Application Form

On behalf of all the Trustees, may we thank you for the interest you have in applying for a grant from The Willats’ Trust.

Please read the Information & Guidance Notes for Applicants before you fill out the form.

Once you have completed the application form and attached all the necessary documents required for this application, you will be invited for an online interview with us via Zoom.

The online interview will be the last step in your application process. Our online interviews take place during February and August each year.

Please do not hesitate to get in contact with Rev’d Meri Schoeman, our Grants Manager should you have any questions about the application process or the online interview.

You will need the following for your Application:

IMD Mapping Tool

Timetable Template

Equality and Diversity Monitoring Form

Also find below a Checklist you can use to make sure you’ve submitted everything for your application.

Grant Application Checklist

The Willats' Trust

Grants Application

Organisation Making the Application

This section is to be completed by the organisation itself (Church / Charity)

Organisation Name

Registered Charity Number (if applicable)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Lead contact / Line Manager

First Last

Email of Lead contact / Line Manager

Telephone number of Lead contact / Line Manager

Please provide information about the following:

1. The neighbourhood in which your organisation works, including social, economic and cultural issues in the area.

Grant Applicant

This section is to be completed by the applicant.

Applicant's Name

First Last

Applicant's date of birth

Applicant's email

Applicant's address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Applicant's Telephone Number

Please upload a recent photo

Max. file size: 128 MB.

Applicant's Role

This section regards the applicant's role.

Is the applicant ordained or a lay worker?

What denomination is the applicant?

Mr. Willats' intentions was to minister "to the poorest and lowest, classes of society; to read, and explain, to them, the Holy Scriptures, sermons and other good books; to pray with, or read prayers to them; and generally impart to them religious instruction, advice and consolation."

With this is mind, please explain what the applicant's role will be within the organisation.

When did the applicant start working for the organisation?

What is the expected end date for this role?

(Leave blank when no end date)

Will the role be full or part time?

Full-time

Part-time

How many hours per week will the applicant be expected to work?

Is the applicant combining this role with any other volunteer or paid employment or course of study? If so, please provide details.

Whilst being supported by The Willats' Trust, is the applicant intending to attend a college or course that might result in them being ordained? If so, please provide details.

Applicant's Area of Serving

Please state the postcode for the applicant's area of serving.

(This may differ from the postcode of the organisation)

When considering grants, it is helpful for us to understand where the applicant will be serving geographically and how this sits against the indices of Multiple Deprivation (IMD). Please follow the link at the top of the application form to the IMD Mapping Tool and answer the following question.

According to the IMD Mapping tool which decile is the applicant's area of service in?

Has the organisation received funding from The Willats' Trust in the past?

Yes

No

How did you hear about The Willats' Trust?

Applicant's Financial Arrangements

Please use this section to detail your financial arrangements and how much funding you are applying for.

Please state the total cost of funding the post per annum, including breakdowns for pension and national insurance costs

Please state how much per annum the organisation (Church / Charity) is contributing towards the post:

Please state the level of funding you are applying for from The Willats' Trust (per annum):

Please add any additional notes about funding here:

Additional Funding: If the applicant is receiving funds from elsewhere, please fill in the details below. Please also provide us with the date(s) that funding was granted and received or when it is still to be received.

Source 1: Amount

Granted or

Applied for (Indicate where appropriate)

Source 2: Amount

Granted or

Applied for (Indicate where appropriate)

Source 3: Amount

Granted or

Applied for (Indicate where appropriate)

Source 4: Amount

Granted or

Applied for (Indicate where appropriate)

State the total amount of funding in place from external sources

Church Affiliation

This section is to be completed with input from the applicant. This regards the applicant's church affiliation.

Which church are you currently an active member?

Church's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Church's Telephone Number

Church's Email

Church's Website

References

Please download and complete The Willats' Trust Grant Reference form. The reference forms need to be completed offline, exported as a new pdf and then attached.

Reference Form 1

Max. file size: 128 MB.

Reference Form 2

Max. file size: 128 MB.

Additional information from the organisation supporting this application

The leader of the Church / Charity - Please provide the following details for the vicar / pastor / ministry leader / chief officer of the Church / Charity

Title First Name Last Name

Leader's Role

Leader's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Leader's Telephone number

Leader's Email

How long have you been the leader of the Church / Charity?

The Church / Charity's Treasurer / Finance Director - Please provide the following details for the Treasurer / Finance director of the Church / Charity.

Title First Last Name

Treasurer / Finance director's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Treasurer / Finance director's Telephone Number

Treasurer / Finance director's Email

How long have you been the Treasurer / Finance director of the Church / Charity?

Banking details

Name of the Account

Account Number

Sort Code

Confirmation of payments made should be send to this email address:

Completion of Application & Declarations

The leader of the Church / Charity, the Line Manager of the proposed Guide and the proposed Guide must complete the following items.

Proposed Guide: I confirm and declare that:

To the best of my knowledge, all the information that I have provided in this form and in any supporting papers is true, accurate and complete

I understand that the Charity may reject my application or cancel the grant if it discovers that any information given has been falsified or is inaccurate

I request the individuals named above (in the references section) act as my referees and offer a reference on me relating to my application. I waive my right to review the forms of reference after their completion and I release my referees from any and all liability from damages related to the provision of a reference

I agree to the Terms and Conditions of Grant Awards outlined in the Guidance Notes

If the Charity indicated that it is prepared to make a grant, I accept the appointment by the Trustees of The Willats' Trust as a "Poor Man's Guide to Eternal Life", the name given in 1858 by Mr William Willats, the Founder of the Charity

I will, to the best of my ability, carry out the duties of a Guide in the spirit of the terms laid down by Mr. William Willats.

I will report each year when requested on my work to the Trustees

I understand that failure to report on my work to the Trustees may jeopardise the continued support of the Charity and the payment of grant monies.

I can confirm and declare the information to be true and accurate

Full Name Date Signed

Church / Charity supporting this application: Leader of the Church / Charity (who must also sign below as the Line Manager if supervising the applicant): I confirm and declare that:

To the best of my knowledge all the information provided in this form and in any supporting papers is true, accurate and complete

I understand that the Charity may reject the application or cancel a grant if it discovers that any information given has been falsified or is inaccurate

I agree to the Terms and Conditions of Grant Awards outlined in the Guidance Notes

I understand that if the application is accepted, a grant will be paid monthly dependent upon the receipt of timely and satisfactory yearly reports by the Trustees from the Guide

I understand that the Charity will provide its monthly grants for a minimum period of 3 years

All grant monies received by the Church / Charity will be used for the exclusive benefit of the applicant as Mr Willats' Guide

I fully and wholeheartedly support the applicant and this application

I can confirm and declare the information to be true and accurate

Full Name Date Signed

Line Manager of the Applicant: I confirm and declare that:

To the best of my knowledge all the information that I have provided in this form and in any supporting papers is true, accurate and complete

I understand that the Charity may reject the application or cancel a grant if it discovers that any information given has been falsified or is inaccurate

I agree to the Terms and Conditions of Grant Award outlined in the Guidance Notes

I fully and wholeheartedly support the applicant and this application

I will, to the best of my ability, ensure that the applicant carries out the duties of a Guide in the spirit of the terms laid down by Mr William Willats

Each year I will ensure that the applicant reports on his/her work to the Trustees and that I will sign such reports, confirming my agreement with them

I understand that the applicant's failure to report on his/her work to the Trustees and/or my failure to sign-off such reports, may jeopardise the continued support of the Charity and the payment of grant monies

I can confirm and declare the information to be true and accurate

Full Name Date Signed

Terms and Conditions

The Charity requires the information and documentation requested in the Application Form to allow us to process your application and the Trustees to properly assess your application. All the information provided in support of your application, including personal details, will be retained by the Charity and some of it will be held in a database. The Charity complies with the procedures concerning the storage and disclosure of your information required by the Data Protection Act 1998 and the new GDPR Regulations 2018.

Please ensure you have read the "Information and Guidance Notes for Applicants" before submitting your Full Application with us.

Please tick here if you agree to the Terms and Conditions set out above, as well as the terms set out in the "Information and Guidance Notes for Applicants" document.

Please Attach the Following Files:

Church / Charity's Safeguarding Policy

Max. file size: 128 MB.

Detailed Job / Role Description of the Applicant

Max. file size: 128 MB.

Applicant's Timetable

Max. file size: 128 MB.

(You can find the Timetable template at the top of the Application form. Please download the form, fill it in, export it as a pdf and then attach it here)

Church / Charity's Annual Accounts

Max. file size: 128 MB.

Equality and Diversity Monitoring Form

Max. file size: 128 MB.

(You can find this form at the top of the Application page. Please download the form, fill it in, export it as a pdf and then attach it here)

Please attach any additional information that you think might be useful

Max. file size: 128 MB.

Submission date

The Willats Trust Charity no. 202269 Email: general@willatstrust.org Tel: 01225 33149901225 331499

© The Willats Trust Website: Atomic Smash