Apply for a SHIRE Community Grant 2021-22

Before completing this Application Form, please read the Guidance Notes for Applicants thoroughly, to ensure your application for funding meets the eligibility criteria.

We would also encourage you to contact the Grants Officers on (0116) 305 7269 / 3057020, or email: shiregrants@leics.gov.uk to discuss your funding proposal before submitting your application.

Template for Drafting your Application

Before submitting your application, we recommend that you save the text for your application in a separate Word document as a copy for your records.

Please note that the online form cannot be saved part way through. The Word version will enable you to draft your application and share it with others before completing the online form.

Please note that the Word template is for the purposes of drafting the application, for your own use only.

All applications need to be submitted using the online Application Form below (unless otherwise agreed and discussed with the Grants Officers).

Data Protection

Before submitting this application form, you will need to agree to the information contained in the Data Protection Declaration document below.

Please ensure you have read the document before selecting 'I agree' to the Declaration at the end of the Application Form.

Failure to agree to this statement will result in your application not being processed.

Submitting your Application

After submitting your application, you will see a message on your screen, with your application reference number, confirming that your application has been submitted successfully.

Please call 0116 305 7269 if this screen does not appear, as it may mean your application was not submitted successfully.

If you have any difficulties completing the online application form, please contact the Grant Officers on (0116) 305 7269 or 305 7020, or email: shiregrants@leics.gov.uk.

SHIRE Community Grant 2021-22 Application Form

* Required Field

DETAILS ABOUT YOUR ORGANISATION

1) The name of your organisation*:

2) Type of organisation:*

Charity Community Organisation with a constitution Social Enterprise/CIC Faith Based Organisation/Place of Worship Parish/Town Council Other (Please Specify) Other:

3) If your organisation is a registered charity, please provide your Charity Number:

4) If your organisation is registered on Companies House, please provide your Company Number:

5a) Is your organisation registered for VAT?*

Yes No

5b) If yes, please enter your VAT number:

Please note, VAT payments that can be reclaimed by your organisation cannot be grant funded. Therefore, any SHIRE Grant award made will be based on the value of your project excluding VAT.

6) Brief description of what your organisation does*:

Brief summary of the services/activities normally delivered by your organisation, including the types of service users you support. Include any relevant information regarding your organisation’s track record and experience.

DETAILS ABOUT YOUR FUNDING APPLICATION

7) What type of SHIRE Grant are you applying for?*

Small Grant (under £3000) Large Grant (minimum £3001 - maximum £10000) Capital Grant (minimum £1000 - maximum £10000) Match Funding (minimum £3000 - maximum £10000)

Please note, if you wish to apply for a Partnership Grant, please complete the Partnership Grant Application Form

8) In one sentence, please explain what you require grant funding for*:

For example: "We are requesting £5,000 funding for staffing costs, to deliver a series of self-help sessions for people with mental health problems".

9) How much funding are you requesting?*

10) What specifically will the funding pay for? Please provide an itemised breakdown of how the funding will be used*:

11) How will the funding enable your organisation to deliver (or develop) services, projects or activities which improve the health, wellbeing and quality of life for vulnerable and disadvantaged people who live in Leicestershire?*

Please note, we can only award funding to organisations who are able to provide services for vulnerable and disadvantaged people who are residents of Leicestershire County.

12) What benefits, outcomes and impacts do you expect to be achieved for vulnerable and disadvantaged people who live in Leicestershire, as a result of this funding?*

13) Evidence of need: Please explain how you know that the services, projects and activities you intend to deliver with this funding are needed in Leicestershire.*

DETAILS ABOUT YOUR BENEFICIARIES

14) How many people will benefit from this funding, i.e. the target number of beneficiaries who will receive services or participate in activities or projects, as a result of this funding?*

If the overall/total number of beneficiaries are not yet known, please provide an estimated number

15) How will you identify, target and recruit participants/beneficiaries/service users? Please note, SHIRE Grants can only be awarded for services/activities which benefit vulnerable and disadvantaged people who are resident of Leicestershire County.*

16) Please select the areas of Leicestershire where your target beneficiaries/participants/service users will live:*

ADDITIONAL INFORMATION

17) Please provide details about how you are working to ensure your organisation will be in a healthier financial position in the next 12 months.*

Include any details of other sources of funding or income generation which you are currently exploring or considering

18) If your organisation received a grant from the Leicestershire Communities Fund in 2020-21, please provide details and the amount of grant/s awarded:*

19. Additional Documentation:

Please use this section to upload any additional documentation to support your application. Alternatively, you can email any additional documentation to support your application to shiregrants@leics.gov.uk

YOUR DETAILS

Your Name*:

Your role in the organisation*:

For example Manager, Chief Executive, Director, or Trustee, etc

Address for written correspondence, including post code*:

Contact Telephone Number 1*:

Email Address 1*:

Alternative Contact Name:

Contact Telephone Number 2:

Email Address 2:

Declaration*:

I have read and agree to the information contained in the Data Protection Declaration document which includes my agreement to receive information about the SHIRE Community Grant and other community funding information including funding related events being organised by the County Council or its partners and other related information and updates related to Leicestershire Communities. Contact information will not be shared with any third party.

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