1
Community Chest Application
 Please complete with reference to Community Chest Criteria and Community Chest
Application Guidelines documents
 All information in Section A must be completed.
Section A – Overall Summary
Contact Details
Organisation & Contact Name
Full Address & Post Code
Telephone No
Email Address
Website
Twitter
Facebook
Charity No (if applicable)
Company Reg. No (if applicable)
Where did you hear about the
community chest fund?
Project
Project Title:
Local Authority:
Amount Requested:
Overall Project Cost:
Project Details:
(Please summarise the
project in 50 words or
fewer)
Theme (Please tick or
highlight)
 Building neighbourhoods
 Celebrating heritage and culture
 Working for community change
Please state your target
group/groups/ages.
Bidder
Is this your first funding
application with TVH?
Yes/No
If NO, please give details:
http://www.tvha.co.uk/involvement/projects/community-chest/
Thames Valley Housing Association Limited, registration number 17375R and Thames Valley Charitable Housing Association Limited, registration number 25301R are registered under the Industrial and
Provident Societies Act 1965. Thames Valley Charitable Housing Association Limited is an exempt charity as defined within the Act and is a wholly owned subsidiary of Thames Valley Housing Association
Limited. The Registered Office for the above companies is Premier House, 52 London Road, Twickenham, TW1 3RP.
2
Is anyone involved in the project a Yes/No
TVHA Resident / Employee /
If YES, please give details:
Board Member or relation?
Attached Information (please tick or highlight):
 Annual Report & Accounts Please list other Supporting information here:
attached
 Minutes of AGM and
spreadsheet of accounts
attached.
Section B – Project Details
Bid Summary (no more than 150 words):
Scope of project (including delivery & management):
Target TVH Communities / Residents and Benefits:
Expected Outcomes:
http://www.tvha.co.uk/involvement/projects/community-chest/
Thames Valley Housing Association Limited, registration number 17375R and Thames Valley Charitable Housing Association Limited, registration number 25301R are registered under the Industrial and
Provident Societies Act 1965. Thames Valley Charitable Housing Association Limited is an exempt charity as defined within the Act and is a wholly owned subsidiary of Thames Valley Housing Association
Limited. The Registered Office for the above companies is Premier House, 52 London Road, Twickenham, TW1 3RP.
3
Measurable Outputs:
Partners (including support from users and stakeholders – documentation as necessary):
Time Plan:
How else could your project/organisation be supported in the future ? (please circle Y/N)
Volunteers
Y/N
Online Funding Application Training
Y/N
Funding Application Support
Y/N
Local networking
Y/N
Other
Please specify
Section C – Budget
Total Project Budget
Community Chest Contribution Required
£
£
Total Budget Breakdown (annex budget summary if appropriate):
Funding Partners Approached and Funds Secured (including any failed bids):
http://www.tvha.co.uk/involvement/projects/community-chest/
Thames Valley Housing Association Limited, registration number 17375R and Thames Valley Charitable Housing Association Limited, registration number 25301R are registered under the Industrial and
Provident Societies Act 1965. Thames Valley Charitable Housing Association Limited is an exempt charity as defined within the Act and is a wholly owned subsidiary of Thames Valley Housing Association
Limited. The Registered Office for the above companies is Premier House, 52 London Road, Twickenham, TW1 3RP.
4
Explanation of how the Project represents value for money:
Section D - Management
Quality Assurance: Details of Previous Organisational / Individual Project Management:
Evidence of commitment to Equality & Diversity:
Cheque made payable to:
Please return this form, once complete, to: communitychest@tvha.co.uk.
If you have any queries, please contact the Community Investment Officer or the Resident
Involvement Team on 0208 607 0668 or email communitychest@tvha.co.uk.
http://www.tvha.co.uk/involvement/projects/community-chest/
Thames Valley Housing Association Limited, registration number 17375R and Thames Valley Charitable Housing Association Limited, registration number 25301R are registered under the Industrial and
Provident Societies Act 1965. Thames Valley Charitable Housing Association Limited is an exempt charity as defined within the Act and is a wholly owned subsidiary of Thames Valley Housing Association
Limited. The Registered Office for the above companies is Premier House, 52 London Road, Twickenham, TW1 3RP.