Barclays 100x100 UK COVID-19 Community Relief Programme: Application form

Barclays will be making 100 donations of £100,000 each to UK charities working to support vulnerable people impacted by COVID-19, and the associated social and economic hardship caused by the crisis.

Funding will be focused on supporting charity partners who are meeting the immediate needs of people in our communities, including low income families, those facing financial hardship, isolated elderly people and key workers.

UK registered charities are invited to apply for a donation to support their relief work by completing this application by the closing date of Friday, 22 May.

Please make sure you have read the Barclays 100x100 UK COVID-19 Community Relief Programme guidelines to ensure eligibility before completing this application.

Organisation contact information

Organisation name *

Organisation address *

Organisation website *

UK registered charity number *

Primary contact name and position *

Primary contact email *

Primary contact phone number *

Organisation background information

1. Is the organisation a UK registered charity? *

Yes

Barclays 100x100 UK COVID-19 Community Relief Programme is only open to UK-registered charities. Thank you. *

2. Please confirm that the funds will be used in the UK *

Yes

Barclays 100x100 UK COVID-19 Community Relief Programme is only open to charities providing immediate COVID-19 relief work in communities across the UK. Thank you. *

3. Has your organisation been subject to any criminal or regulatory investigation within the past five years? *

Yes

4. Does the charity have an annual turnover of at least £1million? *

Yes

To be eligible for Barclays 100x100 UK COVID-19 Community Relief Programme, charities must have an annual turnover of at least £1 million. Thank you. *

5. Please indicate your turnover *

£1 - 5 million

£5 - 10 million

£10+ million

6. How long has the organisation been in existence? *

Less than 1 year

1 - 3 years

3 - 10 years

10 - 25 years

25+ years

7. What is your organisation’s mission statement? If you don’t have a mission statement, please tell us what you do? *

8. Please summarise your organisation’s impact and key achievements in the past twelve months.
Maximum 100 words. *

Donation implementation and impact

9. Barclays 100x100 UK COVID-19 Community Relief Programme will be awarded to the organisations that are providing assistance in five key areas of support. Please select which area of support your organisation will focus on. If you are supporting more than one, please select your top priority area. *

Access to basic essentials such as food

Provision of medical supplies/protective equipment

Access to emergency shelther/housing

Access to physical or mental healthcare

Financial assistance programmes

Other

10. Who are the key populations served by your organisation through this donation? Please select from the following checklist. If you are supporting more than one group, please select your top priority area. *

Healthcare workers

Other essential workers

Low income populations

Families/Children

Ageing populations

11. Please provide an overview of how this requested donation will be used to support vulnerable people and communities impacted by COVID-19.
This should include the aims and objectives of the work that this donation will fund and a summary of the main activities, output and impact.
Maximum 200 words. *

12. Please describe your organisational capacity to deliver this work. Include how you will mobilise your team and resources alongside existing priorities.
Maximum 100 words. *

13. What is the primary geographic area that your organisation will serve through this donation? If you are supporting more than one region, please select your top priority region. *

Nationwide

South East

London

East of England

East Midlands

Yorkshire and Humber

North West

North East

West Midlands

South West

Scotland

Northern Ireland

Wales

Channel Islands and Isle of Man

14. If there are specific locations where you work, please provide more detail here.
Maximum 50 words. *

15. What specifically will the donation be spent on? What is the implementation plan for this work?
Please articulate how the donation will be deployed, including financial details and a simple breakdown of costs.
Maximum 100 words. *

16. Detail the intended results/impact and how you will evaluate your success?
Please provide no more than three expected outcomes.
Maximum 100 words. *

17. Please estimate the number of people you will be able to support. *

1 - 500

500 - 1000

1000 - 2500

2500+

18. What is the expected timeline for the use of these funds? *

Used within 1 month

1 - 3 months

3 - 6 months

19. After the full donation amount has been deployed, what will happen next with this work?
Maximum 100 words. *