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Wave 5 Application Form RENEWAL (CORE) GRANT UP TO ?50KThis is an MS Word copy of the online application form.? You can use it to prepare your answers, but you will need to transfer your answers into the online application form in order to submit an application.???Note that not all of the questions are required for a Renewal (Core) Grant application, so some question numbers are missing from this document. This document will indicate whether there are maximum word counts for some answers – please note that the online form may count slightly differently from MS Word so you may need to edit your text when you upload if you have gone up to the maximum words allowed. If you need support to make an application, contact? info@.uk.?When you have completed and submitted the online application, you will receive a PDF of your application by email with confirmation that we have received it.??Pre-application eligibility quiz The application form starts with five questions to check that you are eligible to apply.What type of organisation are you? Registered, exempted or excepted charity Charitable incorporated organisation (CIO) Community Interest Company limited by guarantee Community benefit society (Industrial and Provident society)Faith group, where the activity is not promoting religion?Community Amateur Sports Club?Constituted but unincorporated club or association?Constituted Tenants and Residents Associations, and Tenant Management Organisations?Constituted community group?None of the aboveIf you tick ‘None of the above’ you are not eligible to apply Is your work charitable? Yes / noIf you tick ‘No’, you are not eligible to applyDoes your work benefit people living in London? Yes / noIf you tick ‘No’, you are not eligible to applyAre you applying for direct cash payments to individuals? Yes / noIf you tick ‘Yes’, you are not eligible to applyAre you applying for the provision of laptops to pupils by schools? Yes / noIf you tick ‘Yes’, you are not eligible to applyWave 5 Grant 1aWhat type of grant are you applying for?Please refer to the guidance and ensure your application fits with the criteria set out. Renewal Grant (up to ?50k)1bIf you are applying for a Renewal Grant (up to ?50k), would you like to apply for the costs of a specific project, or for the core costs of running your organisation? Please refer to the guidance and ensure your application fits with the criteria set out.Project Grant Core Grant 2aPlease select which of these themes most describes the focus of your organisation’s usual workadvice arts and culture children and young people domestic abuse / violence against women and girls equity and inclusion food homelessness infrastructure (civil society support organisations or community anchor organisations) mental health people at risk (including older people, disabled people, and people with long-term physical health conditions) refugees and migrants2bPlease select which of these themes most describes the focus of the grant you are seeking now?advice arts and culture children and young people domestic abuse / violence against women and girls equity and inclusion food homelessness infrastructure (civil society support organisations or community anchor organisations) mental health people at risk (including older people, disabled people, and people with long-term physical health conditions) refugees and migrants3If you are applying for a Renewal grant, which mission will your work contribute to? Please refer to the guidance and ensure your application fits with the criteria set out.Building strong communities New deal for young peopleRobust safety net 4Are you an organisation led by marginalised communities or those most affected by the covid-19 crisis? We define ‘led by’ as when more than 75% of an organisation’s Trustees are people with lived experience, and more than 50% of staff members (including senior) are people with lived experience. Note that this threshold has increased since Wave 4. Black, Asian and Minority Ethnic (BAME)Deaf and DisabledLesbian, Gay, Bisexual and Transgender (LGBT+)Women Not led by and for marginalised communitiesYOUR DETAILS 6aName of organisation:Please use your organisation’s legal name (i.e. the name that appears on your organisation’s bank statement)6bIs your organisation known by any other name or did you have a former name? Please tell us the name. 7Organisation address: Street Address 1 Street Address 2City PostcodeWebsite (if you have one):8Primary contact for this grant:First Name:Surname: Role:Telephone number:Email address:9Secondary contact for this grant (in case we need to get in touch and one of you is ill):First Name:Surname: Role:Telephone number:Email address:Your Organisation10What year was your organisation established?11What type of organisation are you? Note that for all types of organisation, you must have at least three Trustees or Directors. Registered, exempted or excepted charity Charitable incorporated organisation (CIO) Community Interest Company limited by guarantee Community benefit society (Industrial and Provident society)12If your organisation is part of a larger organisation, what is its name?Note that we can only accept ONE Crisis application per organisation and ONE Renewal application per organisation.? If you are part of larger charity, you will need to agree which branch is applying.13aPlease give your charity number (if you have one)13bPlease give your company number (if you have one) 14aWhat does your organisation do? Maximum word count 10014bDoes more than 75% of your organisation’s Trustees and more than 50% of your staff members have personal experience of the issues you tackle?For example, if your organisation provides support to carers,?do Trustees and staff?have direct personal experience of being a carer or of receiving care? If your organisation provides services to refugees and migrants, do?Trustees and staff have direct personal experience of being a migrant or applying for asylum?Yes No/Not applicable15aIs your organisation’s mission focused on tackling inequalities and advancing the rights of a particular group? Yes/no tick boxes forBlack, Asian and Minority Ethnic (BAME)Deaf and DisabledLesbian, Gay, Bisexual and Transgender (LGBT+)Women Other: Please specify (text box) ____________________________15bIf yes, please give us an example that shows the equalities focus of your work?For example, this focus might be written into your articles of association or in your strategy, it might be highlighted on your website and/or recent materials you have published, it might be central to how you design and deliver and your services. This question only pops up if you tick any of the boxes aboveMaximum word count 5016aPlease list any quality marks that your organisation holds that are relevant to your application. A quality mark means that your organisation has been assessed by an independent body which has checked your processes and procedures are adequate and given you a certificate which proves this. Examples include: Advice Quality Standard (AWQS) awarded by the Advice Services AllianceThe Quality Mark awarded by London YouthThe Trusted Charity Mark awarded by NCVO Immigration Advisor regulation required by the Office of the Immigration Services Commission 16b Which of these policies does your organisation have? If you have a policy, please give the date when it was last reviewed by your Board. Equality/Equity, Diversity and Inclusion (date)Health and Safety (date)Safeguarding (date)GDPR (date)Financial Processes (date)17How many people does your organisation usually support in a year? Number format only 18Where does your organisation work? This information will help funders understand the needs across London and get grants to the places that need them most.Select individual Boroughs or All Londonwithin London AND ALSO outside of Londonnot in London – if you select this option, you should not continue with the applicationUK wide 19How many paid staff does your organisation usually have? Full time (number format only) Part time (number format only)19aDo you pay all staff at least the London Living Wage? We encourage any applications which include salaries to pay at least the London Living Wage, which is currently ?10.85 per hour. For more information please visit YesNo19bHow many volunteers does your organisation usually have in a year? 19cTell us how you support the resilience and well-being of your staff and volunteers? For example, you may be putting in place additional management and supervision meetings, encouraging informal line-management check-ins or peer support meetings. You may be making time during the day for your team to look after their own well-being, or providing access to external support, whether it be formal support, through training or counselling or less formal, such as, encouraging staff to engage with colleagues in other organisations, creating communities of support for people at all levels of the organisation. (max 50 words)Maximum word count 5020Tell us about the main partners your organisation works with. Partners are other organisations, such as other charities, local government, or businesses. Tell us about your relationships with these orgs for example, you might have a formal contract to deliver work with them, an informal relationship to support each other’s work, or you might refer people to them or accept referrals from them.Maximum word count 100 21aDoes your organisation operate out of a fixed space or venue??If your organisation delivers most or all of it’s public-facing work (i.e. not your office based activities) from one building, you should answer ‘yes’. If your organisation simply hires a room regularly or occasionally to deliver a club, workshops or events, you should answer ‘no’ to this question. Yes/NoIf you tick ‘Yes’ to Q21a, five additional questions will pop up below. You do not need to answer these questions if you tick ‘No’. 21bBuilding address (if different from organisation address)21cWho owns your venue?Your OrganisationPrivate LandlordCouncilOther21d Please give the start and end date of your licence or lease? Date format Start dateEnd date21ePlease provide any additional information about your licence or lease. For example, are you about to sign a new lease? Is this a peppercorn lease? 21fAre you facing any challenges related to the following building-based issues?Rent PaymentsLease negotiationsMortgage paymentsBusiness rates paymentsDevelopment pressurePreserving building heritagePreserving cultural heritageSecuring asset of community valueAccess to spaceLicensingBusiness planning and sustainability Other(You can tick more than one)If you tick any of the boxes above, additional questions will pop up to invite you to apply for additional support for community spaces at risk. You can see these additional questions on P17-20. Financial Information22What is your financial year end date? Date 23Please complete the table of financial information below.? If the organisation wasn't active in previous years, you will need to put a '0' in the boxesProjected end of year position for current financial yearMost recent financial year as reported in your most recent annual accounts, OR, if your organisation is less than a year old, your most recent management accounts (or whatever document you use to keep track of the money the organisation receives and the money it spends).Prior financial yearFinancial Year Total incoming resourcesTotal resources expendedSurplus/deficitUnrestricted Free ReservesYour free reserves are your total unrestricted funds (i.e. that aren’t restricted to particular projects) minus your tangible fixed assets (i.e. things like buildings and vehicles).24How financially stable do you expect your organisation will be at the end of your current financial year? For example, what is your level of free reserves likely to be compared to your reserves policy? Is there anything we should know that might change your financial position?Maximum word count 20025a Please tell us about your budget for the year ahead. For example, what % of your income for your next financial year is secure?You will need to upload (at the end of the application form) a budget showing what you expect your annual budget to be for the year ahead (assuming that your application is successful). Please use the template provided. This should show your best estimate of the income you expect to come in and what you expect to spend. You can use this box to say more about your budget. Maximum word count 10025bTell us about where your funding usually comes from? How has this changed during 2020 and how do you expect it to change in 2021? Maximum word count 10026aHave you received a grant from previous Waves of London Community Response? Note that this will not prevent you from being offered a Wave 5 Grant.Tick boxes for: Wave 1 Grant receivedWave 2 Grant receivedWave 3 Grant receivedWave 4 Grant received26bRenewal Grants should start from 1st April 2021 and can run for up to 12 months. When would you like the grant to start and end? Start date range: Apr 21End Date range: May 21-March 2226cIf you have a current ‘live’ London Community Response grant, please tell us when you expect to have completed the work that the grant covers? If this application is to continue the same work, and the start date is before the previous grant is due to end, please say why (for example, the need may have increased). 26dIf you have completed the work covered by a previous London Community Response grant, have you submitted a report on this grant to your funder? Note that this will not necessarily prevent you from being offered a Wave 5 Grant but some funders may not be able to offer another grant if a monitoring report has been requested but not yet received. Yes/NoFunding request 27Your community: Tell us about the impact Covid-19 has had on the people you support. How do you think this might this change in 2021???Maximum word count 200?28Your organisation: Tell us about the impact Covid-19 has had on your organisation. How do you think this might change in 2021???Maximum word count 20029Core request summary: describe your request for funding in no more than 50 words “The funding is for…”.A core grant is a grant which is not linked to a project, but to the costs of running or growing your organisation. For example, you could ask for funding to cover salaries which are not covered by any of your project grants, or for funding to cover your overheads that are not covered by project grants, a mixture of these, or for funding to develop your organisation’s capacity (training for staff, paying consultants to develop plans such as fundraising or business plans).Maximum word count 5030Core request detail: What would this core grant enable you to do? For example, to provide a breathing space, to develop or adapt the organisation, to develop partnerships, to strengthen your sustainability. If you want to use consultants/buy in capacity, tell us who will undertake this work and what their qualifications are. Where do you hope to be in a year’s time? What will happen if you don’t receive this grant?Maximum word count 300 32Please tell us about how you are considering safeguarding in the context of Covid-19? You can look at some useful resources on this at Maximum word count 200 33If the work you are seeking funding for will deliver face-to-face work with children and young people, please confirm that you have read and understood the additional guidance provided by the National Youth Agency. .uk/guidanceYes / NoBudget RENEWAL (CORE): Note that grants are to cover a maximum of 12 months of costs and are up to a maximum of ?50k. If your request is for more than ?50k, your application will not be reviewed by funders. 34aHow much are you applying for?Note that your answer must match the total in your budget. ??34b What percentage of your overall income will that equate to? Note that by “your overall income” we mean the total income you are expecting to receive in the next financial year, as stated in the budget template requested at Question 25 that you will upload at the end of this form.%35Please provide a breakdown of your funding request.Please ensure you have checked what can the funding be used for in the guidance. Please provide an appropriate amount of detail – if you provide only one item and cost, with no breakdown, your application is less likely to be funded. The higher the total cost, the more detail you should provide. For staff costs, please break down as salary (pro rata) with number of hours/week and number of weeks OR hourly rate?x number of hours per week x number of weeks.ItemCost (number format only)Total The application form will calculate the total automatically 36Budget notes: add notes that explain each cost you have identified.?For any salaries listed, tell us whether each post is a current or new post. For any new posts, please explain how you will recruit. 37What non-financial support might you need to make this happen? E.g. support with adapting your work so you can offer it digitally, workforce planning etc. We’re asking this so that we can signpost applicants to useful sources of information and support. Maximum word count 50 38Is there any other information you need to tell us? If your organisation is expected to merge or undergo any other major changes in the next year, tell us here. Maximum word count 200 39Will your organisation accept a grant from funds derived from the proceeds of gambling? For most organisations this isn’t an issue, but some faith-based organisations may not accept such funding as a matter of policy. Your grant will still be viewable by all funders, but those distributing funds derived from gambling profits will not fund your application if you select “No”.YesNo 40Have you had support completing this application form? Note that if you have paid someone to complete this application, you cannot use funds from any grant awarded to pay their fee. No – the application was completed by the organisation’s trustees, staff or volunteers with no external help. Yes - the application was completed by the organisation’s trustees, staff or volunteers with support or advice from another organisation.Yes - we have used a template or other support document provided by another organisation. Yes - the application has been written by an external fundraising consultant (paid)Yes - the application was written by someone else external (not paid – please specify who)______________________________________Information to uploadIf you do not upload all the documents required to support your application, then your application will not be reviewed by fundersYour governing document e.g. constitutionYour most recent annual accounts, OR, if your organisation is less than a year old, your most recent management accounts (or whatever document you use to keep track of the money the organisation receives and the money it spends).Management accounts for your most recently ended quarter. Management accounts are the document(s) used by your organisation to track your organisation’s income and expenditure (funds received, and funds spent). They usually include a table showing all of the money received up to a certain date, and all of the money spent up to a certain date, broken down into categories like “salaries/staffing” “expenses” etc. Often the management accounts also include a plan, called a budget or forecast, so that your organisation’s leadership team can see how the organisation’s finances are doing compared to the plan.An organisational budget (not project budget) for the 12 months from when you want the grant to startYou must use this template providedIf your organisation is constituted but not registered:?The names and addresses of 3 Trustees / Directors / Management Committee members who should not be related to each other.If you work directly with service users:?Your safeguarding policy If this funding is to deliver face to face work with children and young people:?Signed and dated “Staying Covid-19 Secure in 2020” document (page 26 of “Managing Youth Sector Activities and Spaces During Covid 19” at .uk/guidance)An appropriate risk assessment (examples can be found at )?In order to pay your grant (if successful), your funder will need your organisation’s bank account details showing organisation name, address, sort code and account number in the form of a recent statement (last 3 months). Your bank account name must match your organisation’s legal name as listed above. This should take the form of one of the following:Scanned bank statement (if you have access to this) – with transactions redactedBank statement downloaded from an online account – with transactions redactedIf you are unable to provide this because your organisation is new you should apply via a HOST. 41If you have not attached all of the documents required for your application, please tell us why. Funders will need to contact you for more information in order to process your application. Maximum word count 50 Statements I confirm that, to the best of my knowledge, all the information I have provided in this application form is correct. I fully understand that funders supporting the London Community Response initiative have zero tolerance towards fraud and may prosecute and recover funds if necessary. Full Name: required Role within organisation: required Data Privacy Statement“London Community Response” is a brand name for an initiative which is supported by a group of funders.?Each of the funders is a controller under data protection law of the personal data provided through the application form and any further personal data collected on applicants and approved grantees. Should you have any questions about how personal data is used by the funders, in the first instance please contact London Funders (.uk).?The group of funders do not intend to share or trade personal data with third parties for commercial purposes and will only process your personal data as set out in their respective privacy notices, if it is required or permitted by law, or with your consent.?How we will use your personal data?The personal data we will collect will principally be the name and contact details of?grant applicants. This information will be shared with the group of funding organisations who are supporting the?London Community Response collaboration. We will process the personal data you provide for the purposes of:Administering your grant application (assessing your application, grant due diligence);Activities connected with raising awareness about the London Community Response initiative; andAnalysis and learning about grant-making to improve our understanding of fundraising (but on an anonymous or pseudonymous basis wherever possible).If your application is successful, the relevant funder will then use your personal data for processing grant payments, grant variations, grant monitoring and reporting, and at that point, your personal data will be used in accordance with the relevant funder’s privacy notice.?We may share your personal data with third parties, including other funders, external consultants and external auditors, police and regulatory bodies for the purpose of determining, preventing or detecting crime; or ensuring that no organisation is receiving duplicate funding; or the validation of contracts; or where this is otherwise required or permitted by law.?We rely on the legitimate interest basis to collect and use personal data about applicants and approved grantees for the purposes of administering the grant application, promotional activities and analysis and learning.This is to run?London Community Response properly and to ensure we continue to improve our grant-making.?You have rights under data protection law to control your personal data. Please see the relevant privacy notice for the respective funder to understand how they use your personal data and your rights.?You also have the right to lodge a complaint with the Information Commissioner’s Office (.uk) should you have concerns about how your personal data is used but please raise your concern with us first.?For further information about how London Funders uses the personal data relating to your application please see:? up questions from Q21e for Community Spaces at Risk You have indicated that your organisation delivers most or all of your public-facing work from one building and that that this space may be at risk. There is additional advice and support available for London’s community spaces that are supporting those worst affected by the COVI9-19 pandemic including Black, Asian and Minority Ethnic communities, LGBTQ+ communities, Deaf and disabled people and women’s-led groups.? The offer combines one-to-one advice, direct support and grants up to ?25,000 to organisations to protect at-risk community spaces that are critical to the health, well-being and resilience of Londoners.?Organisations can receive a London Community Response grant AND receive support for their community space. If you would like to apply for this ADDITIONAL support, please complete the questions below.CS1Please select the type of space that your organisation operates:Community centreVoluntary centreArts centreHeritage centreLibraryTheatreLGBTQ+ centreHealth and social care facilityPlay, recreation and sports facilityYouth facilityFaith facilitySocial club or legionOther - Please specify: ______________________________________CS2How long has your organisation operated out of the fixed space or venue?YearsMonthsCS3Why is it important for your organisation to continue to deliver your work from this space?Please select all that apply:?Used to deliver public-facing work that is vital to the local communityWell established in the local area and/or holding significant community/cultural heritage value (locally rooted)Located in areas experiencing disproportionately high COVID-19 impactsLocated in area with disproportionately high levels of social vulnerabilityLack of local provision for this type of community asset, and/or for this target groupNone of the aboveCS4Based on your selection in the previous question please explain in more detail.Maximum word count 100 CS5Why is this space valuable to your local community?For example, does you work bring people together across difference to build meaningful relationships through shared experience? Does it support and enable people to participate and play an active role in their communities? Maximum word count 100 CS6Is this space listed as an Asset of Community Value (ACV)?An Asset of Community Value (ACV) is land or buildings nominated by a local voluntary or community group and which the council decides meets the requirements to be listed as an asset of community value.YesNoOther - Please specify(continued over the page)CS7Why is this space at risk?Please select all that apply:Rent paymentsMortgage paymentsLease coming to an endService chargesBusiness ratesDevelopment pressureLicensing issuesCOVID-19 has made the space unsuitableOther - Please specify: _____________________________________CS8Based on your selection in the previous question please explain in more detail.Maximum word count 100 CS9How would you describe the urgency of the risk to this space? Please rate 1 to 4 where 1 is: ‘low risk’ and 4 is: ‘high risk’1234CS10Based on your selection in the previous question please explain in more detail.Maximum word count 100 CS11What are your biggest overheads?Please select all that apply:Rent paymentsMortgage paymentsBusiness ratesService chargesStaffOther - Please specify: ____________________________________(continued over the page)CS12What type of support do you need to secure this space for the future?Please select all that applyAdvice on existing contractsLease negotiationsBrokering relationships with local authorities or other partnersMediationNavigating the planning systemSecuring planning obligationsPreserving building heritageBusiness continuity and sustainabilityOrganisational planning and governanceSecuring and applying Asset of Community Value (ACV) statusCampaign support / AdvocacyFundraising supportAdvice on alternative financeResearch and data on local needImmediate fundingI don’t knowOther - Please specify: _____________________________________CS13 If you are successful in being selected for this programme, would you be interested in working with the Greater London Authority to measure the impact on social integration that your organisation provides through this space??Yes No THANK YOU! ................
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