ECCF Second Stage Application Form - Test - All Steps Together

Earls Court Community Fund 2025

Second Stage Application Form

Before completing this proposal, please ensure you have read the fund guidelines thoroughly. You can find them here. Your application will be assessed against the criteria set out in the guidelines.

The deadline for second stage applications is Friday 13^th June at midday.

Tips for filling in this form

This form will save entered information automatically in your browser as long as

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Questions marked with a * must be filled out, and please do not leave gaps when inputting phone numbers.

Once submitted, you will automatically be sent a copy of the completed application form for your records.

Although the form saves as you go along, we still recommend drafting your answers in a separate document first (this will also enable you to check your word count). Please let us know if you would like us to send you a MS Word document for this.

If you have any questions, or would like to discuss your application before applying, please don’t hesitate to get in touch with Hammersmith & Fulham Giving at [email protected].

SECTION 1: YOUR ORGANISATION

SAME1. Name of Organisation *

SAME2. Address for correspondence

Street(s) *

City *
Postcode *

SAME 3. Name of contact person *

SAME 4. Position in organisation *

SAME5. Phone *

SAME6. Email *

SAME7. What is the legal status of your organisation? * (Tick all that apply):

Registered Charity	Charitable Incorporated Organisation	Community Interest Company limited by guarantee
Company limited by guarantee	Unincorporated Club or Association	Other (Please describe below)

SAME8. If you ticked 'other' above, please describe the legal status of your organisation

SAME9. Charity/CIC/Company Number (if applicable):

SAME10. Are you part of a larger regional or national organisation? *

Yes
No

SAME11. When was your organisation set up? *

SAME 12. Please describe the main aims and objectives of your organisation and tell us about your connection to the Earls Court Opportunity Area * (max 1000 characters)
This should include a brief description of why your organisation exists and the activities that your organisation provides, as well as how you are connected to the Earls Court Opportunity Area.

SAME13. Finances - What is your organisation's annual income? (£) * Please use figures from your most recent annual accounts

14. Finances - What is your organisation's annual expenditure? (£) *
Please use figures from your most recent annual accounts

15. Finances - What are your current unrestricted reserves? (£) *
Please use figures from your most recent annual accounts
Unrestricted reserves are funds held for the general purposes of the organisation. Restricted reserves are provided by a funder or donor for a particular purpose or project.

SECTION 2: YOUR PROJECT

SAME16. Project name/Summary (please give a short high-level description of the project that you are requesting funding for) * (max 100 characters):

SAME17. Local authority the activity will take place in:*
Please select all that apply
Hammersmith and FulhamKensington and Chelsea

18. Where will the proposed activities take place? *
Please include full venue information, including addresses and postcodes:

19. Start date of proposed activities *

20. End date of proposed activities *

SAME21. Please tell us about your project - what do you want to deliver? *(max 2500 characters)
Remember to include:
- Whether this a new or existing project
- Details of activities planned
- Who the beneficiaries will be and how many you expect to live, work or study in the Earls Court Opportunity Area
- How you know there is a need for your project, and how you have involved service users in its design
- What you aim to achieve with your project (the difference you aim to make and the changes you hope to see as a result of your activities) and how you will measure impact of your project
- If you expect to collaborate with other organisations and services on your project (please include names of organisations/services you refer to).

SAME22. Which priority area(s) does your project focus on? *
(Please refer to application guidelines for full details)
Please select all that apply:
Communities & PeopleHealth & WellbeingYoung People & Training

SAME23.Have you received a grant from the Earls Court Community Fund before? *

Yes
No

SAME24. If yes, in which year(s)?

SECTION 3: IMPACT AND OUTCOMES

25. Impact: Please tell us what you aim to achieve with your project - the difference you aim to make and the changes you hope to see as a result of your activities * (max 2500 characters)

SAME26. Outcomes - Please select up to 3 outcomes for your project: *
Please select at most 3 options

Improve economic wellbeing	Increase employability	Increase enterprise
Increase in beneficiary training, education, accreditation and employment	Increase participation in lifelong learning	Increase qualification and skills
Improve access to volunteering	Improve community cohesion	Improve community collaboration
Improve community facilities and affordable spaces	Promote safer communities	Reduce crime and anti-social behaviour
Strengthen organisations through capacity building	Increase access to services and social opportunities	Promote human rights and equality
Reduce isolation	Reduce digital exclusion	Reduce financial pressures
Improve health (physical/mental/emotional)	Increase access to sport, exercise and leisure activities	Reduce substance misuse and addictions
Increase health awareness	Increase opportunities for public to engage with culture and heritage	Preserve local heritage
Promote opportunities for creativity	Improve quality of local environment and public space	Increase access to green spaces
Increase biodiversity	Reduce carbon footprint (i.e. waste, emissions, energy)

27. How will you measure whether you have achieved these outcomes? * (max 1500 characters)
For example, you could use questionnaires, case studies, before and after measurements, photographs, observations, feedback etc.

28. What difference will this funding make to your organisation? * (max 1500 characters)

29. If you received partial funding towards your grant request, how would this affect your delivery plans and/or outcomes? * (max 1500 characters)
Whilst we aim to fund awarded projects in full, with limited budget available there is the chance only partial funding towards your project/request could be awarded

SAME>30. Anything else you would like us to know (max 500 characters)

SECTION 4: THE BENEFICIARIES

31. How many people will benefit from this funding? *
Please enter the number of people who will directly benefit from the project/activities i.e. the participants. If you cannot give exact figures please estimate as accurately as possible. This information is important and will be used to evaluate the project at the end of the grant period.

32. Of these, how many live, work or study in the Earls Court Opportunity Area? *

33. How many volunteers will be involved with the project? *
If you cannot give exact figures please estimate as accurately as possible.

34. Which groups will benefit from your project? * (please select all that apply):

Refugees and asylum seekers	People who are isolated	People who are socio-economically disadvantaged
Families and parents	Carers	LGBTQI+ people
People who are long-term unemployed	Young people not in education, employment or training (NEET)	People experiencing homelessness
People with alcohol/drug addictions	Ex-offenders/offenders/at risk of offending	Victims of crime/violence/abuse
People with poor mental health	People with long-term health conditions	Disabled People (physical/mental impairment and/or neurodiverse conditions)

35. If you have ticked more than one group in the list above, who would you say the main beneficiary group is? *

Refugees and asylum seekers	People who are isolated	People who are socio-economically disadvantaged
Families and parents	Carers	LGBTQI+ people
People who are long-term unemployed	Young people not in education, employment or training (NEET)	People experiencing homelessness
People with alcohol/drug addictions	Ex-offenders/offenders/at risk of offending	Victims of crime/violence/abuse
People with poor mental health	People with long-term health conditions	Disabled People (physical/mental impairment and/or neurodiverse conditions)

36. Which age groups will benefit from your project? * (please select all that apply):

Early years (0-4)	Children (5-12)	Young people (13-18)
Young adults (19-25)	Adults (26-65)	Older people (65+)

37. If you have ticked more than one group in the list above, who would you say is the main age group that will benefit? *

Early years (0-4)	Children (5-12)	Young people (13-18)
Young adults (19-25)	Adults (26-65)	Older people (65+)

38. Which ethnic groups will benefit from your project? * (please select all that apply):

Asian or Asian British - Chinese	Asian or Asian British - Indian	Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi	Another Asian or Asian British background	Mixed - Asian and White
Another - Arab	White British, English, Northern Irish, Scottish or Welsh	White - Irish
White Irish Traveller, Gypsy or Roma	Another White background	Black or Black British - African
Black or Black British - Caribbean	Another Black or Black British background	Mixed - Black Caribbean and White
Mixed - Black African and White	Other mixed background	Other

39. If you have ticked more than one group in the list above, who would you say is the main ethnic group that will benefit? *

Asian or Asian British - Chinese	Asian or Asian British - Indian	Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi	Another Asian or Asian British background	Mixed - Asian and White
Another - Arab	White British, English, Northern Irish, Scottish or Welsh	White - Irish
[checkbox I-WhiteIrishTraveller,GypsyorRoma-45 "White Irish Traveller, Gypsy or Roma"]	Another White background	Black or Black British - African
Black or Black British - Caribbean	Another Black or Black British background	Mixed - Black Caribbean and White
Mixed - Black African and White	Other mixed background	Other

SECTION 5: FINANCES

SAME40. How much are you applying to the Earl's Court Community Fund for? *

SAME41. What is the total cost of the project? *

42. How much has been raised so far? *

43. Please give details of the funding raised so far *
Please specify the amount and source of funding secured to date

44. Please provide details of any other funding you are seeking *

45. Will participants be asked to contribute financially? *

Yes
No

46. If yes, please give details.

47. Please provide a budget breakdown. *
Please provide a breakdown of the project budget for which you are seeking funding in the following format:

Operational/activity costs

Staff costs

Volunteer costs

Capital Costs (equipment)

Office, overhead, premises costs

Publicity costs

Other Costs

SECTION 6: SUPPORTING DOCUMENTS

Organisations not registered with the Charity Commission or Companies House:

If your organisation is not required to register with the Charity Commission or Companies House, please send a copy of the following to [email protected]:
- Constitution or articles of association
- Most recent approved accounts, or record of income or expenditure from the most recent financial year

SECTION 7 (FINAL SECTION): DECLARATION

To enable us to consider your application, please confirm the following:

SAME48. My organisation: *
Is a not-for-profit organisation that is formally constituted
Has at least three unrelated trustees or directors
Has a bank account in its own name, with at least two unrelated cheque signatories
Has in place (where required), and can provide if requested, the following: Health & Safety policy, Safeguarding, Adults and Children policies, Equality & Diversity policy, Employers’ Liability Insurance, Professional Indemnity insurance and Risk Assessment log

SAME49. I confirm that: *

I am authorised to make this application on behalf of the above organisation, and I certify that the information contained in this application is correct to the best of my knowledge
I understand that if a grant is awarded, it can only be used exclusively for the purposes described
I understand that any personal information provided will be processed in accordance with the General Data Protection Regulation 2016
I understand that all details will be held and used in line with our privacy policy, and will be shared with third party partners for the purposes of administration
I understand that information about any grant awarded may be shared online, through social media and in published reports

Once you have pressed the submit button, please wait for an email confirmation before pressing it again.

Earls Court Community Fund 2025

Second Stage Application Form

Tips for filling in this form

34. Which groups will benefit from your project? * (please select all that apply):

35. If you have ticked more than one group in the list above, who would you say the main beneficiary group is? *

36. Which age groups will benefit from your project? * (please select all that apply):

37. If you have ticked more than one group in the list above, who would you say is the main age group that will benefit? *

38. Which ethnic groups will benefit from your project? * (please select all that apply):

39. If you have ticked more than one group in the list above, who would you say is the main ethnic group that will benefit? *

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