1. Name of organisation looking for support:

2. Give a brief description of your organisation and its relevant track record. Please describe what you do and demonstrate your track record (including impact and successful partnerships). We want to learn more about our expertise and experience, alongside information on the need for the work. Please use no more than 500 words.

3. What do you want to achieve with our funding? And how does this fit with TDPC’s aims and target initiatives for 2020? If you are applying for project funding, what are the anticipated outcomes you will measure? If you are applying for core or unrestricted funding, tell us what you aim to achieve in that period? And how sustainable will the impact be? Please use no more than 500 words.

4. What level of support are you looking for? And how will the grant be spent? Tell us what you need to fund in order to successfully deliver the work described in question 3 above. Tell us how much funding you are seeking from us. Tell us how much the overall budget of the project or organisation is and what other funding you have secured. Please be specific and use no more than 200 words.

5. Would your work be enhanced by working with other organisations that the TDPC could help with?

6. Has anything occurred in your organisation which may not align with TDPC’s values? Click here for more information.

7. Please confirm that you will seek to achieve value for money for your project by securing goods and services at reasonable prices. 7. Please confirm that you will seek to achieve value for money for your project by securing goods and services at reasonable prices. Yes No

8. Please confirm that your organisation will keep full and proper accounts and records, including invoices and receipts, which will show how the money from TDPC has been used. 8. Please confirm that your organisation will keep full and proper accounts and records, including invoices and receipts, which will show how the money from TDPC has been used. Yes No

9. Please confirm that your organisation has an equal opportunities policy and, if working with children, young people or vulnerable adults, a safeguarding policy; that these policies are carried out and regularly reviewed to ensure they adhere to current legislation and regulations. 9. Please confirm that your organisation has an equal opportunities policy and, if working with children, young people or vulnerable adults, a safeguarding policy; that these policies are carried out and regularly reviewed to ensure they adhere to current legislation and regulations. Yes No

10. Please confirm that your organisation is following all current statutory requirements and other laws and regulations relating to the project and its work including: adherence to employers’ liability insurance; the national minimum wage; the working time directive; health and safety; safeguarding of children, young people and vulnerable adults; data protection; Charity Commission requirements; intellectual property rights legislation; anti-slavery and human trafficking and UK and foreign tax evasion. 10. Please confirm that your organisation is following all current statutory requirements and other laws and regulations relating to the project and its work including: adherence to employers’ liability insurance; the national minimum wage; the working time directive; health and safety; safeguarding of children, young people and vulnerable adults; data protection; Charity Commission requirements; intellectual property rights legislation; anti-slavery and human trafficking and UK and foreign tax evasion. Yes No

11. Please confirm that you will tell us of anything which happens during the period of the project/grant which would affect your compliance with 6-10 above. 11. Please confirm that you will tell us of anything which happens during the period of the project/grant which would affect your compliance with 6-10 above. Yes No

12. Name of person completing this application and contact details.

13. Email address

14. Telephone Number