Organisation Details

Name or Organisation (required)
Lead Contact (required) (Name and Position)
Address (required)
Telephone Number (required)
Mobile Number (required)
Your Email (required)
Type of Organisation
Registered Charity - charity numberCompany limited by shares of guarantee – numberSocial EnterpriseCommunity Interest Company – numberIndustrial and Provident SocietyFormally constituted club, association or trustUnconstituted AssociationOther
When was your organisation established

What geographical area does your organisation cover?

Please describe your organisation’s recent successes.

How is your organisation managed?
Please attach details of the management committee and information about any other key people e.g. patrons, sponsors, trustees who have an influence on financial and management decisions.

Please give details of how your organisation is staffed. (Number of employees and volunteers)

How is your organisation funded?
Please list your main funding sources and percentage of funding from each.
Please enclose a copy of your latest accounts.

Please give details of how your organisation is staffed. (Number of employees and volunteers)

Please tell us about your organisation’s aims and activities.

Please describe your services and the client group you serve.

In an average week how many people use your services?

Pro Help Support Requested

Please outline the specific exercise/project for which help is sought.

Is any funding available to ensure that this exercise or project can be completed?

Please provide any deadlines or key dates that need to be met for this exercise or project.

Please outline the desired result or solution following professional help.

Please give details of any professional firms already involved with the organisation, including all retained firms and any firms with which the organisation has had dealing with in the last two years.

Declaration

• My management committee has authorised me to make this application on behalf of the Organisation
• I am applying for assistance from Suffolk ProHelp and will be responsible for the project on behalf of the Organisation
• I understand that should you seek further information this does not necessarily indicate a successful application and that when a project is not supported no explanation need be provided
• It is further understood that this application does not form part of any contract to provide series. In the event of a successful application, any contract is solely between my organisation and the professional company providing that service and not Suffolk ProHelp. Finally it is also acknowledged that should funding be obtained for the project the Suffolk ProHelp member(s) involved will be given the work, subject to the fees being reasonable.
• I consent to the details of the organisation appearing in Suffolk ProHelp publications, on the website, and for marketing and promotional activities and will endeavour to secure positive coverage for the project , Suffolk ProHelp and the professional member(s) as appropriate.
• I understand that the details provided on this application form many be forwarded to the professional member(s) of Suffolk ProHelp for their consideration in relation to this application.
• I confirm that the details given are accurate and reflect our current position.

How will we use the information about you?
We will process your request for a service from Community Action Suffolk and manage any account you have with us.
This information may be shared within Community Action Suffolk and it’s subsidiary companies but will never be shared for marketing purposes outside our group of companies. Further information on how we treat your personal data and our group of companies can be found on our privacy policy here

Signed (Please write your name on behalf of the organisation)

Date (please use drop down arrow to get pop up calendar)

Please ensure you have enclosed ALL of the following information for your request to be considered.
 A copy of your constitution or similar governing document (that states your aims and objectives)
 A copy of your latest accounts or bank statements
 If a limited company, a copy of your latest Annual Return
 A copy of your business plan, if appropriate
 Any additional information you wish to submit in support of your application

Please note: There is a 2mb file limit on each attachment. If you get in any trouble sending the files please email the attachments to info@suffolkprohelp.org.uk and our co-ordinator can assign them against your application.

Constitution or similar governing document

Latest accounts or bank statements

Annual Return

Business plan

Any Additional Information