BNSSG Communities Against Cancer Application Form

Notes on filling out the form

Please read the application guide before completing this form.

Please observe the word limit for each question. For applications requesting over £5000, adhere to the word limit marked with an asterisk (*)

Use as much of the word limit as you need to explain your project and the amount requested. You don’t have to use the full word count, particularly for smaller grants.

We will review your application based only on what you include in this form. Please do not assume we already know anything about your work.

You are welcome to contact us with any queries or if you need help to fill in the form. Please contact us at cac@chinesecws.org.uk

Part A: Applicant Information and Project Summary

ORGANISATION DETAILS
Organisation name	Click or tap here to enter text.
Organisation address	Click or tap here to enter text.	Postcode	Click or tap here to enter text.
Nature of organisation (e.g. CIO, CIC, etc.)	Click or tap here to enter text.
Registration number(s)	Click or tap here to enter text.
¨ We are unregistered (if so, please provide more information below) Website/ Social Media Link:Click or tap here to enter text. Contact for reference: Click or tap here to enter text.
Correspondence address (if different from the above)	Click or tap here to enter text.	Postcode	Click or tap here to enter text.
Do you have an organisational bank account?	Yes No

CONTACT PERSON FOR THIS APPLICATION
Name	Click or tap here to enter text.
Email	Click or tap here to enter text.
Contact number	Click or tap here to enter text.

PROJECT SUMMARY
Geographical area of project activity (e.g. postcode or neighbourhood)	Click or tap here to enter text.
Project’s target communities	Click or tap here to enter text.
Project start date (after 1st April 2026)	Click or tap to enter a date.	Project end date	Click or tap to enter a date.
Funding amount requested (£500 to £10,000)	Click or tap here to enter text.

Part B: Project Details and Impact

ABOUT YOUR ORGANISATION
1. Brief description of your organisation (100 words maximum/250 words maximum*) Please give an overview of what your organisation does.
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2. Your organisation’s project experience (150 words maximum/450 words maximum*) Explain what work you have previously carried out with the target communities. Why do you think your organisation can deliver cancer -related messages to the target communities?
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3. The need among your target communities (150 words maximum/450 words maximum*) Please tell us which target communities you propose to work with and what barriers they face in cancer prevention and early diagnosis.
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DETAILED PROJECT PLANS
4. Project ideas (250 words maximum/550 words maximum*) Please describe what you plan to do with the grant, including the estimate number of people you will reach. Why are these ideas effective in achieving the aim of BNSSG CAC? What is the project timeline? Please describe activities in chronological order where possible.
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4a. Is this project a part of a larger project? If yes, please tell us more. (Please tick what applies) (100 words maximum/ 250 words maximum*) Yes ¨ No Click or tap here to enter text.
5. Partnership or collaboration (Optional) (100 words maximum/250 words maximum*) If your project will involve working with other organisations, please tell us who they are, the nature of the partnership or collaboration (e.g., contract or memorandum of understanding), and how the funding will be allocated between partners.
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PROJECT IMPACT AND MEASUREMENT
6. What difference will your project make? (200 words maximum/500 words maximum*) What change do you expect to see? Please specify how your proposed project supports the aim of BNSSG CAC among the target communities.
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7. How will you measure your project’s impact? (200 words maximum/500 words maximum*) Please explain in what ways will you measure the impact of your proposed project? Please list any tools, surveys, or methods you plan to use.
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COST BREAKDOWN
8. Please give us a detailed breakdown of how the funding will be spent, including, but not limited to: Staff costs including the cost per hour and approximate number of hours to be worked (please include on-costs like National Insurance, management time, etc.) Venue hire, advertising, refreshments, and other event-related costs Volunteer costs Other actual direct costs you expect to incur in delivering the project Please add rows as needed.

Type of cost	Cost per type	Cost Breakdown
Click or tap here to enter text.	£Click or tap here to enter text.	Click or tap here to enter text.
Click or tap here to enter text.	£Click or tap here to enter text.	Click or tap here to enter text.
Click or tap here to enter text.	£Click or tap here to enter text.	Click or tap here to enter text.
Click or tap here to enter text.	£Click or tap here to enter text.	Click or tap here to enter text.
Click or tap here to enter text.	£Click or tap here to enter text.	Click or tap here to enter text.
Click or tap here to enter text.	£Click or tap here to enter text.	Click or tap here to enter text.
TOTAL COST	£Click or tap here to enter text.
TOTAL SUM APPLIED FOR	£Click or tap here to enter text.

9. If your project costs more than you are applying for, please answer the questions below.
How will you cover the project cost shortfall?	Click or tap here to enter text.
When do you expect to have all the funds needed for this project?	Click or tap here to enter text.

DECLARATION
By submitting this application, I confirm that the information on this form constitutes a true overview of the project and gives a true picture of our organisation.
Name of person submitting application	Click or tap here to enter text.
Date	Click or tap to enter a date.

RETURNING YOUR APPLICATION
Please email completed application to cac@chinesecws.org.uk