Overseas ApplicantsFor UK registered charities working overseas Before starting this application, please read our Guidelines for Applications and then confirm the following: I have read and understood the guidelines for applicants * Charity Name * Charity Reg. Number * Date of Registration * MM DD YYYY Please list any professional bodies of which your organisation is a member (eg ACDH) * Are you aware of previous applications to the Jean Sainsbury Animal Welfare Trust? * Yes, the charity has applied before No, the charity is a new applicant Charity Contact Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Website http:// Contact Name * First Name Last Name Position Held * Email (we will contact you by email) * Daytime Tel. Number * Please give a direct line on which you can be reached during office hours (###) ### #### Vet Details Vet's Name * First Name Last Name Practice Name * Location (Town/City) Vet's Tel. No. (###) ### #### Vet's Email * Type of Charity Charity Type Please tick the categories which best describe the work of your charity Rescue and re-homing of domestic animals Rescue and release of wildlife Assisting owners with vet fees Assisting owners with other costs Trapping/neutering/vaccinating and releasing feral/street animals Education and campaigning Conservation We work in the UK and bring in animals from overseas for rehoming Other Does your charity work with equines? Please check the appropriate box. Yes No Animals Handled in a 12 month period As far as possible, these 12 months should coincide with the period covered by the Accounts Start Period * MM DD YYYY End Period * MM DD YYYY Total number of animals in your care at the the start of the 12 month period * Total number of animals taken in during the 12 month period * Total number of animals rehomed/released during the 12 month period * Total number remaining in your care at the end of the 12 month period * Breakdown of animals handled Please provide a breakdown of species for Wildlife/Other Finances Please supply accounts for a 12 month period. As far as possible, these 12 months should be the same as the ones used in the Animals Handled section. Please do not send in copies of bank statements. Date of most recent accounts * MM DD YYYY Total income for the year (on your accounts) * £ Total expenditure for the year (on your accounts) * £ Cash in bank * £ Other financial assets (investments, stocks, other savings etc) * £ Since the enclosed accounts were completed, have there been or do you expect any major changes in your income and expenditure? * Yes No Are any funds Restricted? * Yes No People in your organisation How many people volunteer for your organisation? * Does your organisation employ staff? Yes No Please add any further details about staff and/or volunteers here Property Does the charity own a premises? * Yes No Does the charity pay rent and if so, how much? £ If there is a lease, how long is it for? Application details How much funding are you applying for? £ What will it be used for? ( You may check more than one box) Vet fees Feed/bedding General running costs TNVR Equipment/vehicle (please provide quotes) Building project (please provide quotes/plans) Specific project (please give details below. It will help your application if you can provide a budget) Other Please add any further details here: * It is really helpful to us if you can demonstrate how the funding will benefit the charity. If you are applying for a specific item or project, please include supporting documents as outlined in the above checklist. Privacy Statement & Consent We process this data in accordance with our Privacy Policy. By submitting your application you consent to the Jean Sainsbury Animal Welfare Trust using the information for administrative purposes in accordance with this Policy. Occasionally, information provided in applications may be shared with other, similar grant giving organisations. I understand the above Privacy Statement and agree to the information I have provided being used in the ways described * Thank you! On successful submission, you will receive an automated email with further instructions. Please check you spam/junk folders for this email. If you do not receive an automated email, please contact office@jeansainsburyanimalwelfare.org.uk as your application may not have been received. Thank you!
