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Application Questions

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