Application Form

These notes are to help you provide all the information required so that Trustees can come to a decision about your application.

Please read these notes before progressing to the application form and also ensure that you have explored and considered ALL sections of our website.
- All questions marked with an asterix (*) are mandatory. Where you see a circled ? icon, please read each one to see if the guidance is relevant to your application.
- Your application must meet our criteria.
- If your application is successful, you will be sent an offer letter by email as soon as possible after the meeting which will include terms and conditions for your acceptance. You will also be required to return a Monitoring and Evaluation Form (see Existing Grantees’ Page) towards the end of each year of the grant award. Trustees will need to approve this before any further grant is awarded. Visits to projects may be made by Trustees as part of this process.
- If further information becomes available after submission of your application but prior to the Trustees’ quarterly meeting, eg receiving the result of an outstanding funding application or needing to change details on this application, you will need to use the Change of Details form in the Existing Grantees’ Page.
- Trustees do not enter into any communication about rejected applications nor is there an appeals process.
- If you wish to save your progress and return to fill in the rest of the form at a later date, please click the link at the bottom of this form. Your progress will be saved for a maximum of 30 days.
- Once you submit your application, you will receive an acknowledgement email within a few minutes containing a printable PDF version of your completed application.
Section A - Your Charity Profile
Section A1

This information is essential for use in any future communication. If you know that any of these contact details are due to change, please give this additional information in Section D.
Organisation Name*
In which Yorkshire region is your project based?*
- North
- East
- South
- West
Charity Commission registration number*
Date of registration*
Date Format: DD slash MM slash YYYY
Your website address
Email address*
Your postal address (NB This MUST be in Yorkshire)*
Street Address City ZIP / Postal Code
Where did you hear about us?*
Chair of Trustees*
Chair of Trustees contact email*
Chair of Trustees contact number*
Name of person submitting application*
Position in organisation*
Contact email*
Contact number*
Section A2
Please state the objects of your organisation as registered with The Charity Commission with any change of focus or update which may not yet be included on The Charity Commission website. Please give your main areas of interest. (max 100 words)*
Section A3

Please provide figures from the last 3 years' accounts, starting with the most recent.

If the application is submitted after your annual accounts have been prepared but not yet published, please include the latest available figures.

The most recent set of accounts for the organisation MUST be attached via email to admin@brelmstrust.org.uk if any of the points below apply:
- The organisation’s income is below the Charity Commission threshold requiring submission of accounts, currently £25,000 per annum
- The charity is newly registered and therefore, has yet to submit accounts to the Charity Commission (a draft copy would be acceptable)
- The last set of accounts submitted to the Charity Commission is dated more than 18 months ago
Please note that as part of our grant giving policy, we do not give grants to organisations with an annual income of over £500,000.
Year ending*
Date Format: DD slash MM slash YYYY
Income*
Expenditure*
Year ending*
Date Format: DD slash MM slash YYYY
Income*
Expenditure*
Year ending*
Date Format: DD slash MM slash YYYY
Income*
Expenditure*
How is your organisation funded, based on your latest accounts?*
Do you have a 'Reserves' policy? **
- Yes
- No
If yes, what is it? (Max 50 words)*
Please state your Reserves Policy. If your unrestricted reserves cover more than 6 months' running costs, please explain in B5.
What is your current level of unrestricted reserves as a % of your annual expenditure?*
Section A4

If you have previously applied but been rejected, it would be beneficial to submit a differently focussed re-application. Trustees are not likely to agree an award to a repeat or very similar application to that which was previously rejected.
Has your charity previously submitted a grant application to The Brelms Trust?*
- Yes
- No
What date did you last previously apply?*
Date Format: DD slash MM slash YYYY
Was the application successful?*
- Yes
- No
If yes, what was the total value of the grant?*
Year 1 amount*
Year 2 amount
Year 3 amount
Is this a re-application for the same purposes?*
- Yes
- No
Section B - Your Funding Request
Section B1
Describe in general terms what the funding is for (max 75 words)*
Is this funding application to enable you to:*
- provide a new service or activity
- continue with your current service or activities
Section B2

We can award either one-off or multi-year grants (ie. spread over three years). Please tick the relevant box below to inform us which option you require.

If you require a one-off grant, please enter the full amount required.

If you require a multi-year grant, please enter the amount required each year.
Is this application for a one-off grant or a multi-year grant?*
- One-off
- Multi-year
What is the total amount requested? (Maximum £5,000 per year)*
How much do you require in Year 1? (Maximum £5,000)
How much do you require in Year 2? (Maximum £5,000)
How much do you require in Year 3? (Maximum £5,000)
What date is your first funding required?*
Date Format: DD slash MM slash YYYY

NB This may pre-date your project's actual start date
Provide details of how the grant will be spent (max 75 words)*
How will this funding make a difference? (max 75 words)*
Who will benefit?*
How many?

Application Form

Section A - Your Charity Profile

Section A1

Section A2

Section A3

Section A4

Section B - Your Funding Request

Section B1

Section B2