to do so may invalidate your application.

List of documents to be supplied to LBWF upon offer of grant (electronic or hard copies accepted)
5.
6.
These will need to be sent within two weeks of the offer of a grant
For individuals:
2 signed references
For Organisations.
1. Organisation’s Constitution
2.
3.
4.
A recent bank statement (opening statement for new group)
Equal opportunities policy
If your organisation’s annual income is £10,000 and above a) Copy of annual accounts for the last year
Or, if you have been trading for less than three years, b) Statement from your accountant stating performance to date and projected out turn for the following year
If your organisation’s annual income is less than £10,000 c) Statement of income and expenditure signed by your management committee and an independent examiner
Evidence of Employer’s liability, indemnity insurance
Evidence of Public liability (third party) indemnity insurance
If applicable:
7. Evidence of Property and Equipment Insurance against fire, theft, loss, damage
8. Evidence of Professional indemnity if advice is given to members of the public
9. Evidence of vehicle insurance if vehicles are owned by the organisation
10. A copy of a responsible person’s Hygiene Certificate if the organisation is providing catering itself
11. Copy of your Child Protection Policy
12. Copy of your Protection of Vulnerable Adults Policy
13. a) The name and Criminal Records Bureau (CRB) vetting number of any adults who will be working with children or vulnerable adults
Or b) Written confirmation that any children or vulnerable adults involved in the activities being provided by your organisation will be accompanied by a parent/guardian
14. Evidence of organisation’s accreditation
15. Two estimates for major purchases (demonstration of best value)
16. References from Head teachers if project is to be delivered in schools
If your organisation is not already set up on the Council’s payment system, a new vendor form will need to be completed – this will be sent to you to complete if you are successful.