Application Small

Small Grant Application Form (up to £3,000)

Small Grant Application Form

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Ernest Kleinwort Charitable Trust

Guidance on completing the form

This application form is for grants up to £3,000.

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 form allows you to save and return. However, we strongly recommend you prepare and save your answers in a separate word document, copying and pasting them into the web form when you are ready to submit.

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

Geographical Remit of Project: UK - World

Geographical Remit of Project (County if UK)

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

Geographical Remit of Project (Country if International)

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

Description of Geographical remit for project – please include GPS co-ordinates if known (250 max)

Start date of project (if applicable)

End date of project (if applicable)

Who will benefit from the project and how many people do you estimate this to be for the duration of the project?

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+

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

Child Protection Policy

Please confirm that the Organisation has a Child Protection 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.

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