Expression of InterestCommunity Impact Partnership2019-12-16T16:19:39+00:00 Expression of Interest Save my progress and resume later | Resume a previously saved formResume LaterIn order to be able to resume this form later, please enter your email and choose a password. Your Email: A Password: Confirm Password: Thank you for your interest in applying to CIP. Before completing the Expression of Interestform, we are going to ask five questions to check you are eligible to apply. What type of funding are you looking forPlease select...Repayable Finance (Social Investment)Grant Funding (non repayable)A mix of repayable and grant funding What level of investment are you looking for?Please select...Below £25000Between £25000-£150000Over £150000 Is your organisation fully constituted?Please select...YesNo Does your organisation predominantly work in England?Please select...YesNo Does your organisation have a clear charitable or social purpose?Please select...YesNo Does your organisation reinvest at least 51% of any surplus or profit it makes to further its social aims?Please select...YesNo Page 1About your Organisation Organisation Name Street Address Postal Code City WebsiteContact Information First Name Last Name TitlePlease select...Mr.Ms.Mrs.Dr.Prof. Phone EmailOrganisation Information Legal StatusPlease select...Company Limited by GuaranteeCompany Limited by SharesCommunity Interest Company (CIC) Limited by GuaranteeCommunity Interest Company (CIC) Limited by SharesUnincorporated AssociationCharitable Incorporated Company (CIO)Community Benefit SocietyIndustrial and Provident SocietyLimited PartnershipConsortiumOther Legal Status (Other) Charity Number (If Applicable) Company Number (If Applicable) Date Established Number of Members on Board/Trustees Number of FTE Staff Number of Regular Volunteers Select up to two categories that best describe the sector your organisation works within. Please select...Arts & HeritageChildren Under 16Community-ledCriminal JusticeEducation & SchoolsEmployment & TrainingEnergyEnvironmentFinanceHousingLooked After ChildrenMental HealthOlder PeoplePhysical HealthSocial EnterpriseSportYoung PeopleOtherThis is a pop-up help text. Organisational Sector (Other) Select up to two categories that best describe the focus of your organisation's work.Please select...Addiction issuesAsylum SeekersBAME CommunitiesCarersChildren (0-8)Children (8-16)CommunityCommunity assetsCommunity businessCommunity energyDementiaDestitutionDisabled - learningDisabled - physicalDomestic violence / abuseEnvironmentEx-offendersFamiliesFuel povertyHomelessnessLocal businessLonelinessLong-term health conditionLong-term unemployedLooked After ChildrenMental health needsOlder PeopleOther - please specifyParentsPovertyRefugeesSocietyTenancy sustainmentWellbeing - generalWomenYoung carersYoung enterpriseYoung peopleYoung People NEET Organisational Work Category (Other) Organisational OverviewPlease provide a short summary of the organisation to help us understand who you are and what you do. ‘Has your organisation received repayable finance before?Please select...YesNo If yes, please provide further details. What was the Annual Turnover of your organisation in its last financial year?Where does the organisation currently work? RegionPlease select...EastEast AngliaEast MidlandsLondonNorth EastNorth WestSouth EastSouth WestWest MidlandsYorkshireEngland-wideUK-wide CountyPlease select...BedfordshireBerkshireBuckinghamshireCambridgeshireChannel IslandsCheshireCornwallCumbriaDerbyshireDevonDorsetDurhamEast SussexEssexGloucestershireGreater ManchesterHampshireHerefordshireHertfordshireIsle of ManIsle of WightKentLancashireLeicestershireLincolnshireLondonMerseysideNorfolkNorthamptonshireNorthern IrelandNorthumberlandNottinghamshireOxfordshireRutlandScotlandShropshireSomersetStaffordshireSuffolkSurreyTyne and WearWalesWarwickshireWest Midlands CountyWest SussexWiltshireWorcestershireYorkshireEngland-wideUK-wide Local AuthorityPlease select...AdurAllerdaleAmber ValleyArunAshfieldAshfordAylesbury ValeBaberghBarking and DagenhamBarnetBarnsleyBarrow-in-FurnessBasildonBasingstoke and DeaneBassetlawBath and North East SomersetBedfordBexleyBirminghamBlabyBlackburn with DarwenBlackpoolBolsoverBoltonBostonBournemouthBracknell ForestBradfordBraintreeBrecklandBrentBrentwoodBrighton and HoveBristolBroadlandBromleyBromsgroveBroxbourneBroxtoweBuckinghamshireBurnleyBuryCalderdaleCambridgeCambridgeshireCamdenCannock ChaseCanterburyCarlisleCastle PointCentral BedfordshireCharnwoodChelmsfordCheltenhamCherwellCheshire EastCheshire West and ChesterChesterfieldChichesterChilternChorleyChristchurchCity of London*ColchesterCopelandCorbyCornwallCotswoldCounty DurhamCoventryCravenCrawleyCroydonCumbriaDacorumDarlingtonDartfordDaventryDerbyDerbyshireDerbyshire DalesDevonDoncasterDorsetDoverDudleyEalingEast CambridgeshireEast DevonEast DorsetEast HampshireEast HertfordshireEast LindseyEast NorthamptonshireEast Riding of YorkshireEast StaffordshireEast SussexEastbourneEastleighEdenElmbridgeEnfieldEpping ForestEpsom and EwellErewashEssexExeterFarehamFenlandForest HeathForest of DeanFyldeGatesheadGedlingGloucesterGloucestershireGosportGraveshamGreat YarmouthGreenwichGuernseyGuildfordHackneyHaltonHambletonHammersmith and FulhamHampshireHarboroughHaringeyHarlowHarrogateHarrowHartHartlepoolHastingsHavantHaveringHerefordshireHertfordshireHertsmereHigh PeakHillingdonHinckley and BosworthHorshamHounslowHuntingdonshireHyndburnIpswichIsle of ManIsle of WightIsles of ScillyIslingtonJerseyKensington and ChelseaKentKetteringKing's Lynn and West NorfolkKingston upon HullKingston Upon ThamesKirkleesKnowsleyLambethLancashireLancasterLeedsLeicesterLeicestershireLewesLewishamLichfieldLincolnLincolnshireLiverpoolLutonMaidstoneMaldonMalvern HillsManchesterMansfieldMedwayMeltonMendipMertonMid DevonMid SuffolkMid SussexMiddlesbroughMilton KeynesMole ValleyNew ForestNewark and SherwoodNewcastle Upon TyneNewcastle-under-LymeNewhamNorfolkNorth DevonNorth DorsetNorth East DerbyshireNorth East LincolnshireNorth HertfordshireNorth KestevenNorth LincolnshireNorth NorfolkNorth SomersetNorth TynesideNorth WarwickshireNorth West LeicestershireNorth YorkshireNorthamptonNorthamptonshireNorthern IrelandNorthumberlandNorwichNottinghamNottinghamshireNuneaton and BedworthOadby and WigstonOldhamOxfordOxfordshirePendlePeterboroughPlymouthPoolePortsmouthPrestonPurbeckReadingRedbridgeRedcar and ClevelandRedditchReigate and BansteadRibble ValleyRichmond Upon ThamesRichmondshireRochdaleRochfordRossendaleRotherRotherhamRugbyRunnymedeRushcliffeRushmoorRutlandRyedaleSalfordSandwellScarboroughScotlandSedgemoorSeftonSelbySevenoaksSheffieldShepwayShropshireSloughSolihullSomersetSouth BucksSouth CambridgeshireSouth DerbyshireSouth GloucestershireSouth HamsSouth HollandSouth KestevenSouth LakelandSouth NorfolkSouth NorthamptonshireSouth OxfordshireSouth RibbleSouth SomersetSouth StaffordshireSouth TynesideSouthamptonSouthend-on-SeaSouthwarkSpelthorneSt AlbansSt EdmundsburySt HelensStaffordStaffordshireStaffordshire MoorlandsStevenageStockportStockton-on-TeesStoke-on-TrentStratford-on-AvonStroudSuffolkSuffolk CoastalSunderlandSurreySurrey HeathSuttonSwaleSwindonTamesideTamworthTandridgeTaunton DeaneTeignbridgeTelford and WrekinTendringTest ValleyTewkesburyThanetThree RiversThurrockTonbridge and MallingTorbayTorridgeTower HamletsTraffordTunbridge WellsUttlesfordVale of White HorseWakefieldWalesWalsallWaltham ForestWandsworthWarringtonWarwickWarwickshireWatfordWaveneyWaverleyWealdenWellingboroughWelwyn HatfieldWest BerkshireWest DevonWest DorsetWest LancashireWest LindseyWest OxfordshireWest SomersetWest SussexWestminsterWeymouth and PortlandWiganWiltshireWinchesterWindsor and MaidenheadWirralWokingWokinghamWolverhamptonWorcesterWorcestershireWorthingWychavonWycombeWyreWyre ForestYorkEngland-wideUK-wide Page 2Investment Proposal. Please tell us about the proposal you are seeking funding towards. What is the total amount of funding required? What is the total amount of investment you are seeking from CIP? Where would the work be delivered? RegionPlease select...EastEast AngliaEast MidlandsLondonNorth EastNorth WestSouth EastSouth WestWest MidlandsYorkshireEngland-wideUK-wide CountyPlease select...BedfordshireBerkshireBuckinghamshireCambridgeshireChannel IslandsCheshireCornwallCumbriaDerbyshireDevonDorsetDurhamEast SussexEssexGloucestershireGreater ManchesterHampshireHerefordshireHertfordshireIsle of ManIsle of WightKentLancashireLeicestershireLincolnshireLondonMerseysideNorfolkNorthamptonshireNorthern IrelandNorthumberlandNottinghamshireOxfordshireRutlandScotlandShropshireSomersetStaffordshireSuffolkSurreyTyne and WearWalesWarwickshireWest Midlands CountyWest SussexWiltshireWorcestershireYorkshireEngland-wideUK-wide Local AuthorityPlease select...AdurAllerdaleAmber ValleyArunAshfieldAshfordAylesbury ValeBaberghBarking and DagenhamBarnetBarnsleyBarrow-in-FurnessBasildonBasingstoke and DeaneBassetlawBath and North East SomersetBedfordBexleyBirminghamBlabyBlackburn with DarwenBlackpoolBolsoverBoltonBostonBournemouthBracknell ForestBradfordBraintreeBrecklandBrentBrentwoodBrighton and HoveBristolBroadlandBromleyBromsgroveBroxbourneBroxtoweBuckinghamshireBurnleyBuryCalderdaleCambridgeCambridgeshireCamdenCannock ChaseCanterburyCarlisleCastle PointCentral BedfordshireCharnwoodChelmsfordCheltenhamCherwellCheshire EastCheshire West and ChesterChesterfieldChichesterChilternChorleyChristchurchCity of London*ColchesterCopelandCorbyCornwallCotswoldCounty DurhamCoventryCravenCrawleyCroydonCumbriaDacorumDarlingtonDartfordDaventryDerbyDerbyshireDerbyshire DalesDevonDoncasterDorsetDoverDudleyEalingEast CambridgeshireEast DevonEast DorsetEast HampshireEast HertfordshireEast LindseyEast NorthamptonshireEast Riding of YorkshireEast StaffordshireEast SussexEastbourneEastleighEdenElmbridgeEnfieldEpping ForestEpsom and EwellErewashEssexExeterFarehamFenlandForest HeathForest of DeanFyldeGatesheadGedlingGloucesterGloucestershireGosportGraveshamGreat YarmouthGreenwichGuernseyGuildfordHackneyHaltonHambletonHammersmith and FulhamHampshireHarboroughHaringeyHarlowHarrogateHarrowHartHartlepoolHastingsHavantHaveringHerefordshireHertfordshireHertsmereHigh PeakHillingdonHinckley and BosworthHorshamHounslowHuntingdonshireHyndburnIpswichIsle of ManIsle of WightIsles of ScillyIslingtonJerseyKensington and ChelseaKentKetteringKing's Lynn and West NorfolkKingston upon HullKingston Upon ThamesKirkleesKnowsleyLambethLancashireLancasterLeedsLeicesterLeicestershireLewesLewishamLichfieldLincolnLincolnshireLiverpoolLutonMaidstoneMaldonMalvern HillsManchesterMansfieldMedwayMeltonMendipMertonMid DevonMid SuffolkMid SussexMiddlesbroughMilton KeynesMole ValleyNew ForestNewark and SherwoodNewcastle Upon TyneNewcastle-under-LymeNewhamNorfolkNorth DevonNorth DorsetNorth East DerbyshireNorth East LincolnshireNorth HertfordshireNorth KestevenNorth LincolnshireNorth NorfolkNorth SomersetNorth TynesideNorth WarwickshireNorth West LeicestershireNorth YorkshireNorthamptonNorthamptonshireNorthern IrelandNorthumberlandNorwichNottinghamNottinghamshireNuneaton and BedworthOadby and WigstonOldhamOxfordOxfordshirePendlePeterboroughPlymouthPoolePortsmouthPrestonPurbeckReadingRedbridgeRedcar and ClevelandRedditchReigate and BansteadRibble ValleyRichmond Upon ThamesRichmondshireRochdaleRochfordRossendaleRotherRotherhamRugbyRunnymedeRushcliffeRushmoorRutlandRyedaleSalfordSandwellScarboroughScotlandSedgemoorSeftonSelbySevenoaksSheffieldShepwayShropshireSloughSolihullSomersetSouth BucksSouth CambridgeshireSouth DerbyshireSouth GloucestershireSouth HamsSouth HollandSouth KestevenSouth LakelandSouth NorfolkSouth NorthamptonshireSouth OxfordshireSouth RibbleSouth SomersetSouth StaffordshireSouth TynesideSouthamptonSouthend-on-SeaSouthwarkSpelthorneSt AlbansSt EdmundsburySt HelensStaffordStaffordshireStaffordshire MoorlandsStevenageStockportStockton-on-TeesStoke-on-TrentStratford-on-AvonStroudSuffolkSuffolk CoastalSunderlandSurreySurrey HeathSuttonSwaleSwindonTamesideTamworthTandridgeTaunton DeaneTeignbridgeTelford and WrekinTendringTest ValleyTewkesburyThanetThree RiversThurrockTonbridge and MallingTorbayTorridgeTower HamletsTraffordTunbridge WellsUttlesfordVale of White HorseWakefieldWalesWalsallWaltham ForestWandsworthWarringtonWarwickWarwickshireWatfordWaveneyWaverleyWealdenWellingboroughWelwyn HatfieldWest BerkshireWest DevonWest DorsetWest LancashireWest LindseyWest OxfordshireWest SomersetWest SussexWestminsterWeymouth and PortlandWiganWiltshireWinchesterWindsor and MaidenheadWirralWokingWokinghamWolverhamptonWorcesterWorcestershireWorthingWychavonWycombeWyreWyre ForestYorkEngland-wideUK-wide Describe the project you are seeking investment towards, including why the investment is needed, what it would help your organisation to achieve and what impact it would lead to in the longer term. How would you intend to repay the loan? What stage are you at in the planning process for your proposal? Please select...Idea stageEarly planningWell developedReady to go Do you have a business plan for the proposal? Please select...YesNoThis isn’t required at this stage but if you do have one, it is helpful for us to see it when considering your application How did you hear about CIP? Please select...Referral from Orbit teamReferral from Clarion teamReferral from Peabody teamReferral from L&Q teamReferral from CIP Investment ManagerAccess websiteReach Fund websiteGood Finance websiteWord of mouthCIP WebsiteConversation at an eventOther Describe if heard of CIP from Other/ Conversation at an eventPage 3Attachments Governing Documents Annual Accounts Not available Why can't Annual Accounts be provided? In Year or Next Year Budget Not available Why can't Budget be provided? Safeguarding Policy - Vulnerable Adults Not available Why can't Safeguarding Policy- Vulnerable Adult be provided? Safeguarding Policy - Children & Young Adults Not available Why can't Safeguarding Policy- Children & Young Adults be provided? Business Plan (If Available) Not available Why can't the Organisation's Business Plan be provided? reCAPTCHA helps prevent automated form spam.The submit button will be disabled until you complete the CAPTCHA. Save my progress and resume later | Resume a previously saved formContact Information
