= Required Information

Organisation Details

*Charity Name		Number of Paid Staff
Does your charity have an outstanding liability for current or previous employees to a defined benefit pension scheme such as a local authority scheme?	--None--Yes No	Number of Volunteers
*Address Line 1		Charity Number (Scotland)
Address Line 2		Charity Number (England/Wales)
*City/County		Company Number
*Postcode		Website
Year of Foundation
Main Contact		Alternate Contact
*Title		Alternate Contact Title
*First Name		Alternative Contact First Name
*Last Name		Alternative Contact Last Name
*Email		Alternative Contact Email
*Phone Number		Alternative Contact Phone
*Position Held		Position Held

Project Details

*Is this a research project	--None--Yes No	*Anticipated Start Date	[ 10/12/2019 ]
*Name of Project		Main Age range of beneficiaries	--None--0-8 9-18 19-25 25-64 65 and Over N/A
Project Description (no more than 50 words)		Any other age range of beneficiaries	0-8 9-18 19-25 25-64 65 and Over 0-8 9-18 19-25 25-64 65 and Over
*Funding Theme	--None--Neurological conditions Visual Impairment / Sight Loss Tackling Child Abuse & Neglect Animal Welfare RNLI	*Total cost of project £
*Will additional staff be employed	--None--No Yes	Period of funding requested	--None--1 year 2 years 3 years
Amount Applied For in Year One £		Estimated number of beneficiaries year 1
Amount Applied For in Year Two £		Estimated number of beneficiaries year 2
Amount Applied For in Year Three £		Estimated number of beneficiaries year 3
*Total Amount applied for £		Overall Number of Beneficiaries
Main Geographical area served	--None--Scotland Wide Aberdeen Aberdeenshire Angus Argyll and Bute Clackmannanshire Dumfries and Galloway Dundee East Ayrshire East Dunbartonshire East Lothian East Renfrewshire Edinburgh Falkirk Fife Glasgow Highland Inverclyde Midlothian Moray Na h-Eileanan Siar North Ayrshire North Lanarkshire Orkney Perth and Kinross Renfrewshire Scottish Borders Shetland South Ayrshire South Lanarkshire Stirling West Dunbartonshire West Lothian	Any Other Geographical area served	Scotland Wide Aberdeen Aberdeenshire Angus Argyll and Bute Clackmannanshire Dumfries and Galloway Dundee East Ayrshire East Dunbartonshire East Lothian East Renfrewshire Edinburgh Falkirk Fife Glasgow Highland Inverclyde Midlothian Moray Na h-Eileanan Siar North Ayrshire North Lanarkshire Orkney Perth and Kinross Renfrewshire Scottish Borders Shetland South Ayrshire South Lanarkshire Stirling West Dunbartonshire West Lothian Scotland Wide Aberdeen Aberdeenshire Angus Argyll and Bute Clackmannanshire Dumfries and Galloway Dundee East Ayrshire East Dunbartonshire East Lothian East Renfrewshire Edinburgh Falkirk Fife Glasgow Highland Inverclyde Midlothian Moray Na h-Eileanan Siar North Ayrshire North Lanarkshire Orkney Perth and Kinross Renfrewshire Scottish Borders Shetland South Ayrshire South Lanarkshire Stirling West Dunbartonshire West Lothian

Safeguarding

*Do you have a safeguarding policy?	--None--Yes No N/A - Don't work with children or vulnerable adults
Date safeguarding policy last reviewed	[ 10/12/2019 ]	Details of Safeguarding Review
Last Date of Safeguarding Training	[ 10/12/2019 ]	Who delivered the training?

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