The Edith M Ellis 1985 Charitable Trust

Before you complete this form please ensure you have read and meet the grant criteria.

Part One: General Information

1a. Contact Name *

1b. Email Address *

1c. Position in the organisation *

1d. Name of organisation *

1e. Correspondence address for organisation *

1f. UK Telephone Number *

1g. Website Address

1h. Facebook page (if available)

Part Two: Organisation Information

2ai. What is the legal status of the organisation? *

UK Registered Charity
Other

2aii. Charity Number *

2aii. If you have selected "Other" please explain *

2b. Briefly describe the aims, objectives and activities of the organisation *

Character limit: 1000

2c. Has an application been made to the Edith M Ellis 1985 Charitable Trust before? *

2ci. If "Yes" please give the date of the previous application: *

2cii. Please state the outcome of any application(s) *

Character limit: 1000

Part Three: Purpose of Grant

3ai. Brief description of how the grant would be used, i.e. *

the country/countries you will be operating in
expected outcomes during the funding period
into which of the Trust funding categories the application falls (see Criteria page) and how your project fulfils these categories
the benefit and impact you expect to have

Character limit: 1000

3b. What do you hope this will lead to in the future? *

Character limit: 500

Part Four: Financial Information

4a. List the major sources of funds your organisation has received for this particular project *

Please include funding sources to date and funding sources pending. Indicate the amounts requested and status of your proposal with each one.

4b. Please state your annual turnover *

Please indicate both annual turnover, revenues and projected expenses.

4ci. Please provide details of your project budget *

4cii. Please upload a copy of your most recent audited financial statement *

File must be less than 64MB in size

File name:

File size:

4di. Account Name to whom cheques should be made payable if the application is successful *

4dii. Account Number to whom cheques should be made payable if the application is successful *

4diii. Sort Code of whom cheques should be made payable if the application is successful *

Part Five: Feedback

5a. How did you hear about The Edith M Ellis 1985 Charitable Trust? *

5b. Passcode

This field will be filled automatically by our server. You shouldn't be able to see this, but if you can, please do not enter a value here. If you do it will be overwritten by the server anyway.