Expression of interest form – Surrey Coronavirus Response


Expressions of Interest are welcome at any time.

We recommend you read our Eligibility Criteria before submitting an Expression of Interest.

Please complete the form below, to tell us what you want to do and how much you would like to apply for.

    About you

    *indicates a required field

    Organisation

    What does your organisation do? (max 2000 characters) *

    Funding request

    What does your organisation need funding for? * (select all that apply)
    Delivering an emergency response to the Coronavirus pandemicCosts to significantly change the way work is done as a result of the crisisCosts incurred to expand delivery of vital services as demand increases

    Please describe your funding need? * (max 2000 characters)

    How much funding are you looking for? (please only insert a number the form will not accept £ or , symbols) *
    £

    When do you anticipate the funded activity will start? *

    Beneficiaries

    Which of our priority groups will your work support?: * (select all which apply)

    Older people and those who are self-isolating due to underlying conditionsPeople with disabilitiesPeople with mental health needsPeople experiencing financial hardshipDisadvantaged children and young peopleBlack Asian and minority ethnic communitiesVictims of crime such as domestic abuse

    Geography

    Where will your project take place?/What geographical area will your work cover? * (tick all that apply)
    ElmbridgeEpsom & EwellGuildfordMole ValleyReigate & BansteadRunnymedeSpelthorneSurrey HeathSurrey WideTandridgeWaverleyWokingOther

    Specify the ward/village/specific area the project will take place in if possible:

    Priority will be given to voluntary organisations which are previous grantees (grants awarded since 01/04/2018) of the Community Foundation for Surrey with a proven track record of successful delivery demonstrated through end of grant reporting.

    Have you received a grant from CFS since 01/04/2018

    YesNo

    How did you hear about this funding opportunity? *

    Received/applied for a grant previouslyCVS/ referral funding organisationUKCF/another Community FoundationInternet searchSocial mediaE-newsletter

    Other please specify:

    In order to process your Expression of Interest and potentially invite an application we need to record your details on our database* Please tick the box to acknowledge that you give permission for us to hold your data for grant making purposes.

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    YesNo

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