Charitable Funds Application

Registered address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact name *

First Name

Last Name

Will the Organisation’s activities for which the grant is required benefit inhabitants of SW13? *

Yes

No

What age group does your charity represent? *

Tick any that apply

School Age (pre-school, primary, secondary, tertiary)

Young People

Older People

When do you need the funds by? *

MM

DD

YYYY

How frequently do you expect to make a request? *

One-off

Annual

Details Available on Charity Commissions Website? *

Yes

No

Conditions *

If a charitable request is approved, the recipient confirms the following as a condition of receiving funding: 1. the BCA logo will be displayed on all materials published or notifications made (either by email, social media or in hard copy) relating to the event/sponsorship which the BCA is contributing to; 2. the recipient should provide a report within 2 months after the event/use of the proceeds has occurred to advise how the funding has been spent and the value/benefits received for them from the funding; and 3. the BCA generally runs an annual Societies Day which is an opportunity for all different charities and groups to come together in Barnes to showcase their activities and how they work with, or have received funding by the BCA. The BCA would all those who receive funding to attend the event (minimal cost which would be borne by the recipient). I confirm that we will fulfill the requests as noted above as a condition of receiving funding from the BCA.

Please tick

Date *

MM

DD

YYYY