Funding Questionnaire

THIS SERVICE IS ONLY AVAILABLE FOR GROUPS THAT OPERATE IN CHESTERFIELD AND/OR NORTH EAST DERBYSHIRE

Your Contact Details

First Name

Last Name

Address

Address Line 2

City

Postal Code

Phone Number

Email

Job Title

About your organisation

Select an existing Organisation or create a new one if not found

Organisation Name

Organisation Status

Community Group

Registered Charity

Company Limited by Guarantee

Charitable Incorporated Organisation

Community Interest Company

Organisation Status Other

Charity No./Company No. (if applicable)

Does your organisation have a constitution or governing document?

Yes

No

Does your organisation have a committee?

Yes

No

Number of Committee Members (if applicable)

When was your organisation established? (If you are unsure of the exact date please enter the year)

Does your organisation have a bank account?

Yes

No

About your proposed funding

What do you want funding for? (Please give a brief description)

How much funding are you seeking? (Please enter an approximate figure)

Who will benefit?

Which geographical area will it cover? Some funds only cover specific areas

Evidence to demonstrate need?

LINKS CVS WILL AIM TO RESPOND TO YOUR SUBMISSION WITHIN 1 WEEK