Please review your answers, then click the submit button at the end of the form.

V

A1
*The full name of your organisation

      
A2
Name by which your organisation is commonly known, if not the same as above

      
A3
*The name of your charity as shown on your bank account.

      
A4
*What is the legal status of your organisation?

      
A5
*Overall aim(s) of your organisation
(maximum 250 characters, approx 30 words)

      
A6
*Website address

      
A7
UK-registered Charity number or Inland Revenue exemption number

      
A8
Year your organisation was first registered as a UK charity

      
A9
*The geographic area in which your organisation works (town, region or country)

      
A10
*Lead sector for your organisation

      
B1
*Main contact: the person we should write to and the contact details we should use.
(title, given name, family name)

         
B2
*Role within organisation

      
B3
Address for correspondence
*Address1:      
  Address2:    
  Town:    
  County:    
  *Postcode:    
B4
*Your telephone number

        
B5
*Your email address
(This email address will be used to send you an acknowledgement and a copy of your application form when you have submitted your application.)

      
C1
*The name of the project or activity
(max 100 characters)

      
C2
*Describe the project
(max 2000 characters, c 250 words)

      
C3
*Lead sector for this project

      
C4
*Please choose the most appropriate sub-category for this project

      
C5
*Geographic area for the project for which you require funding (town, region or country)

      
C6
*What is the total grant you are requesting from the Weinstock Fund?
(enter a whole number with no commas)

      
C7

Over what period will the grant be spent?

  • State the amount per year that you are requesting

  • Maximum three-year funding

  • Enter whole number with no commas

     
*Year 1

      
Year 2

      
Year 3

      
Provide the following information about the project or activity for which you are applying for funding clearly and concisely:
     
C8
*Describe and quantify the need that you intend to address
(max 2000 characters, c 250 words)

      
C9
*How you intend to address this need?
(max 2000 characters, c 250 words)

      
C10
*Provide an outline time plan
(max 2000 characters, c 250 words)

      
C11
*How will you assess whether you have been successful in meeting the need?
(max 2000 characters, c 250 words)

      
C12
*Provide details of your organisation’s ability and previous experience in this area
(max 2000 characters, c 250 words)

      
C13
*What distinguishes you from other charities working in this field, or with similar applications?
(max 2000 characters, c 250 words)

      
C14

Enter any other information that you feel is relevant to your application

(max 400 characters, c 60 words)


      
D1
*Attach the budget & financial plan for complete project or activity, including grants received or anticipated, where appropriate

        
     
D2
*Attach your most recent annual report

        
     
D3
*Attach your most recent financial accounts

        
     
D4
If you have recently been in receipt of a grant from the Weinstock Fund please attach a brief report covering the whole period

        
     
D5
Any additional attachment you feel may be of interest to the trustees

        
     
D6
Any additional attachment you feel may be of interest to the trustees

        
E1
*I confirm that all the information given in this application is correct and current.

      
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