Early Years Project Application

Contact Details - Personal

Name*

Address*

Street Address

Postcode*

Phone Number*

Email Address*

Contact Details for Organisation

Name of Organisation*

Address*

Street Address

Postcode*

Phone Number*

Email Address*

Legal Status of Organisation*

Registered Charity

Company Limited by Guarantee

Community Interest Company – CIC

Other - Constituted (includes CIO and Soc Enterprise)

Other – Unconstituted

Legal Status of Organisation Details

Charity Registration Number*

Company Limited by Guarantee Reg. No.*

Community Interest Company – CIC Reg No.*

Other - Constituted (includes CIO and Soc Enterprise) Reg. No.*

Other – Unconstituted (details)*

Do you have a UK-based bank account registered in your organisation's name?*

YES

NO

Provide an overview of your project, including its objectives, the individuals or groups who will benefit from it. Additionally, please explain the desired outcomes you hope to achieve through your project. Guidelines are available here

How much total funding are you applying for to run your project?*

You can apply for up to £7,000 for a one-year project.

Timeline of Activities

Activity Number

Activity Name

Number of times a week

Please provide an additional short budget breakdown, including itemised costs

Number Item/Activity

Item/Activity

Estimated Total Cost

Please provide a summary describing your project.

Required Documents - Please tick those you are uploading.*

Constitution / Memorandum & Article of Association/Trust Deed

Governance Document: Your organisation must have at least three unrelated members who are legally responsible for its governance. These members can be Trustees, Directors, or a Management Committee, depending on your structure. Please note that the highest level of governance should be a board of Trustees (for charities and CIOs) or Directors (for CLGs or CICLGs). A Management Committee that sits below the board of Trustees or Directors does not count towards this requirement.

Bank Account: You must have a bank account in the same name as the organisation you are applying for.

Safeguarding: Your organisation must have a safeguarding policy in place that meets the requirements listed in our safeguarding checklist.

Childrens Safeguarding Policy (You must include this if your organisation works with children, i.e., anyone under 18 years of age)

Safeguarding Vulnerable Adults Policy (You must include this if your organisation works with vulnerable adults)

Data protection/GDPR

Other – Unconstituted (details)

File Upload

Drop files here or click to select

Please select the documents that your organisation currently possesses. If your application is approved, you may be required to submit the following documents.

Employer’s liability, indemnity insurance

Public liability (third party) indemnity insurance

Property and Equipment Insurance against fire, theft, loss, damage

Professional indemnity, if required

Evidence of vehicle insurance if vehicles are owned.

Health and Safety Policy

Equal Opportunity Policy

What will you be doing to ensure your project is known and supported in the community?*

Declarations and confirmation*

I understand that K&W Health Care will publish information in this application in a brochure available for download from its website and handed to residents as part of the decision-making process.

I understand the photo(s) sent with this application, will be published by K&W Health Care in a brochure that will be available for download from its website and presented to residents. I confirm that I have obtained consent from any persons in the photo(s).

I have no conflict of interests to declare concerning the grant's financial, political or family interests.

I wish to declare the following financial /political/personal relationships which may be considered as potential conflicting interests:

Potential Conflicting Interests

Signed by:

(Full name, including your title)

For and on behalf of:

(Organisation Name)

Date: