Southern Water Regional Charity Partners

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1 Southern Water Regional Charity Partners Description Southern Water supports up to four charity partners on a one-year agreement based on a fixed grant for a specific project or activity. The purpose of this fund is to support regional charities and promote local pride in Southern Water employees. All UK registered charities are eligible to apply for this partnership. However, they must work within our area of operation (Kent, Sussex, Hampshire and Isle of Wight), must benefit communities as opposed to individuals, must be non-party political and have no religious or racial bias. A successful charity cannot reapply for the position for a minimum of two years following the ending of the agreement. Southern Water is looking for charity partners that will: Demonstrate the ability to deliver a project or agreed activity stream in a year Engage and inspire Southern Water employees, bringing added value to the partnership through volunteering opportunities. Provide opportunities for media, brand enhancement and positive profile The winning charity will: Demonstrate how it will support our partnership criteria Meet quarterly with the Community Campaigns and Engagement Team to review progress on each side In addition to the financial support, our commitment will be to engage staff to bring added value to the project where possible Application Process All applicants must complete an application form on the Southern Water website. We operate to strict guidelines and cannot accept any applications received after the specified deadline. All applications will be judged against the specified criteria of Southern Water and a short list submitted to employees in the specific region for their vote. Following the results of the vote, three or four finalists will be invited to present their case to the Company Charity committee. The decision of this committee is final and there is no right of appeal.

2 Community Partners Programme Funding Application 2016 Applicant information Name of organisation: Address: City: County: Post code: Contact name: Position in organisation: Telephone: Landline: Mobile: address: About your organisation Type of organisation: Registered Charity Charity No: Please note we only support UK registered charities Social Enterprise Other Voluntary Organisation Year founded: Website: Are all staff CR checked? Yes No Please provide a copy of your Child Protection Policy if appropriate Please provide a summary of the work of your organisation:

3 How many people currently benefit directly from the services/activities you provide? Who are your current major funders? Please provide a summary of key achievements to date. (Max 250 words) About your area and local community What are the main issues you face in the communities/areas in which you work?

4 Your funding application Describe the project for which you require funding (Project must be delivered in 12 months and demonstrate links to Southern Water activities) Please provide a detailed breakdown of the funding required If this is a new project/service, how have you assessed the need for funding

5 Partnership working How will you engage with Southern Water employees e.g. volunteering opportunities? How will you enhance the profile of the partnership? Are you working with other local organisations? Yes No If yes, re these partnerships confirmed and have you worked with them before? Funding the work Southern Water Community partnership funding is available as follows. What is the amount you are requesting? 1,000 2,000 3,500 5,000 10,000 What is the total cost of your project? Have you secured any additional funds?

6 Measuring success What milestones have you set for judging the success of this project? How will you sustain the project in the long term? Declaration and signature I declare that the information I have given in this applications is true and accurate to the best of my knowledge. I understand that knowingly providing false information will invalidate this application and may result in the requirement to repay any bursary that may be made. I confirm that if any bursary is made by the BACC Bursary to us, it will be used for the purposes described in this application. Failure to do so may result in the requirement to repay the bursary. Signature of Project Director: Signature of Chair of Trustees: Date: Date: Please return this form together with your latest report/accounts preferably to our address: community@southernwater.co.uk. The deadline for returning applications is 24th May a 04.16

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