Application form – test only Worthing Community Chest Grants for Growth Application 2021 WELCOME TO THE WORTHING COMMUNITY CHEST GRANTS FOR GROWTH APPLICATION FORM! We are currently accepting submissions for FEBRUARY. Applications may be made for up to £1,500. The deadline is Sunday 31st January 2021. Applications will be reviewed in February, and funding decisions made at the end of the month. Please refer to the guidelines and criteria on our site before submitting your application. This will help you to understand whether you are ready to apply. We recommend keeping a COPY of all the information you think you will need in a separate Word or Notepad document. Step 1 of 4 25% What is the full name of the person applying for funding:* First Last Email address of applicant:* We need to know the best contact details for you in order to process your application. Please let us know which email we should use to contact you. We will also use this email address to send you updates and news regarding our funding. I am happy to receive the WCC newsletter (4 per year) We work closely with local press outlets including the Argus, Herald, Worthing Journal and Inside Broadwater/Tarring. We update them after every funding round. Please indicate whether you are happy to be included as your group contact for our press & media list.* Yes No Telephone number of applicant:* Please give us the best number to contact you on during working hours Address of applicant Address Line 1 Address Line 2 County Post Code Your organisation may be either office or home based. Please give us the address you are most comfortable with, and at which you are most likely to receive any important documentation. In general, the person applying for funding will also be the person leading the project. If this is not the case, please give us the full name of the person leading the project: First Last How did you hear about Worthing Community Chest?* Previous ApplicantAnother non-profit groupLeaflet/posterGoogle SearchSocial MediaCommunity WorksCouncil WebsiteFriendPressEventTextile Bin Your group or organisation is required to nominate one person to participate on the grants appraisal panel for a minimum of one year. Please indicate below whether you feel able to meet this requirement:* Yes No The appraisal panel brings together representatives of successful groups from our previous funding rounds. Without an independent panel such as this, we would be unable to continue to support groups like yours. The appraisal panel meets just four times a year, with each session taking approximately two hours. Full training is provided. You will be able to make your nomination if your application is successful. We understand that in some circumstances it is impossible to attend and are happy to discuss this with you. If you feel unable to meet this requirement, or have any concerns, please let us know here: All the money we raise through our recycling programme comes back to local community groups through our funding. We ask all our funded groups to help us with our recycling so that we can keep actively supporting our community in this way. Please nominate a member of your group to be our Recycling Partner. This person can be the same as the Project Lead and/or Appraisal Panel member.* Please give us the name and email address of your chosen recycling contact. If it is you, please let us know. What is the name of your organisation or group?* What type of non-profit organisation are you?* Registered CharityConstituted GroupCommunity Interest Company (CIC)Unconstituted GroupOther Please select the option which best applies to you. If in doubt, select Other. If you selected Other, please describe: There are many types of legal structures such as CIC, CIO (Charity Incorporated Organisation) or CLG (Charitable Company Limited by Guarantee). Your type of organisation affects the way in which we are allowed to facilitate funding. If you are a Registered Charity, what is your Charity Number? If you organisation has been running for a number of years but you have only just become a registered charity, please tell us. If you are on any digital platforms, please use the box below to give us any relevant links: Digital platforms include websites, and social media such as Facebook, Twitter, LinkedIn, Instagram and Pinterest. If you run a closed group on Facebook, please include this as well. Have you read our funding guidelines and criteria?* Yes No Please visit http://www.worthingcommunitychest.org/guidelines-and-criteria/ and read carefully to check that we can support you. If you are able to do so, please upload the constitution or set of rules by which your group or organisation is governed: This is compulsory documentation. If you only have a paper copy of your constitution then you can either scan and email it to us, or drop it in at the Town Hall for our attention. If you do not have a set of rules or constitution for your group, please get in touch with us on grants@worthingcommunitychest.org or call 01903 221080 Do you have a dual signature bank, building society or credit union account?* Yes No This is compulsory documentation. If you do not have a dual signature account, or if you are in the process of setting up an account, please contact us on grants@worthingcommunitychest.org or call us on 01903 221080. Please attach your most recent financial accounts: Accepted file types: pdf, xls, xlxs, docx, doc, xlsm, jpg, gif, png. Your accounts may be in the form of a profit and loss sheet (P&L), management accounts, or day to day budget management. We are interested in the costs involved in running your group on an income and expenditure basis. If your annual income exceeds 100k, you are less likely to be funded. You will need to provide an additional explanation as to why you require funding from us. This may include restricted accounts or unexpected expenditure. If you have a group account, please attach your most recent bank statement(s): This is to verify your account status. If your funding application is successful, we will also use this to make grant payments via bank transfer. Please note, even if your account has not been used recently, or has no money in it, we will still need a statement. If you have affiliated accounts, such as a savings account, please include this as well. If you cannot share your financial accounts with us, please explain: 1. Please tick all the boxes that best describe your group:* Children Community Education Health & Wellbeing Arts, Craft and Culture BAME LGBTQ+ Older Adults Heritage Animal welfare Disability Environment & Sustainability Sport Other If you selected 'Other', please give details here: 2. Please tell us about your group or organisation; what is it for, what do you do?* Please select any of the following options if they help to describe what your group does:* Encouraging healthy lifestylesSupporting young adultsSupporting older adultsSupporting our street and homeless communitiesCombating loneliness across all agesNone of these Please select all that apply. This question is for our own information and has no bearing on your application. 3. In this section we will be asking you all about your project. What is the name of the project you are asking us to fund?* 4. What is the date of your project? If there are multiple dates, or your project will run for a period of time, please use the next box below to tell us:* Day12345678910111213141516171819202122232425262728293031 Month123456789101112 Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 More details on your project dates: 5. Where will the project take place? There may be one or more than one location, please list them. If your project does not have a specific base, please let us know. 6. Describe the project you are asking us to fund:* This is your chance to tell us about your project. Please include any information you think will help us to see how your project fits our criteria and deserves funding. If you are doing specialist activities, please let us know how you will ensure the people doing the activities are aware and safe. Have you looked at what could go wrong and made plans to overcome this? Have you made weather contingency plans? 7. How do you know there is a need for this project?* Who have you asked about your project? How do you know your project will meet needs in your community? What are your aims and objectives for the project and how will you know if you have met them? 8. Does your project require you to have safeguarding policies in place?* Yes No N/A These could include DBS checks, child protection and vulnerable person policies. If you are working with children or vulnerable people you will need to have processes in place to ensure your workers are suitable and your users are protected. Please upload any safeguarding policy documentation you may have: Drop files here or We don’t require individual documentation such as DBS forms, but we would like to see anything you may have which outlines how you intend to fulfill your responsibilities in this area 9. Who will benefit from your project, and how will you ensure that your project is inclusive to all who wish to participate?* Is your projected targeted at a certain group e.g. deaf children; or is it open to everyone. For example a summer show would be open to anyone to take part in and attend. A club for carers of people with a certain disability would not. Be clear that if you say ‘anyone’ we will be looking at how realistic that is given your project description. 10. How many people do you estimate will use the project?* Your project must primarily benefit the people of Worthing. The number you give must be realistic. For example, if you are running an event perhaps you can research similar events that have taken place in the area, or discuss expected attendance with your chosen venue. 11. During your project, how will you monitor the effectiveness of what you are doing?* It is important to think about how you intend to monitor the effectiveness of your project as it is taking place. Have you set goals for the beginning, middle and end of your project? How will you know that you have met them? 12. After your project has finished, how will you evaluate the success of what you have achieved?* How you are able to record and measure the effectiveness and success of your project will vary on what your project was for, when it took place, who the users are and how they are able to respond. We will expect to see your results so you will need to allow for the measurement and reporting process in your project plan. Measurement could be a written survey, or you could hold a meeting to gather feedback. Children may be able to draw pictures of their favourite activity at an event, whilst older people may prefer to talk to you individually or in small groups. We expect to see evidence of the effectiveness and success of your project. If you do not wish to share this with us, or have any questions or concerns, please explain below: 13. Please give us the financial details of your whole project, either by using the table below, or by uploading your project budget sheet, or forecast below:* Item Description Number of Items Cost per Item (£) Total cost of Item(s) (£) Total Cost (running total) We are asking to see what money you will be spending on your project. Please list each item, and how much it will cost in the table above. Use the + symbol to add rows to your table. Make sure you include as many costs as you can think of. If we think there is something you have missed, we will ask you. Discounted items: do include items you may have been given at discount, but please enter the full price with a note of the discounted price in the description. Costs in kind: donated items should be included at full price. Please note beside the description that it is in kind. Volunteer hours: you do not need to include this level of detail here. We will ask about specifically about volunteer hours later on. If you have a project budget sheet please upload here: A project budget sheet would show what you expect to spend money on, and what funds you expect to receive to support your project. Incoming money could include member subscriptions, Just Giving campaigns, or money raised from events. 14. From your table of items above, please list the costs of the specific items for which you are seeking funding. The total cost of these will be the total amount you are asking us to fund.* Item Description Number of Items Cost per item (£) Total cost per item(s) (£) Total Cost (running total) Worthing Community Chest can award grants of up to £1,500 so you may not exceed this figure. Use your table of items in the previous question to fill in the item descriptions and costs for which you require funding. You can add rows to add items to the list by clicking on the + symbol at the end of each row. What is the total cost of the items you are asking us to fund?* 15. How are you planning to fund the difference between the full cost of the project and the amount you are asking us for? Select All Other funders Existing funds Corporate Sponsorship Crowdfunding Individual donations Please tick all those that apply. If you select ‘Other Funders’, please give details in the next box. Other funding sources: If you have approached anyone else for funds please tell us who they are, and when you will know if you have been successful? If you are paying for items that are not being funded by us, you need to be clear about where the money is coming from. If you have not approached other fund holders, and we think there may be a better choice of funder for your project, we will ask you to speak with them before continuing your application with us. 16. Please attach two quotes for each item you are requesting us to fund. Please explain if this does not apply to your application. Drop files here or We ask to see two quotes for each item you require funding for. If you are able to do so now, please attach a copy of your quotes where possible – these could be supplier or contractor quotes, screen-grabs from online stores such as Amazon, or emails from relevant parties. In some instances where your item is unique, you may only have one quote or cost. If you are not ready to attach quotes, we are happy to accept them at a later date, as long as they are received before the application deadline. Your application will not be regarded as complete until your quotes have been received. If you are unable to attach your quotes, please let us know why: 17. How many volunteers are involved in your project: what roles will they take and how many hours do you estimate they will work?* Volunteer Work Volunteer Hours Hourly Rate Value Total Value We value the time your volunteers give to the community and it is important that you do so as well. No one should be running a project alone and without a contingency plan. Who else is supporting you on this project and what they will be doing. Please add rows to add details of the work your volunteers will do on this project. Remember to include your Trustees and Committee member involvement such as overseeing the delivery of the project. Costs should be set at unskilled £12/hour, skilled £20/hour, professional and management £50/hour 18. If your project isn't volunteer based, for example it may be a request for equipment, please tell us about what the volunteers in your group do over an average month. Volunteer Role Volunteer Hours p/month Total Hours We value the time your volunteers give to the community and it is important that you do so as well. Please give us a snapshot of the time your volunteers give, on average, per month. This helps us understand how our fundraising supports your volunteers. By submitting this form you agree that all information is true and complete. You also agree that Worthing Community Chest can contact you regarding our services.* I agree that the information I have supplied is true and complete. Date* Date Format: DD slash MM slash YYYY Date of signing Phone This field is for validation purposes and should be left unchanged.
