Please use the following form to submit a draft application for funding.

Once we have processed your application form, we will be in touch. Please note that we may ask for further information at that stage.

You can save a draft version of this form if you want to return to it later by clicking the "Save Draft" button in the left hand column.

Your Information

Your email address*
Password*
Security code:
Your ref (give this applicationa name to help identify it)

Application Summary

What is the name of your organisation?*
What is the title of your proposed project?*
Please provide a project summary
(Limit to 250 words):*
Please state how much you would like to receive from the Ballinger Charitable Trust:
Year 1*
Year 2 (if applicable)
 

Part A. Information about your organisation

What is the name of your organisation?*
What is the name of the key contact person?
What is their position in the organisation?
What is the address we should
send correspondence to?
Telephone No:
Fax No:
Email (organisation not personal):
Website:
What is the legal status of your organisation? (more than one may apply) Please tick:
 
 
 
 
 
Charity number (if applicable):
Is it part of a larger or national organisation?
 
In which year did your organisation start?
Does it have a formal constitution?
Please describe the aims, objectives and activities of your organisation.
Please also identify the current beneficiaries and how many benefit each year.
The Trust currently focuses its
funding in the North East.
What area in the North East does your organisation's work target?
 

Part B. Information about the proposal, project, services or activities for which funding is sought

What is the evidence of need for this project?
Please provide statistics if applicable.
Please provide further detail about the project (aims and objectives, activities, desired outcomes etc) proposed to address the need above described above.
Who will benefit from the project?
How many will benefit?
How will they benefit?
How will you measure whether your project has been successful?
(What changes will result from the funding? How will you monitor outcomes?)
What resources are needed
in place for the proposal?
(Who works on the project? Are these new or existing staff? Will volunteers be involved if so, how many? What resources and other materials will be needed?)
Do you practice equal opportunities in your organisation and in the services you provide?
 
 
How does your organisation aim to encourage the people you want to help to play a part in your activities?
What is the total cost of the project? (a full budget may be required to complete application)
Capital (equipment, premises etc):
Revenue (running costs, salaries etc):
Total:
How much of this has been secured so far?
Government grants:
Local authority grants:
Donations from business:
Grants from trusts:
Fundraising:
Fees, rents, sales, charges:
National Lottery:
Other sources:
Total:
Have you made any other applications for funding towards this project?
 
Please provide details: (include Name of funder(s), £ applied for, decision date)
How much are you requesting from us?
What do you intend to spend this money on specifically?
Please provide a breakdown of how the funding would be spent:
Please provide the contact details of an independent referee who knows of your organisation and would be prepared to talk to us about your project:
Exact name on organisation's bank account:
How did you hear about us?
Attachment: