The Merchant Taylors’ Charity Management funding application form Please complete the funding application form below. Merchant Taylors' Charity Management Application Form Save my progress and resume later | Resume a previously saved form Resume Later In order to be able to resume this form later, please enter your email and choose a password. Your Email: A Password: Confirm Password: Please note * indicates a required field Charity Details Registered Charity Name Registered Charity Number If you do not have a Registered Charity Number, please contact the Merchant Taylors' Charity to be allocated a unique reference number BEFORE submitting your application form. Registered Address Line 1 Registered Address Line 2 Registered Address Line 3 CountyPlease select... Aberdeenshire Anglesey Angus Argyllshire Ayrshire Banffshire Bedfordshire Berkshire Berwickshire Brecknockshire Buckinghamshire Buteshire Caernarfonshire Caithness Cambridgeshire Cardiganshire Carmarthenshire Cheshire Clackmannanshire Cornwall County Antrim County Armagh County Down County Fermanagh County Londonderry County Tyrone Cromartyshire Cumberland Denbighshire Derbyshire Devon Dorset Dumfriesshire Dunbartonshire Durham East Lothian East Sussex Essex Fife Flintshire Glamorgan Gloucestershire Hampshire Herefordshire Hertfordshire Huntingdonshire Inverness-shire Kent Kincardineshire Kinross-shire Kirkcudbrightshire Lanarkshire Lancashire Leicestershire Lincolnshire London Merioneth Merseyside Middlesex Midlothian Monmouthshire Montgomeryshire Morayshire Nairnshire Norfolk Northamptonshire Northumberland Nottinghamshire Orkney Oxfordshire Peeblesshire Pembrokeshire Perthshire Radnorshire Renfrewshire Ross-shire Roxburghshire Rutland Selkirkshire Shetland Shropshire Somerset Staffordshire Stirlingshire Suffolk Surrey Sussex Sutherland Warwickshire West Lothian West Midlands West Sussex West Yorkshire Westmorland Wigtownshire Wiltshire Worcestershire Yorkshire Postcode Website General Email General Phone Contact Details TitlePlease select... Mr Mrs Miss Ms Dr Professor Sir Dame Revd First Name Surname Email Telephone Job Title Skype Name About the Charity Charitable purpose of organisation as worded in your governing document Geographical remit of charityPlease select... UK only International (including UK) International (not including UK) Geographical remit of charity within UK Please select... London Midlands North East Northern Ireland North West Scotland South East South West Wales All UKTo select more than one region, hold down CTRL as you select the relevant names. Please answer this question only if most of the beneficiaries for the specific thing to which this application relates will be drawn from somewhere in London. If that is the case, please select the London boroughs which the beneficiaries will mainly be drawn from: Please select... All of Greater London Barking and Dagenham Barnet Bexley Brent Bromley Camden City Croydon Ealing Enfield Greenwich Hackney Hammersmith and Fulham Haringey Harrow Havering Hillingdon Hounslow Islington Kensington and Chelsea Kingston upon Thames Lambeth Lewisham Merton Newham Redbridge Richmond upon Thames Southwark Sutton Tower Hamlets Waltham Forest Wandsworth WestminsterTo select more than one borough, hold down CTRL as you select the relevant names. Have your charity’s trustees conducted a skills audit of the board within the last 5 years? Please select... Yes No Charity Bank Details Bank account name Bank account number Sort code Bank namePlease select... Barclays CAF Bank Co-op Coutts Hoare & Co HSBC Lloyds Bank Nationwide Natwest Royal Bank of Scotland TSB Ulster Bank Yorkshire Bank Other Branch address Please attach here a scan of a document from your bank evidencing the account name, number and sort code: For example, this could be a paying-in slip, letter from your bank, or bank statement. Project Details Please select which charity you are applying to:Please select... The Merchant Taylors’ Consolidated Charities for the Infirm The Henry Colborn Trust The Dudley and Geoffrey Cox Charitable Trust What name have you given the project you want funding for? If funding is sought for your charity's general running costs instead of a project as such, please put 'General Running Costs' in this box. Some of the charities managed by Merchant Taylors’ Charity Management offer the possibility of ‘conditional track’ funding for up to three years. If you are unsure whether that is the case for the charity to which you are applying, please re-read the guidance notes on that charity’s dedicated webpage. Are you asking for funding in more than one year?Please select... Yes No Amount sought in GBP If you are seeking funding in more than one year, please state the amount sought for Year 1 only. This form does not require £ sign or commas – please enter numbers only. Year 2 amount sought in GBP This form does not require £ sign or commas – please enter numbers only. Year 3 amount sought in GBP This form does not require £ sign or commas – please enter numbers only. In no more than two sentences, please summarise what the project involves: Later in the form you will have the opportunity to go into greater detail about the answer you give here. If your application is for general running costs instead of a project, please summarise here what your charity does. Please give an explanation of the need for the project: Start date of project End date of project Who is involved? Please explain: (1)Who will benefit from the project and how many people do you estimate this to be for the duration of the project? (2) Who will be doing the work? (3) Do they have the right skills, experience and enthusiasm? Please select one of the following:Please select... This application is for the charity's general running costs The charity has already run this or a very similar project in a previous year The charity has not previously run any project similar to this Select the classification which most closely fits this application:Please select... Care of elderly people Elderly - loneliness Disability General Welfare Developmental conditions (eg, autism) Medical Research Medical – other Youth General financial hardship The Arts Employability Homelessness-related Other Any project details which you have not explained already in this form: What positive changes will result from the grant you are applying for? Please explain: (1) What positive changes for your beneficiaries will have been achieved by the end of the grant? (2) How will you know if you have been successful in bringing about those changes at the end of the grant? (3) How will you monitor progress during the grant period? Project Budget When is funding required by? Where will any shortfall come from? What will happen if the total funds are not raised? How will you ensure the project is cost effective? Please attach a budget here (PDF): Financial Information What is the date of your last audited or independently examined accounts? Please attach your most recent set of audited or independently examined accounts here (PDF): Please state the following figures for your last annual accounting period. This form does not require £ sign or commas – please enter numbers only: Total incoming resources Cost of generating funds: Expenditure on charitable activities: Governance costs: These are associated with governance arrangements as opposed to those costs associated with fundraising or charitable activity. For example, these costs would normally include internal and external audit, legal advice for trustees and costs associated with constitutional and statutory requirements e.g. cost of trustee meetings and preparing statutory accounts. Support costs: These are the costs of things necessary to deliver an activity but not directly producing the output of the activity. For example, these costs would normally include the ‘head office’ functions such as general management, payroll administration, budgeting and accounting, information technology, and human resources. Some support costs will be incurred in support of income generation, and in support of the governance of the charity. Voluntary income: Charges for services (excluding government contracts): Grants from Trusts, Foundations and Corporates: Contracts with central/local government: Other central/local government sources: Investment income: Cost of generating voluntary income: Total reserves: Total unrestricted free reserves (unrestricted funds excluding designated funds, tangible fixed assets & programme related investments): Please state your reserves policy and whether your current level of unrestricted free reserves is within this policy: Enter the figures for Total Expenditure and Total Income in each of the most recent 5 years for which your charity has audited or independently examined annual accounts, starting with the most recent of these years (‘Year 1’) and ending with the least recent (‘Year 5’): Total expenditure 'Year 1' Total incoming resources 'Year 1' Total expenditure 'Year 2' Total incoming resources 'Year 2' Total expenditure 'Year 3' Total incoming resources 'Year 3' Total expenditure 'Year 4' Total incoming resources 'Year 4' Total expenditure 'Year 5' Total incoming resources 'Year 5' Other Information Please provide any other information that you consider important for us to know: Please select the appropriate statements about your charity from the drop-down lists below: Your child protection and/or vulnerable adult safeguarding policies are current and that relevant staff and volunteers are adequately trained about themPlease select... Yes No My charity does not work with children or vulnerable adults All staff and volunteers working with children or vulnerable adults have had a Disclosure and Barring Service (DBS) checkPlease select... Yes No My charity does not work with children or vulnerable adults How did you hear about us? Please give details of any previous support you have received:- From a Merchant Taylors' charity: From the Dudley and Geoffrey Cox Charitable Trust: From another charity managed by Merchant Taylors': Please give details of support your charity has received from any other Livery Company in the last 5 years: Save my progress and resume later | Resume a previously saved form Need assistance with this form?