Starter Grant Application Form

Application Date(Required)

Please tell us your name(Required)

What is your role / position in the organisation?(Required)

Telephone(Required)

Email Address(Required)

What is the name of the organisation or group?(Required)

What is your organisations address?(Required)

Please tell us briefly about the work of your group(Required)

In the case of a very new group that is not set up yet, please tell us what the group will do.

When was the group set up?(Required)

Roughly, how many people will your group help in a year?(Required)

Does your group have a governing document?(Required)

For example a Constitution, or set of rules, a Memorandum and Articles of Association, etc.

Yes

No

Please can you attach your governing document using the button below(Required)

Max. file size: 512 MB.

Does your group have a bank account in the name of the group?(Required)

If your group does not have a bank account in the name of the group and your application is successful, we will contact you to discuss the grant payment

Yes

No

Please enter the bank account name to which cheques should be made payable to(Required)

This should be the same as your group’s name. If it is not, please explain the reasons why

Please tell us how you will use a Starter Grant(Required)

How much money are you applying for? (max £200)(Required)

Please enter a number from 1 to 200.

Please tell us about the things you need to pay for(Required)

Please provide a breakdown of costs e.g. equipment, room hire, telephone, stationery, travel expenses together with amounts. (For example, Equipment £100, Telephone £50, etc.)

How much money has your group already received from any source in the last 12 months?(Required)

Please include all grants, payments, fundraising and donations

Has your group received a grant from any of the following in the last 12 months?

Tick all that apply

The Sir James Reckitt Charity

Hull CVS Starter Grants

Please can you tell us how much you have received?(Required)

When did you receive this funding?(Required)

Have you previously been applied and successful for a Starter Grant?(Required)

Yes

No

Please give the contact details of someone who knows you, and has agreed to vouch for your group and the things that you are trying to do.

This should be someone who holds a position of responsibility in the community such as a local Development Worker, Neighbourhood Coordinator, councillor/professional or similar.

Referee Name(Required)

Address(Required)

Telephone(Required)

Email Address(Required)