GRANT APPLICATION FORM Step 1 of 5 - Section 1 - Organisation 0% Which grant are you applying for?*#WakefieldCares Appeal FundThe Elderly Persons Social Isolation FundUmbrella FundWomen’s FundSection 1 - OrganisationName of your organisation*Address* Street Address Address Line 2 City ZIP / Postal Code General/Office Email* Telephone*Website (leave blank if not applicable)FacebookTwitter Main Contact Person We will use this information in all our correspondence and in follow up contacts, should the application be successful.Title*MrMrsMissName* First Last Job TitleWork/Office PhoneMobile PhoneEmail (please ensure this is correct as we communicate decisions by email)* Organisation Start Date* Date Format: MM slash DD slash YYYY What type of organisation are you?*A registered charityCompany limited by guaranteeCommunity interest companyCharitable Incorporated OrganisationRegistered Charity/Company NumberDo you deliver the majority of your work in Wakefield? If no, please leave blank Yes What was your organisation’s annual income in your last annual accounts?*Upload copy of latest accounts Drop files here or Please enclose copies of bank statements for all accounts held by the organisation showing transactions for the last three monthsPlease provide an approximate average of your current three month running costs* Staffing and volunteers How many of each of the following are involved in the organisation?Full time staff / workersVolunteers (excluding management committee)Part time staff / workersManagement CommitteeHow many people make up your management committee or board of trustees/directors?OrganisationPlease describe the overall aims and objectives of your organisation and the activities or services you providePlease tell us about the impact your work has on communities. How do you know this? Please describe how your application fulfils the grant criteriaThinking about the journey of your organisation to date, what have been the key challenges and what you are you most proud of?What impact has the Covid-19 pandemic had on your delivery and funding since April 2020?Resilient organisations are able to adapt and develop in the face of challenge. What opportunities can you see for your organisation to change and develop in the next 12 months to increase your resilience? How would this funding help you explore these?You can refer to the example development areas from the criteria, if helpfulWe would like to connect you to other groups and individuals who may be able to offer advice and support to your organisation. Looking at the FAQs, what support do you think might help your organisation to increase its resilience over the coming months?eg. expert advice, mentorship, networking etc. Project BudgetProject Budget please detail how this budget is developed and include two quotes for any items of capital expenditure.Please list all details of match fundingPlease ensure that you have included with this application: a. Copies of bank statements for all accounts held in the name of the organisation, covering the last three months of transactions b. The registered number of the organisation with Companies House and or Charity Commission if applicable c. A copy of the last audited accounts for the organisation. Should, for any reason these be more than 15 months old, then the application will not be considered d. A copy of your governance document or constitutionUpload any further documents Drop files here or Declaration Please tick the box below to con rm that you give permission for the Leeds Community Foundation to record the information in this form. "We give permission for Leeds Community Foundation to record and process the information in this form electronically and in paper form and to contact our organisation by phone, mail or email with regard to this application. We agree that this information can be shared with the funder and members of the decision-making panel, as well as other funders who may want to support the project. We understand and agree that should we be successful, we will also be required to sign a funding agreement document and provide a signed copy of a bank statement or bank letter for the account which we wish the grant to be paid into". (NB. Leeds Community Foundation do not need the latter if you have provided us with a bank statement or letter to accompany a previous grant application, as long as your banking arrangements have not changed)." For more information about how Leeds Community Foundation stores and processes your information securely please see our Privacy PolicyPlease tick to confirm* Yes I agree OUR IMPACT TO DATE £01.75m VALUE OF GRANTS 02,900 NUMBER OF GRANTS £0600 AVERAGE GRANT SIZE 030,400 PEOPLE HELPED KEEP UP TO DATE We’ll keep you updated with the latest news and activities First Name*Surname*Email*