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Funding Application Guidance & Form

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1 Organisation or Individuals details

1.1 Organisation / Individual name

What is the full legal name of your organisation, as shown on your governing document or your name if you are not apply as part of an organisation?

1.2 Does you or your organisation (as applicable) use a different name in your day to day work?

Yes No

If yes, what other name do you use?

1.3 What is the main or registered address for your organisation or your main address of residence if applying as an individual?

Flat number

Building number Building name

Street

Town or city

Postcode

Phone number one Phone number two or text

phone

1.4 What is the main email address for your organisation or your email address of residence if applying as an individual?

This should be the email address people use to contact your organisation.

Funding Application Guidance & Form

Last updated: 25.07.2014

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1.5 Does your organisation have a website? Please leave blank if applying as an individual.

Yes No If yes, what is its address?

1.6 What sector does your organisation fit into? Please leave blank if applying as an individual.

Public sector Private sector

Voluntary and community sector Other

Please describe

If your organisation’s registered address or contact details have changed, tell us why.

1.7 Give any reference or registration numbers you have.

Charity Commission for England and Wales

Charity Commission for Northern Ireland (or HMRC reference number)

Office of the Scottish Charity Regulator

Companies House

School /College/ University Student reference number

Other reference or registration number Please give details

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Please note that we require your organisation to be formally constituted when you submit your application.

2 Primary contact details

2.1 Who should we contact if we have questions about your application?

They must be someone who runs or works for your organisation. We need their date of birth and home address for our standard fraud prevention checks.

Title Forenames (in full) Surname

Date of birth

Position held in the organisation

Home address, including postcode.

Flat number Building number Building name Street Town or city Postcode

Have they lived at this address for the past three years?

Yes

No – If no, please give their previous home address:

Flat number Building number Building name Street Town or city Postcode

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Telephone number one* Telephone number two*

*At least one of these must be a landline telephone number

Email address (if applicable) Web address (if applicable)

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3

About your project

3.1 What is the name of your project?

3.2 What is the aim of your project?

The aim is a brief statement of the overall purpose of your project. Try to keep your answer to one sentence. The aim should help focus everything that you plan to do and explain the changes your project will bring about to meet the needs you have identified.

3.3 What does your project involve?

Summarise what you plan to do, using straightforward language. (Maximum 300 words)

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3.4 Where will your project take place? If more than one, please state all locations

Building name (or number) and street,

Country Postcode % per

location

Main location

3.5 When are you planning to start and finish your project?

Start date Day Month Year Finish date Day Month Year

3.6 Focal Species?

Please give details of which species your project will focus on. Include IUCN Red List status (or other endangerment listing) of focal species.

3.7 Project background and justification

Summarise why the project is necessary – include a summary of current studies looking at similar issues, who is conducting these, what they gaps are and where this projects plugs those gaps.

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3.8 How much difference will your project make and by when?

Use the space below to tell us what the objectives of the project are. Where applicable please make these specific, measurable and provide timescales.

Please include specific objectives where relevant relating to the local community to the project and education objectives/links.

In addition, select the indicators that will demonstrate the success of your project in addressing the Yorkshire Wildlife Park Foundations objectives.

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3.9 Health & Safety

Has the H & S of personnel involved been considered? Please describe, attach copies any risk assessments undertaken.

3.10 Ethics

Have potential negative impacts of this project been considered? If so please state conclusions drawn.

Please read the Foundations policy on ethics and if you agree to adhere to this please tick and sign below

I /we agree to adhere to the Foundations code of conduct and Ethical policy

……… Date ………

Signed

3.11 Collaboration

Does the project collaborate with other NGOs/partners/Yorkshire Wildlife Park (please identify if applicable)

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3.12 Other funding

Has the project sought or won funding (in part or whole) from elsewhere, if so please give details

3.13 Impact on local area

Please state the impact the project may have upon the local communities/people?

3.14 Has the project been approved by the government of the host country, if applicable

Please state collaborating agencies / ministries.

3.15 Are there any expected publications from the project Please state

4 Budget

Please state the total requested amount from Yorkshire Wildlife Park Foundation.

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Please attach a full budget breakdown of the cost of the project, giving details of any additional funding (current or pending), associated administration costs, staff costs and overhead contribution etc.

Please give detail of any outstanding debt/loans you/ your organisation (as appropriate) may have that may impact upon the project.

Please also attach a copy of your most recent annual accounts (if organisation).

Please provide any other financial information that you feel may have a bearing on the project.

5 Additional Information

Please provide any additional information you consider important to your application

6 Referees

Individuals applying for grants must give details of two referees, one of whom is also a referee for financial propriety.

Referee 1

Referee 2

7 CV

Please attach a one-page Curriculum Vitae/ resume for all key project personnel.

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Please sign below to state that all information you have provided in this form and as part of this application is true and valid.

Signed ……… Date ………..

END OF APPLICATION

Thank you for taking the time to complete this application.

Once submitted we will acknowledge your application in writing and information you in writing of our decision.

Please note we may request additional information to support your application.

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