Application Number (for office use only) SHIPLEY AREA COMMITTEE COMMUNITY CHEST FUNDING APPLICATION FORM Mission Statement: “To provide grants to voluntary community groups to benefit, support and improve the lives of Shipley residents” Name of Organisation (or individual): Secretary or Contact to whom all correspondence should be sent: Name: Address: Post Code: Tel: E-mail Address: Address where the group meets: (if different from above) Amount Requested: £ (max £350) Total Cost of Project: £ Details of account that any cheque should be made payable to: Account Name: Address: Account number: Sort Code: Description of Event/Project for which funding is requested: Date(s) and venue(s) of event(s) (where applicable) – enclosing programme if available Detailed breakdown of costs for the event or project which is the subject of this application: (please supply at least two quotes) Detailed estimated income (including other grants, admission charges, fund-raising, subscriptions etc) for this project: How many people from the Shipley Constituency do you expect to attend or benefit from the event or project? What grants have been obtained in the last three years (eg Parish Council, Sports Council, Arts Council, Urban Aid, Local Authority etc) including previous Community Chest grants? Have you applied to other funding bodies, including other Area Committees regarding this current application? (If yes, please specify). Please attach the following information: Please tick 1 Constitution 2 Your organisation’s most recent independently examined accounts 3 At least two quotes for each item (photocopies of store catalogues will be acceptable in the case of shop-bought goods) 4 Any other relevant information to support your application 5 If applying for activities for children or vulnerable adults, please enclose your organisation’s child/vulnerable adults safeguarding policy 6 If applying for activities for children or vulnerable adults, please provide enhanced CRB/DBS ID number(s) and expiry date(s) as evidence that checks have been completed If any attachments are missing please give reasons: Please sign and date to confirm you have read and agree with the Criteria and Notes for Applicants Signature of Applicant: Date: Applications should only be made on this form, which should be returned to: Jackie Fawthrop Shipley Area Co-ordinator’s Office Shipley Town Hall, Kirkgate Shipley BD18 3EJ Tel: 01274 437146 E-mail: jackie.fawthrop@bradford.gov.uk CRITERIA AND NOTES FOR APPLICANTS 1. Grants awarded will be to a maximum of £350. 2. Projects which operate in more than one Constituency can be considered by a number of Area Committees. 3. Applications are particularly welcome from new projects, innovative schemes and from previously unfunded groups. 4. Successful applicants must recognise and acknowledge the support of Shipley Area Committee in publicity materials, where appropriate (for example on your website, in leaflets, programmes and minutes). An electronic copy of our logo and small plaques are available on request. 5. A short report on the project and copies of receipts evidencing how all the money was spent should be submitted within six months of a grant being awarded. If monitoring information is not received within six months, further applications will not be accepted for the subsequent twelve month period. 6. Failure to fully complete the application form with all the relevant information will result in the application being rejected or deferred to the next meeting. 7. A copy of the group’s constitution must be provided and most recently independently examined accounts (except for applications for start up grants). Two quotations should be provided for each item to be purchased. 8. Ongoing costs such as venue hire and staffing will only be funded through a start-up grant for new organisations. 9. Grants will not normally be provided for ICT-related equipment or websites. 10. Applications will not usually be considered for trips except in exceptional circumstances. 11. Small Grants can be awarded to individuals who live in the Shipley Area and are engaged in exceptional sporting, artistic or voluntary work. 12. Applications are welcome from groups where other funding/fundraising has been secured. 13. Groups/organisations should not expect to receive more than one grant per two year period. 14. Applications can be received at any time. 15. The organisation should be a non-profit making voluntary organisation where membership is open. Grants will not usually be awarded to organisations that have paid staff. 16. Projects should not contravene the Council’s Equality Policy. 17. Grants cannot be used to fund religious or political activities. 18. Applications from pre-school groups must enclose a letter of support from the Shipley PreSchool Learning Alliance. 19. If you are applying for activities for children or vulnerable adults you must include a copy of your organisation’s child/vulnerable adult safeguarding policy and enhanced CRB/DBS ID number(s) and expiry date(s) as evidence that checks have been completed. 20. Grants cannot be awarded for events/purchases that have already taken place, ie retrospective payments. 21. Applications for school curricular activities will not be funded. 22. Please note that some of the data collected as part of this funding bid is shared with internal and external partners as well as the funded projects being publicised electronically, in funding reports, in the media and other methods of distributing the information. It is also possible that this information may be released in accordance with a Freedom of Information request. Remember For your application to be considered you must enclose: 1. Constitution 2. Most recent independently checked accounts 3. Copies of at least two quotations per item Child or vulnerable adult safeguarding policy (if applicable) Evidence of enhanced CRB/DBS checks (if applicable) List of street names and post codes of beneficiaries (if your group is based outside the Shipley Area) 4. 5. 5.