Grant Application

LUSH Thailand Charity Pot

Grant Application Form
Welcome to the LUSH Thailand's Charity Pot grant application form!

Before you fill in this application form, there's some information you'll need to help you answer some of the questions. Just expand each of the headings below to see what you'll need to provide.

Organisation Details
You will need to tell us a bit about your group. Some basic information, such as the group's name, address, and charitable status etc., as well as some detailed information, such as your total annual income and expenses, if you have staff, how many staff you have, and your group's background and mission statement. If you are a new organisation, you should provide a background for the main individuals in the organisation.

Project Details
Think carefully about what you are planning, as you will need to submit a clear, focused and well-defined project plan. You will need to know how much funding you need, and when you need it by, and whether you could accept a partial award, if we were unable to fund the full amount. You will also need to tell us what you want to do, why you think it’s needed, where and when your project is going to take place, and who or what your project benefits, and to think about what other groups you might be overlapping with or working alongside. You can also include any web address links to any supporting documentation - for example, film trailers, photo's, online articles.

Budget
You will need to submit a budget for your project that clearly demonstrates in detail how you will spend the funds. Avoid generalised costs, for example ‘admin costs’ or ‘campaigning costs’ - this needs to be broken down into the constituent costs that make up this total. If you are budgeting to purchase an asset (e.g. a heater, a tent, a bicycle) indicate how many you are buying, and what will happen to all assets once your project is complete. If you are purchasing travel, indicate who is traveling and how (e.g. train, car etc.).

Bank Account
Grants cannot be paid into personal bank accounts, for example, an account held in the name of an individual (Mr. B Smith). Grants can only be paid into an organisations' bank account. This is an audit requirement and demonstrates your commitment as a group/project. However, if there is a particular issue preventing you from obtaining a group bank account, in exceptional circumstances you may be able to nominate an affiliated organisation to receive transfers on your behalf (a fiscal sponsor) - if you are unsure please email charitypot@lush-thailand.com to discuss options. You will need to take extra care inputting the details for your bank account, as errors can significantly delay your application, and can result in failed payments, or application rejection.

Referees
Each application must be submitted with the full details of two referees. A referee must be independent of you/your group, but able to comment with experience and expertise on the activities, successes, and challenges your group faces. Your referee cannot be a funder, employee, volunteer, founder, or trustee in your group. Their email address should be an oranisational one (e.g. @greenpeace.org), and not a private email address (e.g. @gmail.com, @yahoo.com). They also cannot be financially dependent on your group or know you only because of providing funding. However, providing referees from groups working in a similar field who have a good vision of your work, is a wonderful opportunity to demonstrate how connected your group is to the wider community.

Next step!
Don't forget to come back here and fill out the form when all information is collected.
Before you fill in our application form, we just need to check a few details, to make sure that you meet our funding guidelines. Please tick each of the below eligibility statements to confirm that they are TRUE.

Each of the following statements must be ticked as 'true' to proceed.
Eligibility Statements*

You have read and understand the Application GuidelinesYour application does relate to the fields of - Animal, Environment, or Human RightsYour group is does not promote either military or religious perspectives/actionsYour group does not harm animals (incl. farming, working or exhibiting)Your group is not in any way linked to animal testing or medical research on animalsYour group is not a religious organisation, school, government body or military groupYour group is registered as a charity in ThailandYour application is not for salary costsYour group does have a group bank account

Your Details
Full Name*
Primary Phone No*
Alternative Phone No
Primary Email*
Alternative Email
Your role/relationship to the group applying*
e.g. - Fundraiser, Founder, Campaigner, Treasurer, Volunteer

Group Details
Name*
Name of your group
Website
Social Media
e.g. Facebook, Twitter, Instagram
Group Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of Paid Staff*
Please indicate the number of paid staff. If you have staff that job-share a single role, please count them as a single member of staff. If a member of staff is part-time, please count them as one member of staff. If you do not have any paid staff please put '0'.
What type of organisation are you?*

Charitable Incorporated Organisation (CIO)Community Interest Company (CIC)Limited Company (Ltd)Non-Government Organisation (NGO)Not for Profit OrganisationRegistered BusinessRegistered CharityUnregistered

Group Finances
Annual Income*
All figures should be in THB (Thai Baht). If you do not have exact figures please provide an estimate. If you do not have any financial history, please enter '0'.
Annual Expenses*
All figures should be in THB (Thai Baht). If you do not have exact figures please provide an estimate. If you do not have any financial history, please enter '0'.
What are your main sources of income
Please provide details of the primary sources of your income - e.g. Grants, product sales, sponsorship, membership, invoicing for services etc.

Group Background
Your Mission Statement (max 100 words)

Tell us what your groups values and aims are.0/100
Your background (max 150 words)

How did your group start? How has it evolved?0/150

Project Details
Which Funding area are you applying for?*

AnimalsEnvironmentHuman Rights
Amount Requested
Is a grant required by a set date?

YesNo
Project Name (max 100 characters)*

0/100
Project Summary (max 100 words)*

0/100

Project Description
WHAT are you planning to do? Please describe, in detail, what you will be doing in this project. What are you hoping to achieve? Are you planning campaigning, education, intervention, welfare/support etc? (400 words max)*

0/400

Why is your project needed?
WHY is your project needed? Are you addressing a problem that has root causes? - if so, what are they? Are there factors that have created the need for your project? Why have your group decided to undertake this project? Is there a wider context to your project? (150 words max)*

When will the project take place?
WHEN will your project take place? When do you plan to start? How long will it last? Is it a fixed date? Why have these dates/time-frames been chosen? (100 words max)*

0/100

Who/What will benefit from the project?
WHO or what will benefit from this project? Please describe what target group will benefit from your project? Is there a particular community, space, environment, species that your project will benefit? Do you know how large your target audience is? Do you know how much of your target group you are likely to reach? (100 words max)*

Is anyone else doing this?
Are there any other groups working in this area/field? Will your work be duplicating/overlapping with other organisations? Are you partnering with others to deliver your project? (100 words max) *

Budget
Type your budget into the text field below*
If you need to submit a spreadsheet, or use columns to display your budget, you can upload the file below.
Could you accept partial funding?*

YesNo
Supporting Documents

Are there any additional suppporting documents you would like to supply? These are not required, but if you would like to provide additional details, please do so using the UPLOAD button below.
UPLOAD

Cancelof

Bank Details
Grants cannot be paid into personal bank accounts, for example, an account held in the name of an individual (e.g. Mr. B Smith). Grants can only be paid into an organisations' bank account. This is an audit requirement and demonstrates your commitment as a group/project. However, if there is a particular issue preventing you from obtaining a group bank account, in exceptional circumstances you may be able to nominate an affiliated organisation to receive transfers on your behalf (a fiscal sponsor) - please email charitypot@lush-thailand.com to discuss options.

The bank details you supply will only be used for the purposes of paying on a successful grant. This information is treated as confidential and encryption is used to ensure that the details you submit are secure.

Bank Details
Is your Bank Account based in Thailand?*

YesNo
Account Name*
The name the account is held in. Typically the name any bank correspondence is addressed to. For example, 'Campaign for Climate Change Resources', 'Shout it Loud'.
Bank Branch*
e.g. Bangkok Bank, Kasikorn, SCB, etc.
Account Number*

References
A final decision cannot be made on a successful application until we have contacted two references. This ensures that we can verify the work you do, talk to others about the contributions you are making, and it's also a great way of demonstrating how connected your group is to the wider community.

Can't decide who to pick?

A referee needs to be independent of you and your group, and able to comment on the activities, successes, and challenges your group faces. This means a referee can't be an employee, volunteer, founder, trustee, financially dependant on you or the group, or known to you only as a funder.

First Referee
Name*

First NameLast Name
Organisation/ Group*
Is this group an NGO?*

YesNoNot sure
Role
What position do they work in? for example - vet, project coordinator, outreach volunteer, inspector
Relationship with your group
How is this referee connected to you? What work do they do that causes them to know what you do? for example - do they undertake work for you? do they refer cases to you? do they work in the same field and share resources with you?
Primary Phone No
Alternative Phone No
Primary Email*
Email addresses should ideally be organisational addresses (eg. @charityname.org), and not personal ones (eg. @gmail.com, @yahoo.com etc).
Alternative Email
You can provide an alternative, second email address, however, it is not a requirement

Second Referee
Name

First NameLast Name
Organisation/ Group*
Is this group an NGO?*

YesNoNot sure
Role
What position do they work in? for example - vet, project coordinator, outreach volunteer, inspector
Relationship with your group
How is this referee connected to you? What work do they do that causes them to know what you do? for example - do they undertake work for you? do they refer cases to you? do they work in the same field and share resources with you?
Primary Phone No
Alternative Phone No
Primary Email*
Email addresses should ideally be organisational addresses (eg. @charityname.org), and not personal ones (eg. @gmail.com, @yahoo.com etc).
Alternative Email
You can provide an alternative, second email address, however, it is not a requirement

Declaration
I confirm that I am both a member of this group and part of their organisation and authorized to submit this application on their behalf. I certify that the information given in this application form is correct to the best of my knowledge. I can confirm that any money donated by LUSH will only be used for the purpose set out in this application form and will not be used for unlawful purposes. I also confirm that my group: does not promote violence, aggression or oppression towards others (we will only supply for non-violent direct action groups); does not deny the human rights of others; is not involved in the cruelty or subjugation of animals, including testing on animals for research; does not force or coerce others to change their beliefs; harbour racism, prejudice, or judges others on anything other than their actions; and has made every effort to be environmentally responsible. I am aware that the information used on this form is gathered and retained purely for the purpose of administering grant applications and paying successful applicants. And that I can request for any personal data to be removed or deleted by contacting charitypot@lush-thailand.com
Signature

Clear

Privacy
Personal Data

LUSH believes that data belongs to the person it relates to and that everyone has the right to privacy, and the right to control what their data is used for

Any personal data you provide in this application form is treated as confidential and handled securely. It is only shared with members of the LUSH Thailand Charity Pot team and Decision Panel Members, for the purposes of administering grants.

All personal data is automatically deleted after 7 years; however, you can ask for your personal data to be removed earlier by emailing charitypot@lush-thailand.com
Application Data

All application data is treated as confidential and handled securely. However, there are occasions where we may be able to pass an application, which does not fit our guidelines, across to another affiliated donor, grant giver or LUSH fund that may be a better match. We will only do so if you are happy for your application data and details to be shared.
Can your data be shared with affiliated donors, grant givers, or other LUSH funds, if your application does not match our guidelines*

YesNo
If your application is successful, we would love to include brief details about your group in our online and printed communications. This would include automatically listing your group name and URL on our website, and letting our LUSH staff know limited information about your group and the project you have been funded for.

However, any editorial content such as online articles, social media posts or publicised communications would only be written in conjunction with you and only with your approval.
Do we have your permission to put brief details of your group in our online and printed communication?*

YesNo

Feedback
We'd love to get your feedback on how you've found this application? Where did you hear about us? And how we could make things better or easier for you? Is there anything you struggled with? or anything you found beneficial? Any feedback you give is only used to improve our processes and does not impact on any decision about your application.
How did you hear about LUSH Charity Pot grants?

Applied PreviouslyAnother ApplicantOnline SearchWord of MouthLUSH WebsiteOther
Is there any feedback you'd like to give us?
Should be Empty:

LUSH Thailand Charity Pot

Your Details

Group Details

Group Finances

Group Background

Project Details

Project Description

Why is your project needed?

When will the project take place?

Who/What will benefit from the project?

Is anyone else doing this?

Budget

Bank Details

Bank Details

References

First Referee

Second Referee

Declaration

Privacy

Feedback