Below is a complete list of the questions for The Malcolm Chick Charity application. Questions marked with an asterisk are compulsory. You can click on the corresponding ? for additional help with a question.
| A1 | *Organisation name | ? | ||
| A2 | *Organisation Address | ? | ||
| Please include full postcode | ||||
| Telephone Number | ||||
| Website | ||||
| A3 | Name of Contact Person | ? | ||
| Contact Telephone Number | ? | |||
|
Contact Email Address We will use this email address to send you a copy of your application form. |
? | |||
| Contact Address (if not as above) | ? | |||
| A5 | *What is your position in your organisation? | ? | ||
| A6 | *What is the legal status of your organisation? | ? | ||
| A7 | If Registered Charity, please give your charity number | |||
| A8 | If Registered Company, please give your company number | |||
| A9 | *In what year was your organisation founded? | ? | ||
| B1 |
*Briefly describe the aims, objectives and activities of your organisation
- approximately 100 words (max. 600 characters) |
? | ||
| B2 |
*Please give examples of your recent achievements
Why are you the right organisation to carry out this work? - approximately 100 words (max. 600 characters) |
? | ||
| B3 |
*Is your organisation part of a larger organisation. Please give details. Is your organisation financially independent of the larger organisation and how can you demonstrate this? - approximately 30 words (max. 255 characters) |
? | ||
| B4 |
What was your organisation's total annual income as shown in your last set of accounts? Please choose the option that matches most closely. |
? | ||
| B5 |
People in your organisation: Number of staff |
? | ||
| Full time | ||||
| Part time | ||||
| Volunteers | ||||
| C1 |
*Purpose for which funds are requested
- 15 words maximum |
? | ||
| C2 | *What is the start and finish date of the project? | ? | ||
| C3 | *Which of The Woodlands Trust's priority areas are you applying under? | ? | ||
| C4 | *Which geogrqaphical area will be served by this project/activity? | ? | ||
| C5 | *What is the grant for? | ? | ||
| C6 |
*What is the need for the work and how have you identified it?
- approximately 150 words (max. 1000 characters) |
? | ||
| C7 |
*What do you want to do with the grant?
- approximately 150 words (max. 1000 characters) |
? | ||
| C8 |
*What organisations provide similar activities in your area and has the charity linked with these or other service providers?
- approximately 100 words (max. 600 characters) |
? | ||
| D1 | *Who will be the main beneficiaries of this project/activity? | ? | ||
| D2 | *Do the beneficiaries fall into any of the following categories? | ? | ||
| D3 | *How many people do you expect to benefit in a 12 month period? | ? | ||
| D4 | *How many hours do you expect to spend with each beneficiary? | ? | ||
| D5 |
*What do you want to achieve as a result of this work and what specific differences will it make to your intended beneficiaries?
- approximately 150 words (max. 1000 characters) |
? | ||
| D6 |
*How will you evaluate whether your work achieved what it set out to do and is making a difference?
Please explain how you will assess the progress of the work against the results described in question D6. - approximately 150 words (max. 1000 characters) |
? | ||
| D7 |
*How will you make sure that all your activities are open to people who might want to use them?
- approximately 100 words (max. 600 characters) |
? | ||
| D8 |
*Please confirm your compliance with the Data Protection Act 1998
- approximately 100 words (max. 600 characters) |
|||
| D9 | *Please confirm that all necessary Criminal Record Bureaux (CRB) checks have been made on staff/volunteers | ? | ||
| E1 | *Total cost of the project | £ | ? | |
| E2 | *Amount received so far | £ | ? | |
| E3 | *Deficit to be raised | £ | ? | |
| E4 | *Total amount requested from The Woodlands Trust | £ | ? | |
| E5 | If your request for The Woodlands Trust is spread over more than one year please provide a breakdown | Amount | ? | |
| Year 1 | £ | |||
| Year 2 | £ | |||
| Year 3 | £ | |||
| E6 |
*Bearing in mind that most grants from The Malcolm Chick Charity are no more than £3,000, how will any shortfall be provided for?
- approximately 100 words (max. 600 characters) |
|||
| E7 |
Please give the account name which should appear on the cheque.
Please note that this must be a registered charity |