Online Application

Please ensure that you have followed the instructions in the Application Process Guidelines before you complete this form.

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Didymus CIO Application Form

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Your Email:

A Password:

Confirm Password:

About the Organisation

Name of Organisation:

Registered UK Charity Number:

Registered Address:

Correspondence Address (if different from Registered Address):

UK Region your charity is based in:

Website:

Description of the main purpose and aims of the organisation and a brief outline of previous projects:

Year Established:

Annual Income as shown in last accounts (please use format £123,456):

Total Assets as shown in last accounts (please use format £123,456):

Please note - the following questions seek to establish the geographical area served by the Organisation, not where the Organisation is based.

Geographic location served by the organisation:

National Region served by the organisation:

Specific area served:

Please only complete this field if your Organisation serves a specific geographical area (ie a village, town or borough)

Details of Contact Person

Title

First Name:

Surname:

Job Title:

Email Address:

Telephone number:

About the application for funding

Please give a brief description of the project or ongoing work for which you are seeking funding:

What geographical area will the project or work cover?

How will you use the money from Didymus? Please be as specific as possible (e.g. salaries, equipment, food, building materials, and outline amounts)

What do you expect the outcomes of the project or work to be?

How will you measure these outcomes?

Total Amount requested from Didymus:

Number of Years Funding Requested

Amount Requested Year 1

Amount Requested Year 2

We appreciate this may change nearer the date

Amount Requested Year 3

We appreciate this may change nearer the date

Type of funding requested

Does this application involve matching funding?

You have indicated this application involves matching funding, please explain here

Do you expect to have to seek additional funding?

Please explain more about the additional funding you will be seeking

Have you applied to Didymus before?

If you have applied to Didymus before what was the outcome?

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Contact Information