Haringey Digital Divide Fund - Application Form

1. Your details

Name of group / organisation / school (required)

Address (required)

Website

Primary contact for this grant

Name (required)

Role (required)

Telephone number (required)

E-mail address (required)

Secondary contact for this grant

Name (required)

Role (required)

Telephone number (required)

E-mail address (required)

2. About your organisation

When was your organisation set up? (required)

What type of organisation are you? (required)

Please give your charity number (if you have one)

Please give your company number (if you have one)

Which areas of Haringey do you primarily serve? (required)

What does your organisation / group do? (required)

Who does your organisation / group help? (required)

How many full-time paid staff does your organisation / group usually have? (required)

How many part-time paid staff does your organisation / group usually have? (required)

How many volunteers does your organisation / group usually have? (required)

3. Your funding request

3.1 Please summarise what you would like this funding for (required)

3.2 Who will benefit from this funding. (required)

3.3. Approximately how many children and young people will benefit. (required)

3.4 How has digital exclusion impacted the children and young people that you plan to work with. (required)

3.5 When will your project begin? (required)

3.6 When will your project end? (required)

3.7 Are these activities covered by your insurance? (required)

3.8 Tell us how much your project will cost. List the items you would like us to fund and include the costs alongside. Items can include: digital devices, internet access and/or digital skills training. (required)

3.9 What safeguarding procedures do you have in place to protect children and young people? (required)

3.10 What measures will you take in delivering the project to prevent the risk of infection with COVID-19 for your volunteers, staff and service users? (required)

3.11 What will change as a result of your project? How will you know that your project has been successful? (required)

3.12 What extra support, apart from funding, might you need to make this happen? We may be able to help in connecting you to sources of relevant support.

4. Supporting documents

If your grant application is successful, we will request a copy of the following documents:
• your constitution or governing document, if you have one
• a recent bank account dated within the last 3 months.
If you do not have a bank account please let us know if you are able to work with a larger organisation
who would be prepared to manage your funds if your application is successful.
• your most recent annual accounts or summary of income and expenditure for the last financial year.
• your Safeguarding Policy if your project is working with children or vulnerable adults.

5. Statement

I confirm that the information included in this application form is true and accurate to the best of my knowledge. I fully understand that Haringey Giving, The Bridge Renewal Trust and our funding partners, have zero tolerance towards fraud and may prosecute and recover funds if necessary.

Name (required)

Position in organisation / group (required)

The information you enter into this form will be collected and stored by Haringey Giving. We will always store your personal details securely. We will use them to communicate with you about your application and your ongoing project, if your application is successful. Your data may also be used for analysis purposes, to help us monitor our activity and impact. For full details see our Privacy Policy - https://www.haringeygiving.org.uk/privacy-policy.

Please tick the box below to confirm you understand. (required)

Send