Vernon Charitable Foundation

Application Form

Vernon Charitable Foundation Application Form

All questions with * must be answered for your application to be completed successfully.

Applications will not be considered if received from the following:

Any organisation which is not a registered charity.
Charities that have not submitted their annual returns to the Charity Commission or Companies House.
Request for funds or administrative purposes such as covering costs of salaries, rent, or promotional material.
Charities with an annual turnover of more than £250,000.
Request for grants greater than £5000.
Charities not located within Stockport, Cheshire & Greater Manchester.

1. What is the name of your organisation? *

2. When was your organisation formed? *

3. Please provide your registered charity number. *

4. Is your organisation affiliated to a national organisation or body? *

Yes

If 'Yes', please state the nature of the relationship and the degree of local autonomy that your organisation has:

5. What geographical area is covered by the work of your organisation? (Charities must be located in Stockport, Greater Manchester or Cheshire area) *

Please state the address of your registered charity below:

Building Name/No *

Address Line 1 *

Postcode *

Address Line 2

Town/City *

County *

6. Please provide details of how the funding will be used, including a full breakdown of costs for the project. We are unable to support running costs. *

7. What is the total amount of funding you are applying for (maximum of £5,000)? *

8. What time scales are associated with the completion of this project/purchase? *

9. Your Organisation

a) How many people are on the management committee? *

b) Please provide full names: *

c) How many full-time paid staff do you employ? *

d) How many part-time paid staff do you employ? *

e) How many volunteers do you have? (approx.) *

f) Total income for the last financial year: (If applicable, we may require you to share your Annual Financial Summary.) *

g) Total expenditure in the last financial year: (If applicable, we may require you to share your Annual Financial Summary) *

h) Current unrestricted reserve or savings: (These are unallocated funds, available for the organisation to spend at its discretion) *

i) Current 'earmarked' reserve or savings *

j) Purpose of 'earmarked' funds: *

10. If your funding was successful, would you be in agreement for the Vernon Charitable Foundation to contact your Charity regarding press coverage?

Yes

If 'No', please provide your reasons for declining: *

11. Contact Details (use block capitals)

Contact name: *

Position in organisation: *

Contact address:

Building Name/No

Address Line 1

Postcode

Address Line 2

Town/City

County

Country

Daytime telephone number: *

Email address *

12. Where did you hear about the Vernon Charitable Foundation? *

13. Declaration *

I am authorised to make this application on behalf of the above organisation.

I certify that the information contained in this application is correct to the best of my knowledge. If the information in the application changes in any way, I will inform the Foundation immediately. If an award is granted, I give permission for the Foundation to use my organisation's name to promote its work.

Print Name: *

Date: *

All applicants are reviewed on a quarterly basis by our Trustees and they will notify you of their decision in writing.

To provide any additional or supporting information please email:

charitablefoundation@thevernon.co.uk

For information about how we use your data, see our Privacy Policy

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