Individual Grant Application

To apply for a grant complete the online form

Or select one of the download options

Download the Application Form in Word (Email Back)

Download the Application Form as a PDF (Print & Post Back)

Download the Application Guidance Notes as a PDF

To view our Privacy Policy before completing the application

Online Application Form

* Indicates mandatory fields

Use the Guidance Notes pop out on the right to help you fully complete the application

APPLICANT DETAILS

SUMMARY OF GRANT REQUEST

ABOUT ANY PREVIOUS GRANT AWARDS TO YOUR HOUSEHOLD

ABOUT YOUR HOME AND WHO YOU LIVE WITH

ABOUT YOU

ABOUT YOUR HOUSEHOLD FINANCES

FULL DETAILS OF YOUR GRANT REQUEST

PRIVACY STATEMENT

We hold and make use of your data in order to administer applications and any grants we may award, and for the purposes of carrying out our charitable objectives.

Your data is the information you provide in this form, or otherwise (eg on the phone), in the course of your grant application. We need to collect and hold this data in order to conduct our due diligence and to make reasonable assessments when awarding grants, in line with our charitable objectives. We collect personal data about you and your circumstances, including other members of your household where relevant. This may include sensitive (special category) data, and this detail is required so that we can take all your circumstances into account and to offer additional support if required.

Your data will be held beyond the application decision date or any final grant payment date if applicable, to inform future grant applications, due diligence and decisions, and to inform future grant making policy/processes. As we are a grant making charity, holding this data to make and implement grants is in our “legitimate interests”, and this is our lawful basis for processing your data under Article 6(1)(f) of the General Data Protection Regulation (GDPR) 2018, and Article 9(2)(d) “Not-for-profit bodies” where it includes ‘special category’ data.

Your data is held and processed solely for use within Streynsham’s Trust. Your data will be included in records temporarily shared with, and required by, the Trust’s Chartered Accountant to audit our end of year accounts. We may need to share your personal data for purchasing/ delivery/ installation of goods, and we will check your consent before doing this.  Other than the above, your data will not be shared with any other third parties.

We take your personal data privacy seriously.  Your data will be stored securely and held for a period as necessary to comply with Charity Commission regulations on record keeping, and for the purposes of legitimate activities as described in carrying out our charitable objectives. This data retention period is 10 years from the end of the financial year it was collected, at which time it will be reviewed, and if no longer justifiably needed, it will be deleted or anonymised.

Please contact the Clerk to the Trustees, at the address / number above, if you have any questions or would like any further information. Please write your name & date above to confirm you’ve read & understand this Privacy Statement.


Privacy Policy

We hold and make use of your data in order to administer applications and any grants we may award, and for the purposes of carrying out our charitable objectives.

Your data is the information you provide in this form, or otherwise (eg on the phone), in the course of your grant application. We need to collect and hold this data in order to conduct our due diligence and to make reasonable assessments when awarding grants, in line with our charitable objectives. We collect personal data about you and your circumstances, including other members of your household where relevant. This may include sensitive (special category) data, and this detail is required so that we can take all your circumstances into account and to offer additional support if required.

Your data will be held beyond the application decision date or any final grant payment date if applicable, to inform future grant applications, due diligence and decisions, and to inform future grant making policy/processes. As we are a grant making charity, holding this data to make and implement grants is in our “legitimate interests”, and this is our lawful basis for processing your data under Article 6(1)(f) of the General Data Protection Regulation (GDPR) 2018, and Article 9(2)(d) “Not-for-profit bodies” where it includes ‘special category’ data.

Your data is held and processed solely for use within Streynsham’s Trust. Your data will be included in records temporarily shared with, and required by, the Trust’s Chartered Accountant to audit our end of year accounts. We may need to share your personal data for purchasing / delivery / installation of goods, and we will check your consent before doing this. Other than the above, your data will not be shared with any other third parties.

We take your personal data privacy seriously. Your data will be stored securely and held for a period as necessary to comply with Charity Commission regulations on record keeping, and for the purposes of legitimate activities as described in carrying out our charitable objectives. This data retention period is 10 years from the end of the financial year it was collected, at which time it will be reviewed, and if no longer justifiably needed, it will be deleted or anonymised.

Please contact the Clerk to the Trustees, at the address / number above, if you have any questions or would like any further information. Please write your name & date above to confirm you’ve read & understand this Privacy Statement.

GUIDANCE INFORMATION / APPLICATION PROCESS

Completing your application form

Please use the guidance notes below and answer all questions, unless indicated answer only if relevant (these are in italics and marked with an asterisk). You should aim to give as much information as possible to help the trustees understand your situation properly, and take into account everything you feel is relevant to support your case. All information will be treated as confidential.

For paper applications, please complete on an additional sheet if there’s not enough space for your answers. Please write your name at the top and make sure you indicate what question you’re continuing.

Privacy Statement

This is at the bottom of the online application form or visit Privacy Policy – please read carefully.

For further help

If you need any further help completing your application, please contact the Clerk to the Trustees via email or call 07485 781970 (calls & text).

Send application asap / receipt / queries

Please don’t email unless we’ve contacted you via email first, as unknown emails and attachments are not opened, as precaution against potential virus.

We’ll let you know we’ve received your application and date it will be considered. Please return as soon as possible as we may need to contact you again before the grants meeting if any queries or more information needed.

Scheduled grants meetings and application deadlines

Grants meetings are held in March, June, September and November. All applications must be received by the 7th latest, to be considered at the meeting for that month; those received after will be discussed at the meeting after.

Outcome

You’ll be contacted with the outcome shortly after the grants meeting. This may take a few days, but will be within a week. If successful, any necessary arrangements will be discussed and organised after this.

APPLICANT DETAILS

Are you applying on someone’s behalf – your name / capacity

Are you applying on behalf of someone else? Please answer yes or no.
If yes, please give your name and professional relationship with the applicant
NB Please provide details of your organisation & contact details at end under ‘Any other supporting information’
Please complete the form using applicant’s details.

SUMMARY OF GRANT REQUEST

Amount requested

Please say how much money you are asking for.

What are you applying for

Please say what you’re applying for (more details will be asked later)
Eg “I’m applying for a new washing machine”.

Are you in financial need

Would meeting this cost yourself cause you financial hardship? Please answer yes or no.

ABOUT ANY PREVIOUS GRANT AWARDS TO YOUR HOUSEHOLD

Have you (or anyone in your household) had any grant/s from us before – give details

Have you, or anyone in your household, had any grants from us before? Please answer yes or no
If yes, please give details – for each award say who, when, how much, what for.

Give details about your home

Please say how many bedrooms and if house/flat etc
Please say if owned/mortgage/private rent/housing association/council
*Please give any other relevant info eg recently moved in / temporary accommodation / adapted housing / supported accommodation.

Who do you live with – info re any adults

Please say if you live alone
If no, give details of any adults you live with
Please give their name and your relationship with them
Do they work – if so, what do they do / full or part time?
*Please give any other info if relevant to your circumstances / application eg disabilities, carer etc.

Who do you live with – info re any children

Do you have any children at home – if yes, please say how many and how old they are?
Are there any other children you’re supporting eg children at university? If yes please give details
*Please give any other info relevant to your circumstances / application eg any children with additional needs etc.

ABOUT YOU

Do you have any disabilities / relevant health issues

Do you have any disabilities or health issues relevant to take into consideration to understand your circumstances / application? Please answer yes or no.
*Please give more information if relevant to your circumstances / application.

Do you work – provide info, or details of last work if relevant

Do you work – if so, what do you do / full or part time?
If not working now, please say why and for how long.
*Please give info on previous work if relevant to your circumstances / application.

ABOUT YOUR HOUSEHOLD FINANCES

Any benefits received

Does your household receive any benefits?
If yes, please say what they are.

Any other sources of income

Other than work or benefits, is there any other income your household gets eg private or state pension, rental or investment income etc?
Please give details if so.

Any significant debt or other outgoings

Please give info on any significant debt, repayments etc or other expenses that affect your finances.
*Please give any reasons for the above if relevant to consider eg details of difficult or exceptional circumstances that led to large debt.

Any significant savings, investments etc

Do you have any significant savings or investments, that are relevant to the trustees’ proper understanding of your financial need for a grant award? Please answer yes or no, and if yes, give details.

FULL DETAILS OF YOUR GRANT REQUEST

Details of your grant request, what you’re applying for and why

This section is for you to explain in full what you need, why you need it, and why you’re applying for a grant.

Please note re items / grants requested info
For items such as washing machines / white goods, please include any essential specifications in your request eg colour, width / height, spin speed, wash load etc. For laptops, please specify any essential specs eg minimum RAM etc.

Please provide full details of item/s requested (including make/model if applicable), cost, and retailer plus any delivery charge. For items such as washing machines, that require installation / disposal of old machine etc, please list these costs as well. If you’re applying for a grant for the total cost of a number of items, please provide a full breakdown listing each item, its cost, and the shop. Please note items cannot be purchased from Ebay or Amazon.

Where possible, the Trust will purchase items directly, so if returning this form via email, please provide links to all items.

For requests for carpets / flooring, please provide a quote from Carpets4Less, Simmonds Rd, Wincheap Industrial Estate, Canterbury, CT1 3RA. 01227 451888

For requests to help with bills, please provide a copy of the bill, showing amount due and cheque payment details. Please don’t send originals as we can’t return.

Please note re other information
Please explain your grant request as fully as you can. You should include all information, background or circumstances you think will help the trustees consider everything relevant to your case and request, when they discuss your application. Please continue on a separate sheet if needed.

Any other supporting information – NB include full contact details / organisation here, if applying for someone else

Please use this space if there is any other information you would like to add in support of your application.

If applying on someone’s behalf in a professional capacity, please indicate here and provide full contact details for you/your organisation. Please also use this space to indicate your support for this application and any other supporting information.

If applying yourself: Write your name and date to confirm you’ve read and understand the Privacy Statement

Please write your name and date to confirm you’ve read and understand the Privacy Statement

If applying for someone else: Write your name and organisation & date to confirm applicant has read &understands the Privacy Statement and consents to application

If applying on behalf of someone else, please write your name, position and organisation, and date, to confirm the applicant has read and understands the Privacy Statement, and consents to your application on their behalf.