Jean Sainsbury Animal Welfare Trust
Questionnaire for Charities that have not received a donation from us previously
CHARITY DETAILS:
Date:_________________
CHARITY NAME:
CONTACT NAME: POSITION HELD: ADDRESS (if different from above) Vet's Name & Address (we may wish to contact): How did you hear of us? |
C.C. Reg. No. Website: Daytime Tel. No.
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TYPE OF CHARITY: Please tick the categories which best describe the work of your charity
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Rescue and re-homing of domestic animals |
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Cats |
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Feeding/neutering |
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Equines |
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Assistance with vet fees |
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Other domestic pets |
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Education and campaigning |
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Farm animals |
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Rescue/rehabilitation of wild animals |
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Birds |
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Dogs |
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Others (please state which) |
Number of horses/equines on loan/fostered_________
Does the charity pay for the food/vet/farrier fees for these loaned/fostered equines? If so please give details:
ANIMALS HANDLED FOR THE YEAR (please give dates)………………………………..
| Number taken in | Number rehomed/ fostered |
Number released back to the wild | Number rehomed direct from owner without coming in to charity | Number destroyed | Number neuteredby your charity | Number in permanent or long term sanctuary | Others (such as returned to owner please state) | |
| Dogs | ||||||||
| Cats | ||||||||
| Feral Cats | ||||||||
| Rabbits | ||||||||
| Exotics | ||||||||
Horses/ |
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| Birds | ||||||||
| Wildlife/ Others: |
FINANCES:
Please complete the following re. CURRENT finances and enclose your most recent accounts.
Date of enclosed accounts: ............................
Estimated current annual income since enclosed accounts: Estimated current annual expenditure since enclosed accounts: Approximate CURRENT level of financial assets (e.g. in bank and building society, investments, stocks and shares etc.): Approximate value of property owned by the charity: |
£ £ £
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Legacies or other large donations expected, please give brief details:
Are any funds designated to specific projects:
Number of full and part-time paid workers:
Brief summary of reasons for application to the Jean Sainsbury Animal Welfare Trust, i.e. capital projects/running expenses, etc.:
Please tick the following statements to show that you
are eligible to apply:
1 |
Our charity is not a sanctuary – in the main we
rehome/release the animals we take in |
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2 |
We are registered with the Charity Commission (or
our income is under £5,000) |
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3 |
We produce annual accounts which show an opening/closing balance |
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4 |
With our 9 sets of accounts we attach an auditors statement or an independent examiners report (ALL applicants must provide one or the other) |
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5 |
In the “current” finances section of the application
form we have provided approximate figures SINCE the date of our enclosed
accounts (Please do not write “refer to accounts”) |
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6 |
We have filled-in ALL sections of the application
form (please note we will not accept part-filled-in forms) |
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I have read the Jean Sainsbury Animal Welfare Trust’s policies and enclose 9 sets of accounts.
Signed…………………………. Print name……………………
Please note deadlines for receipt of applications:
15th January (for March meeting) 15th May (for July meeting) 15th September (for November meeting).
Please read the following application policies to check that you are eligible and keep these for your own records.
The Trust favours applications from:
The Trust attempts to support charities by making donations toward the following:
Otherwise, support for improvements can only be considered when they do not increase the saleable value of the property.
The Trust will not normally support: