Ann Rylands Small Donations Application Form

For information about other grant-making programmes and the areas supported by Sir Jules Thorn Charitable Trust, please click here.

Before applying, please ensure you have read the guidelines available here.

Important Notice: Technical Issues with the Form Builder

We are currently experiencing technical issues with our form builder, which is preventing access to previously saved applications. Unfortunately, this means that any applications that were saved prior to this issue are currently inaccessible. Additionally, the “Save and Resume” feature has been temporarily disabled. Any new applications need to be submitted once started.

We understand the inconvenience this may cause and are working to resolve the issue. We will update this notice once the problem is fixed and saved applications are accessible again. Thank you for your understanding.

Sir Jules Thorn Charitable Trust - Online Application form for the Ann Rylands Small Donations Programme

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Password must contain the following:

• 12 Characters
• 1 Uppercase letter
• 1 Lowercase letter
• 1 Number
• 1 Special character

The Ann Rylands Small Donations scheme is open to applications.

Please ensure you have read the guidance notes and have the correct documents and links to support your application.  Applications that do not meet the criteria or do not supply the correct documents will be rejected.

Eligibility Questionnaire

Please read our guidance notes before answering the following questions.

1. Are you registered as a charity in the UK with the Charity Commission for England and Wales, the Office of the Scottish Charity Regulator, or the Charity Commission for Northern Ireland?

YesNo

2. Has your charity been registered for less than 3 years?

YesNo

3. Does your organisation have at least two full years of accounts?

YesNo

4. Is your operational area - as stated on the Charity Commission or equivalent website - outside the UK?

YesNo

5. Are you applying for funds for medical research or medically-related research?

YesNo

6. Is your charity a religious, faith-based, or belief organisation?

YesNo

7. Have you applied to the Trust within the last 12 months (from the date of your application decision email if unsuccessful, or the date funds were awarded to your charity if successful)?

YesNo

8. Is your charity's annual income (as stated on the Charity Commission or equivalent website) under £100,000?

YesNo

9. Does your charity's annual income (as stated on the Charity Commission or equivalent website) exceed £2,000,000?

YesNo

Eligibility failed

Thank you for your interest in Sir Jules Thorn Charitable Trust. 

Unfortunately, your responses indicate that your organisation does meet the Trust's grant making criteria and is, therefore, not eligible to make an application to the Trust. 

Please refer to the Trust's guidance for applicants.

Section 1 - Organisation Information

Legal name of the organisation 

Registered charity number

Link to your charity's entry on the Charity Commission (or equivalent) website

We will use this link to check your charity's annual accounts

Enter the name of the Independent Examiner or Auditor for the charity’s most recent signed accounts (the name of the firm, as shown in the accounts)

I confirm that the link provided is to the most recent accounts and these include a report from an appropriately qualified Independent Examiner or Auditor, as required by the Charity Commission.  

I confirm I have checked the link and that the accounts are completed as required. 

For Scottish Charities only: please upload a non-redacted version of the accounts linked to above. The accounts should include all the required signatures.

Link to your charity's website

Year your charity was established

YYYY

Please specify which of our priority areas of health and care you cover (select only one)

Improved quality of life for older people through health and careImproved quality of life for people with disabilities through health and careImproved quality of life for people with serious illness/chronic conditions through health and careImproved quality of life for people needing palliative and end-of-life care  through health and carePractical and emotional support to improve health and care for people facing challenges with mental health

Error

Organisation Background and Aims
Please briefly describe the objectives and work of your charity (250 words maximum)

Section 2 - Contact Details

Organisation Address

Organisation Postcode

General contact phone number

General contact email address

Title of main contact

Please select... Mr Ms Mx Mrs Miss Doctor Professor Reverend Sir Lady Dame

First Name of main contact

Surname of main contact

Job Title/​Position in Organisation of the main contact

Phone number of the main contact

Email address of the main contact

Email address provided must be for a member of staff/Trustee of the applicant charity. Applications from personal email addresses not affiliated to the charity (i.e. '[email protected]' or '[email protected]') will be rejected.

Section 3 - Your Appeal

Please select what your request is for (select only one)

Core CostsSpecific Project/ActivityFunding from the Ann Rylands programme is unrestricted. Please complete the above question for the Trust's internal purposes.

Grant Request Category 

Charitable ActivitiesCore FundingEquipmentFacilitiesInformation/AdviceStaffResearchTechTrainingVolunteer ActivitiesFunding from the Ann Rylands programme is unrestricted. Please complete the above question for the Trust's internal purposes.

Error

Project Title

If you request is for core costs, please state 'Core Costs' as your project title

Total £ project or activity costs (or total cost of core costs)

Please enter whole numbers only - do not include pence, commas, or £ signs.

Please summarise your appeal (25 words maximum)

Explain how any funds received from the Trust would be used (500 words maximum):

Anticipated outcomes and impacts, and the beneficiaries expected to make progress towards these outcomes and impacts (250 words maximum)

Number of project beneficiaries

Please enter whole numbers only - do not include commas, spaces, or symbols.

Geographical Area Served by the Project/Grant (please select the one that most closely matches your area)

Please select... National England Northern Ireland Scotland Wales

England

Please select... North East North West Yorkshire and the Humber East Midlands West Midlands East of England London South East South West

Northern Ireland

Please select... Antrim Armagh City of Belfast Down Fermanagh Londonderry City of Derry Tyrone

Scotland

Please select... City of Aberdeen Aberdeenshire Angus Argyll Ayrshire Banffshire Berwickshire Bute Caithness Clackmannanshire Cromartyshire Dumfriesshire Dunbartonshire City of Dundee East Lothian City of Edinburgh Fife City of Glasgow Inverness-shire Kincardineshire Kinross-shire Kirkcudbrightshire Lanarkshire Midlothian Moray Nairnshire Orkney Peeblesshire Perthshire Renfrewshire Ross and Cromarty Ross-shire Roxburghshire Selkirkshire Shetland Stirlingshire Sutherland West Lothian Wigtownshire

Wales

Please select... Anglesey Brecknockshire Caernarfonshire Cardiganshire Carmarthenshire Clwyd Denbighshire Dyfed Flintshire Glamorgan Gwent Gwynedd Merionethshire Mid-Glamorgan Monmouthshire Montgomeryshire Pembrokeshire Powys Radnorshire South Glamorgan West Glamorgan Wrexham

Section 4 - Organisational Financial Information

Annual accounts year ending: Month and Year

i.e., December 2024

In your most recent published accounts, what is the total organisational annual expenditure

Please enter whole numbers only - do not include pence, commas, or £ signs.

In your most recent published accounts, what is the total organisational annual income:

Please enter whole numbers only - do not include pence, commas, or £ signs.

Current free reserves, as shown in your most recent published accounts

The Trust defines free reserves as unrestricted reserves less fixed assets. Unrestricted reserves include designated funds. Please enter whole numbers only - do not include pence, commas, or £ signs.

Statement on financial position (100 words maximum)

This field is optional. Please only use this area, if needed, i.e. if there has been a significant change in your charity’s financial position since the most recent accounts were published.

Section 5 - Sources of Income

Please indicate the percentage of your organisation's income as shown in your most recent published accounts from the following sources.

Ensure the total equals 100%. If you do not receive income in any category, please enter 0%.

Individual Giving Enter as a percentage, e.g. XX%, and include % symbol  in your answer. Events Enter as a percentage, e.g. XX%, and include % symbol in your answer. Government Grants (local and national) Enter as a percentage, e.g. XX%, and include % symbol in your answer. Trading Activities Enter as a percentage, e.g. XX%, and include % symbol in your answer. Memberships and Other Fees Enter as a percentage, e.g. XX%, and include % symbol in your answer. Other (please specify, 25 words maximum) Enter as a percentage, e.g. XX%, and include % symbol in your answer.

Trusts and Foundations Enter as a percentage, e.g. XX%, and include % symbol in your answer. Corporations Enter as a percentage, e.g. XX%, and include % symbol in your answer. Government Contracts (local and national) Enter as a percentage, e.g. XX%, and include % symbol in your answer. Lottery Funding Enter as a percentage, e.g. XX%, and include % symbol in your answer. Investments Enter as a percentage, e.g. XX%, and include % symbol in your answer.

Section 6 - Banking Information and Supporting Document

Bank Information

Should your application be successful the method of payment is directly to bank.

Bank details will be held securely and in accordance with the Data Protection Act.

Incomplete and/or erroneous bank information may result in delay/suspension of payment. Your bank statement must be dated within the last three months. 

Bank Name

Please select... Allied Irish Bank Bank of Ireland Bank of Scotland Barclays C Hoare & Co CAF Bank Cater Allen Private Bank Child & Co Clydesdale Bank Co-operative Bank Coutts & Co Cumberland Building Society Danske Bank Drummonds at the Royal Bank of Scotland First Trust Bank Halifax Building Society Handlesbanken Holt's HSBC ING Bank Lloyds Bank Lloyds TSB Metro Bank Nationwide Natwest Norwich & Peterborough Building Society Reliance Royal Bank of Scotland Santander The Co-operative Bank Triodos Bank TSB Ulster Bank Unity Trust Virgin Money Weatherbys Bank Yorkshire Bank

Branch Address

Bank Account Name

Bank Account Number

Please enter numbers only, without spaces.

Sort Code

Please enter numbers only, without hyphens or spaces.

Copy of bank statement dated within the last 3 months. Please ensure this document is not password protected. PDF file format only

THIS MUST BE FOR THE ACCOUNT DETAILS PROVIDED IN SECTION 5

Please tick here to confirm you have checked that the bank details provided match the bank statement uploaded above and that the bank statement is dated within the last 3 months. Please also ensure that the document you are uploading is not password protected. Submission of a bank statement not dated within the last three months or having a password protection will result in your application being rejected.

I confirm bank details have been checkedIs this bank statement dated within the last 3 months? Your application will be rejected automatically if it isn't. x

Section 7 - Consent Statements

By ticking this box, you confirm that you consent to the collection and retention of any information you provide on our database. We will use this information to help assess your proposal. We may contact you by post, email, or telephone regarding your application. For full details of how we store and use your data please see our Privacy Policy. 

I agree

We collect your personal information through our website, so we need you to tick this box to say that you have read, understood and consent to our Website Terms and Conditions.

I agree

Because you are asking for, or using a grant from the Trust we need you to tick this box to say that you have read, understood and consent to our General Grant Terms and Conditions.

I agree

To prevent spam responses, what is 5+4?

Please note - You may withdraw your consent at any time by contacting the Trust.

 

The Sir Jules Thorn Charitable Trust is a Charity registered in England and Wales, number 233838

 

Our registered address is 24 Manchester Square, London, W1U 3TH

We can be contacted by:

 

Telephone on 0207 487 5851,

E-mail at [email protected],

Or through our website at www.julesthorntrust.org.uk

Save my progress and resume later | Resume a previously saved form

Contact Information