The Ireland Funds Grant Round 2012

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Grant Round is open: Wednesday 1st February 2012 to Friday 30th March 2012

Please note
The form edit time expires in 2 hours.
If you work on the form for longer than 2 hours, please ensure that you have saved your form in order to complete it successfully. There are 7 parts to this application form.
Each part must be completed in full in order to submit the application for this grant round.

Part 1 of 7 - Organisation Details

Name of Organisation

Address Line 1

Address Line 2

City / Town

Post code

County

Country

Telephone

Fax

Website

Contacts

NOTE - The 1^st Contact should be the person with primary responsibility for the application. If the contact details change, please inform us immediately on +353-1-662-7878

1st Contact Person First Name

1st Contact Person Last Name

1st Contact Person Job Title

Telephone

Mobile

Primary Email

A copy of the application will be sent to this email address.

2nd Contact Person First Name

2nd Contact Person Last Name

2nd Contact Person Job Title

Telephone

Mobile

Legal Status of Organisation

Company limited by guarantee, charitable trust, unincorporated association or other [please specify]

Charity Tax Reference Number (CHY)

CHY number issued by Revenue Commissioners or Tax Reference number issued by HM Revenue & Customs

Company Registration No. (CRO)

Tick appropriate box or boxes

To which programme area does your application relate

Peace and ReconciliationArts and CultureCommunity DevelopmentEducation

Click the link for help on this Guidelines

Part 2 of 7 - Summary

Summary of Grant Application

Describe the project for which you are seeking funding in 50 words.

Select Grant Currency

Grant Amount Requested

enter numbers only (e.g. 1500)

Part 3 of 7 - Organisation and Structure

Organisation Established (Year)

Number of Employees

Number of Volunteers

Describe your organisation’s purpose and activities in 50 words or less.

Describe who benefits from your organisation’s work and how in 50 words or less.

Is your organisation affiliated with any other organisation?

YesNo

If yes, give details in 50 words or less.

Has your organisation operated under a different name or merged with another organisation?

YesNo

If yes, give details in 50 words or less

Constitution and Accounts

Does your organisation have a governing document?

YesNo

If yes, what type (e.g. Constitution; Memorandum & Articles of Association)

Does your organisation have audited accounts?

NoYes

If no, indicate how your financial accounts are recorded in 50 words or less

What have been your main sources of funding in recent years (e.g. HSE, individual donors, The Ireland Funds)?

Part 4 of 7 - Proposal

Describe the project for which the grant is being sought in 100 words or less

Describe what activities will be supported and what specific items will be paid for by the grant in 100 words or less (e.g. classroom materials, equipment)?

Timescale

Has the project already commenced?

YesNo

Enter the start date or proposed start date in (day/month/year) format

Part 5 of 7 - Finance

Breakdown of Total Cost of Project

ENTER the value in either EURO or GBP

Select Grant Currency

Item 1

Amount 1

Enter numbers only (e.g. 1500)

Item 2

Amount 2

Item 3

Amount 3

Item 4

Amount 4

Other Income

Source of Finance 1

Finance Amount 1

Source of Finance 2

Finance Amount 2

Please write in words the amount are you requesting (Specify € or £)

e.g. Two thousand Euro

Part 6 of 7 - Additional Information

Would a grant from The Ireland Funds help your organisation to access additional funding or match funding?

YesNo

If yes, please specify.

Has your organisation received a grant from The Ireland Funds in the past?

YesNo

If yes, enter the year of the most recent grant you received.

If yes, enter the amount of the most recent grant you received.

Include any additional information you wish to give (max 50 words)

Part 7 of 7 - Declaration

Enter your name

Enter the date

I confirm that all the information given is true and accurate and that any grant awarded will be used for the purposes stated

By checking this box, I accept the terms laid out in the guidelines document.

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2012 Grant Round – Application Questions