Archived decisions

Application form.

Grants to Voluntary & Community Organisations.

Recreation & Heritage Department

Supporting Partnership Activities Funding Pilot 2007

Contact details for your organisation

1. Name of your organisation

2. Address of your organisation



		Postcode:
Email address - if you have one	Web site address

3. The main contact person for this application


Address
Email		Postcode:
Telephone Daytime	Telephone evening		Mobile

4. Position in your organisation

For example, `Treasurer' or `Secretary'.

Please refer to the accompanying notes when completing the rest of this application form

Tell us about your organisation

5. Legal Framework

· Have you previously sent us a copy of your constitution? YES NO

If no please enclose a copy with this application

· . When did your trustees last review this document?

Date

If you have amended your constitution please send a copy of the new document with this application

6. Your current financial situation

Your financial year runs from to

Please include

· Your latest accounts

· Your budget for 2006

· The minutes of the trustees meetings where this budget has been monitored

If this budget is in deficit please outline the actions you have taken to improve your financial situation

How did you measure the success of this strategy ?

Are you still in deficit YES NO

7. Funding from other sources

Please list here any funding you applied for during the financial year of the budget provided and indicate if were successful

8. Forward budget

Will there be any substantial changes to the next annual budget ? YES NO

If yes outline here

9. Reserves

Please outline or attach your reserves policy and indicate the current level of your free reserves

If you are planning a project please complete this section

Your Action Plan

10. Your activity programme

Please list the current activities of your organisation below under the following headings

Service and infrastructure provision	Resourcing	Advocacy	Engagement and representation

11. New activities

List on next page what you are planning to achieve in the next 12 months and show how any of these activities will meet the outcomes listed in the notes. Attach your project plan and costing spreadsheet.

This has to be a minimum of 15 hours new activity

Which of the Community Support team outcomes will it meet	What are you going to do to achieve this	How will you know if you have been successful

You need to complete the next 2 pages for each activity you have listed on the previous page

Your Project Plan

12 A short description of your project activity

13 How have you identified a need for this project?

14 Who is co-ordinating this project and who else will help them?

15 Who is responsible for collecting and returning the monitoring and evaluation information to the Community Support Team.

16 Cost of project

Item	£
Cost of space
Cost of equipment
Staff costs for activity( tutors etc)
Publicity
Volunteer expenses
Costs associated with monitoring and feedback





Total

If you have applied for funding from other sources for this project list here

Organisation	Amount

If you are planning some activities to improve the sustainability of your organisation please complete this section

Your sustainability plan

17 List under the following any activities your are planning to do in the next year.

1) Your organisation regularly reviews its local community needs and develops activities to meet those needs

What are you planning to do?

2) Your organisation regularly assesses the skills of its staff and volunteers and develops a plan to improve those skills

What are you planning to do?

3) Your organisation regularly assesses its financial strategy and processes with a view to ensure financial sustainability. What are you planning to do?

4) Your organisation regularly reviews its operational management

What are you planning to do?

5) Your community building is kept in good repair and is suitable for current functions and flexible enough to adapt to new activities

What are you planning to do ?

6) Your organisation regularly reviews the environmental impact of the building . What are you planning to do?

Payment Details

If your application is successful please give details who the cheque should be made payable to

Account name:

Postcode:

Address and

Postcode of

Treasurer:

Details of signatories to this account:

How many signatures are required for any transaction?

Please name the signatories:

1. Name: Position:

2. Name: Position:

3. Name: Position:

One Compact for Hampshire

The One Compact for Hampshire is a jointly agreed framework of principles to guide the working relationship between the Voluntary and Community Sector and the Public Sector.

You do not need to be a member of the Compact to apply for a grant, but you may find Compact information useful to your organisation.

If you would like more information about the Compact, please tick here.

Alternatively, you can phone 01962 846011/854971

Data Protection

The information you have supplied in this form will be used to process your grant application and for monitoring and statistical analysis purposes. Some of the information will be held on a database at Hampshire County Council.

We may occasionally wish to share your contact details with other statutory bodies and voluntary and community organisations for use in surveys and consultations. We may also share your contact details with organisations wanting to send you information about matters of interest to the voluntary and community sector. Please tick the box if you agree that we may use your contact details for this purpose.

Declaration

I declare that the information supplied in this application is true and that any grant money received from Hampshire County Council will be used for the purposes described in this form.