Please Print Clearly and Ensure You Answer ALL the Questions on This Form

Please print clearly and ensure you answer ALL the questions on this form:

PART ONE –WHO IS THE GRANT FOR?

Name of child/Organisation ………………………………………………..…………………………………………………………………

Address………………………………………………………………………………………………………………………………….………………

………………………………………………………………………………………………………………………………………..……………………

Registered charity number (if applicable): …………………………………….…………………………………………..

Age of applicant or age range of children to benefit: …………………………………….…………………………………………..

How many children will benefit from this grant (please bear in mind the longevity of an item): ……………………..

Telephone number of organisation or parent/guardian………………………………………..……………………………………

PART TWO – ABOUT YOU

Name of person making the application ……………………………………………………………………………………………………

Position in organisation, or relationship to child…………………..…………………………….……………………………………….

Contact phone number (daytime)…………….…………………………………….………………………………………………………..

Mobile Number…………..………………………………………………………….………………………………………………………………

E-mail address………………………………………………………………………………………………………………………………………..

Address for correspondence…………………………………………………………………………………………………………………….

………………..……………………………………………………………………………………………………………………………………………

Secondary Contact (in case the original applicant is absent or uncontactable)

Name ……………………………………………………………………………………………………………………………………………………

Contact Number …………………………………………………………………………………………………………………………………….

E-mail address ……………………………………………………………………………………………………………………………………….

PART THREE – WHAT IS THE GRANT FOR?

Background

a) Tell us your about your organisation/child (Please give a summary) ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

b) What geographical area willthe grant cover?

…………………………………………………………………………………………………………………………………………………………

ORGANISATIONS MUST SUPPLY THEIR MOST RECENT AUDITED ACCOUNTS/INDIVIDUAL APPLICATIONS MUST SUPPLY THEIR MOST RECENT 3 MONTHS BANK STATEMENTS THAT SHOW FAMILY INCOME AND EXPENDITURE

Please provide a detailed list of items the money will be spent on (try to identify a particular cost ofan item rather than general expenses).Please enclose at least 2 written quotes per item, these must include VAT and delivery costs.

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

Please describe how these item(s) would improve the day-to-day quality of life of the child(ren) concerned?

What will be the estimated total cost of your project? £………………………….……………………..

How much money have you already raised towards the total cost? £…………………………….

How much money do you wish to apply for? £……………………………………………………………

Have you ever applied to Radio Tay’s Cash for Kids for a grant?

YES/NO. If YES, when was this, what was it for, and please state if you were successful or not?

…………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………………….……………………………………………………………

Have you tried to get funding from any other organisation?

…………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………………….……………………………………………………………………………………………

PART FOUR – OTHER INFORMATION

Is there any other information you would like to be considered in support of your application?

IF YOU ARE REPRESENTING AN INDIVIDUAL CHILDYOU MUST ENCLOSE A SUPPORTING LETTER FROM APROFESSIONAL WHO KNOWS THE CHILD E.G. HEALTH VISITOR, OCCUPATIONAL THERAPIST, TEACHER.THIS MUST BE SIGNED AND WRITTEN ON LETTER-HEADED PAPER

PART FIVE – WHICH CHARITY IS SUPPORTING YOUR APPLICATION

Some applications for individual children aresupported by a registered charity who will agree to accept payment on the individual’s behalf.

For Groups and Organisations please confirm that all staff are Disclosure Scotland Checked and what level

Basic Disclosure

Standard Disclosure

Protecting Vulnerable Adults and Children Disclosure

If a charity is accepting the payment on your behalf, please name the charity below.

…………………………………………………………………………………………………………………………………………………………….

What is their charity registration number…………………………………………………………………………………………………

What is their address ......

......

Name of contact person at this charity: ……………………………………………………………………………

Telephone number of contact person at this charity: ……………….………………………………………..

If your application is successfulpayment will be made by BACS, please complete bank details below::

Bank ……………………………………………………………………………………………………………………………………………

Account name ……………………………………………………………………………………………………………………………..

Bank Account Number ………………………………………………………………………………………………………………….

Sort Code …………………………………………………………………………………………………………………………………….

Are you happy for your details to be used in publicity material? For example on the radio, on our website, in newsletters etc – please tick the appropriate box below:-

Yes

No
Yes, but please change the names used in any material

When you have completed all the questions please sign the following declaration:

I am an authorised representative of …………………………………………………………………………………

(Name of organisation or child)

To the best of my knowledge, all information I have provided on this application form is correct.

Any grant we receive from Radio Tay’s Cash for Kids will be used exclusively for the purposes specified by the trustees.

NAME …………………………………………………………………………………………………………………………….

SIGNATURE ……………………………………………………………………….. DATE……………………………

When you have completed the application please return to:

Lynda Sword (Charity Manager

Radio Tay’s Cash for Kids

6 North Isla Street, Dundee DD3 7JQ

Tel: 01382 423263

ALL SECTIONS OF THE APPLICATION FORM MUST BE COMPLETED AND MUST BE ACCOMPANIED BY THE BELOW. APPLICATIONS WILL NOT BE CONSIDERED WITHOUT ALL THE RELEVANT SUPPORTING DOCUMENTS.

PLEASE NOTE WE DO NOT PAY FUNDS INTO INDVIDUAL FAMILIES BANK ACCOUNTS. WE WILL PAY THE SUPPLIER DIRECT.

Radio Tay’s Cash for Kids exists for the sole purpose of helping children up to and including the age of 18.

Grant applications can only be made to children that live in/registered charities that help children in the Radio Tay broadcast area. (Map attached)

Consideration for grants will only be given to projects aiming to help children up to the age of 18 years who are sick, disabled or disadvantaged. Please see details of things we will not fund:

Salaries/volunteer expenses
Home improvements (windows and doors/extensions)
Holidays abroad for families
Furniture that won’t be used specifically by children
School trips abroad
General operational costs
Televisions
Rent/rates for premises
Driving lessons for parents/carers
Medical treatment abroad
PTA’s
Sporting events for individuals to participate in
CIC’s – (Community Interest Companies)

The Trust reserves the right to consider all grant applications individually and on their own merit and from time to time add to our main grant making criteria.

Favourable consideration will be given to those projects which directly benefit a number/large number of children and/or positively increase the quality of their lives.

Successful schemes will be of good quality with careful consideration being given to the safety and well being of children.

Grant applications must be accompanied by the most recently audited annual accounts of the organisation seeking the grant.

Timing of Applications:

Applications are submitted on an ongoing basis. The local exec boardmeets three times a yearafter each grant deadline and will reply to successful and unsuccessful applications shortly thereafter. Applications should be received by the specific deadline date (dates of the meetings can be confirmed by calling the charity administrator on 01382 423285).

Grants can only be awarded to children who live within the official broadcast area of Radio Tay (the shaded section on the map below).

Bauer Radio’s Cash for Kids Charities (Scotland)

Registered Office: Forth House, Forth Street, Edinburgh EH1 3LE

Charity Number: SCO41421 – Company Number SC376887