1) Name of Charity
Please provide the name of the charity or organisation as included in your charity registration.
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2) Charity registration number
Please provide the charity registration number.
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3) Contact information (Address, Phone Number, Email)
Please provide the registered address, phone number and email address for the charity.
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4) Website (if applicable)
Please provide the charity’s website address and/or social media handles.
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‍5) Name and Position of Primary Contact
Please provide the name, position and contact details for the primary contact for this grant application.

6) Brief Description of the Charity’s Mission
In no more than 100 words, please provide a brief description of the Charity’s mission. It should define your charity's purpose and primary objectives.

7) Vision and Long-Term Goals
In no more than 200 words, please provide a description of the charity’s vision and long term goals. This is about your charity’s aspirations and what it hopes to achieve in the longer term.

8) Name of the Project
Please give your project a specific name.  This should be short and may be descriptive.
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9) Location of the Project
Which geographic area or region will the project serve.  This may be a single town or city, or a larger region or oblast.  Please be as specific as possible.
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10) Detailed Description of the Project
In no more than 500 words, please explain what the project will do (aims and objectives, activity and outputs).  This may include what the need is for the project, who it will serve, how it will make an impact and practically how it will be achieved.
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11) Estimated Start and End Dates
Please provide estimated start and end dates for the project.  This will impact your reporting timelines.

12) Total Project Cost
Please provide a total cost of the project. Where funds are being sought for part support of a larger project, please provide the cost of the full project.
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13) Amount Requested from Postcode Ukraine
Please indicate the amount of funding being requested from Postcode Ukraine.
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14) Detailed Budget Breakdown (How will the funds be used?  Be as specific as possible, e.g. equipment, staff costs, administrative expenses etc.)
Please complete and attach the budget template provided. This should be a detailed budget breakdown of the full project you are seeking funding for. The detailed budget should include itemised costs for delivering the project, please be as specific as possible. This may include, but is not limited to:

15) Other Sources of Funding (if any)
If you are seeking part funding for a project, please indicate any other sources of funding, whether these are confirmed and whether the project will be fully funded if funding is granted by Postcode Ukraine.

16) Impact of the project
Please describe the impact you hope the project will achieve.
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17) How many people you expect the project to reach
Please detail how many people you expect the project to reach and over what duration, this may be physically or digitally depending on the nature of the project.
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18) Reporting and Evaluation Plan (which documents you are ready to provide with the Final Report)
Please provide a summary of how you plan to evaluate the project. You will be provided with a narrative report template and actual budget template to complete.

19) Founding Charter/Statute/ Статут
Please attach a copy of your Founding Charter / Statute / Статут.
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20) Proof of Non-Profit Status
Please provide evidence of your non-profit status and bank details.
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21) List of Board Members / Team Members and their social media links
Please provide a list of your board members and team members and their social media handles where available.

This section is for you to confirm that all information you have provided is accurate and complete to the best of your knowledge.
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22) We confirm that all information is accurate and complete to the best of our knowledge
a. Yes b. No  c. Other
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23) I give CF Postcode Ukraine, consent to process my personal data specified in this form.
a. Yes  b. No  c. Other