Application Small

Small Grant Application Form (up to £10,000)

Small Grant Application Form

Ernest Kleinwort Charitable Trust

Guidance on completing the form

This application form is for grants up to £10,000.
Please check you are eligible to apply before you begin - take our brief Eligibility Quiz at www.ekct.org.uk/questionnaire/
Please note * indicates a required field.
Where a character length is specified, this includes spaces.
Important: If your organisation does not have a Registered Charity Number, please contact the Trust.
This online form does not have a save and return option, instead we have a downloadable template that allows you to note your responses, once you are ready to submit your application please transfer your responses from the downloaded template to this online form for submission.
Download: Offline Small Grant Application Template
On receipt of your application you will be sent a confirmation email saying: “Your application has been received and will now be considered”.
If you do not receive a confirmation email please contact the EKCT Administrator using the contact details on the website.

Organisation Details

Organisation Name

Max 60 Characters

Charity Number

IMPORTANT: If your organisation does not have a Registered Charity Number, please contact the Trust before submitting your application to be allocated a reference number.

Organisation Address Line 1

Organisation Address Line 2

Organisation Address Line 3

Organisation Address County

Organisation Postcode

Organisation Telephone Number

Organisation Email Address

Organisation Website

Charitable Purpose of Organisation

Geographical Remit of Organisation

Geographical Remit of Organisation (if UK)

To select multiple options, hold down the Ctrl (PC) or Cmd (Mac) key and click each county.

Geographical Remit of Organisation (if International)

To select multiple options, hold down the Ctrl (PC) or Cmd (Mac) key and click each country.

Number of staff employed

Number of volunteers

Contact Details

Title

First Name

Surname

Job Title

Telephone Number

Email Address

Bank Details

Please provide a recent bank statement (no more than 3 months old) for the account you would wish any potential grant to be paid into (potential payments cannot be processed without this).

Bank Account Name

Bank Account Number

Sort Code

Bank Name

Bank Address

Please attach a bank statement here:

Project Details

What is funding sought for - project title

Amount sought from EKCT in GBP

'£' sign or comma not required - please enter numbers only.

What is funding required for?

Please state in brief terms the item(s) for which funding is required, for example "We are seeking £2,000 to purchase new outdoor play equipment".

Brief description of project

Start date of project (if applicable)

End date of project (if applicable)

Which people, animal or plant species will benefit from the project and what difference will this make?

Project Location

Project County if in UK

To select multiple options, hold down the Ctrl (PC) or Cmd (Mac) key and click each county.

Project Country if International

To select multiple options, hold down the Ctrl (PC) or Cmd (Mac) key and click each county.

Project Location: UK Postcode - This can be either the project location, or the centre of the project area.

Project Location (International): What3Words - for the geographical remit of the project (This can be either the project location, or the centre of the project area). www.what3words.com (Example: ///since.ticket.panel)

Key Staff Delivering Project

1. Name

1. Job Title

1. Project Role

2. Name

2. Job Title

2. Project Role

3. Name

3. Job Title

3. Project Role

Budget

When is funding required by?

What will happen if the total funds are not raised?

How will you ensure the project is cost effective?

Please attach the completed budget form here (Excel xlsx):

See details below to download the 'Budget Template Form'.

Please download and complete the 'Budget Template Form'.
(Also available on the 'Application Forms' page of the website.)
When completed please upload here.

Budget should show:

- capital project costs (if applicable),
- operational project costs (if applicable),
- other secured funders (name and amount),
- other requested funders (name and amount),
- what EKCT is being asked to fund and over what period,
- any shortfall and how this is proposed to be met.

If the request is for a salary, please attach a job description here:

Financial Reserves Policy and Other Funding

Financial Reserves Policy

Please state your reserves policy and whether your current level of unrestricted free reserves is within this policy

Please attach your most recent set of audited accounts here (PDF):

Funding from other Trusts & Foundations

Have you have received funding from other Trusts & Foundations in the last 12 months?

YesNo

Please provide a list of all trusts and foundations making donations to your organisation in the in the last 12 months, showing both the name and amount. If there are more than x50, please provide a summarised list showing the number of donors giving at £10k or less, £10k-£50k, and £50k+

Sussex Charities

Cost of Living Challenges – Sussex-based applicants only

If your charity is delivering services for beneficiaries in Sussex, please provide additional information about the impact of the current cost of living increases on your charity.

Please identify:
- Services and buildings that have been most impacted.
- Specific examples of costs now compared to the same period in the previous year.
- Any measures already taken to meet these increased costs including other trusts applied to specifically for help with the cost-of-living challenge and if successful or not.

Other Information

Covid 19 - Operational Capacity

How did you adapt your services in response to the Covid 19 full or partial lockdowns and to what extent are you currently able to operate compared to your pre-Covid capacity?

Covid 19 Operational Continuity

Safeguarding Policy

Please confirm that the Organisation has a safeguarding of children and vulnerable persons policy (where appropriate), that policy is complied with and that Criminal Record Bureau checks are carried out on all staff working with children.

Additional Information

Please provide any other information that you consider important for us to know:

The Trustees of EKCT are committed to protecting personal information. Please read our Privacy Policy which sets out how we protect the information that is given to us.

Once you submit this form, please wait for it to complete, this can be up to 10 seconds. Do not refresh or close the page whilst submission is completing, thank you. It's also recommended you save a copy your responses in a word document before submitting.

Contact Information
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