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Primary Contact Information

Title

First name

Last name

Job title or position

Email address

Phone number

Do you have any communication needs?

If yes, please briefly tell us what they are to help us communicate with you.

First line of address

City

County

Postcode

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Organisation Contact Information

Name of organisation

Legal name of organisation if different (the name that is on your governing documents and bank account)

First line of address

City

County

Postcode

Email address

Phone number

Website

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Organisation Information

Type of organisation

Charity number (if applicable)

Company/CIC number (if applicable)

If you are a CIC, please state your public benefit

Year organisation was established

Number of trustees/directors

Number of employees

Number of active volunteers

Income (most recent accounting period)

Expenditure (most recent accounting period)

Unrestricted reserves

Main sources of funding

Please tell us about your organisation and the people who use your services.

Application Details

How much are you requesting from the Inspire Genius Foundation?

Please provide total project costs/budget

Breakdown of the budget (including any other expected sources of funding)

Please provide a copy of your latest approved accounts

Will the greatest proportion of the funding be spent on Core, Capital, or Project?

Start date of funding

End date of funding

Please describe what you will use the grant for

What difference will the funding make?

How many people will directly benefit?

Where will the greatest amount of activity take place?

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Bank Details, Referee and Declarations

Name of bank

Bank account name

Sort code

Account number

Please attach a copy of a recent bank statement

If your organisation is not a registered charity and/or was established less than two years ago:

Please attach a recent copy of your AGM notes

Please attach a copy of your constitution

If you are a CIC:

Please attach a copy of your CIC certificate

Please provide contact details for a referee e.g. beneficiary or local councillor (this cannot be a trustee, volunteer or staff member)

Title

First name

Last name

Email address

Phone number

Relationship to organisation

GDPR Declaration

The Inspire Genius Foundation is committed to protecting your personal information. We collect data about you to process your application, manage your account and process your grant.

The use of your information may involve sharing the information with employees, trustees, agents and professional advisors of the Inspire Genius Foundation, fraud prevention agencies and other carefully selected organisations.

Please confirm you have read and understood this.

Declaration

By ticking this box, I confirm that the content of this application is correct and I am authorised to make it.

By ticking this box, I confirm that the organisation has an up-to-date safeguarding policy and appropriate insurances.