Revenue Grant Application Form (Page 8 of 8) in pdf

Revenue Grant Application Form Page 8

Please tick this box to confirm your organisation has a Child Protection Policy

38.

Please tick this box to confirm that Disclosure and Barring Checks (PVG checks in

Scotland) are carried out on all staff and volunteers working with children or

vulnerable people.

If you do not feel that either of these are necessary, please explain why:

Referees

Please note, we may ask you for the contact details of two referees during the course of our

application and assessment process so please be prepared to provide details if required.



Please use this checklist to ensure you have included the following:

Fully completed, signed application form

Full budget for the work you are seeking a contribution to

A copy of your most recent independently inspected or audited accounts and your most

recent management accounts if your full accounts are more than 10 months old

A copy of relevant job descriptions

I confirm the above statements are true and that all the information provided in this

application is correct. Knowingly providing false information will invalidate any application.

Signature: …………………………………….

Date: ……………………………………...

Name and Position ……………………………………………………………………………

Please send your completed application to: The Henry Smith Charity

Applications – Revenue Grants, 6th Floor, 65 Leadenhall Street, London EC3A 2AD

We reserve the right to share information received from applicants requesting funding, and from those in receipt of

funding from us, with other funders, unless an organisation expressly requests otherwise.

Revenue Grant Application Form Page 8