Community fund application form

You must read our Terms and Conditions before applying for our Community fund. Click here to read them.
As the application requires supporting documents, we recommend you download the application as a document, fill out your application on there, and save it as you go along.
Once you have completed all sections of the application, please copy your responses into our online form below and click submit.
Please tell us the name of your organisation or the group you are applying for funding for
(max 1250 characters)
Amount you are applying for
(max 1250 characters)
(max 1250 characters)
You should use a range of sources e.g. consultations with key stakeholders/other residents, recent research reports, official statistics, current service demand and evaluations (max 1250 characters)
Estimate of beneficiaries. Please note that you will be required to report on numbers of Origin residents if successful.
Please tick which of the following themes your project meets:

We are particularly keen to receive applications that support our investing in communities’ priorities as part of our Together strategy or tackle the impact of COVID-19.
max 1500 characters
Will you work with others to deliver the project?:

(max 1250 characters)
How will you measure the impact of the project, e.g. feedback forms, etc. (max 1250)
Project expenditure (please list with all the items with description & costs related to delivering the project )
List of funding organisations & amount secured from each.
List of funding in kind & value of secured each.
Please provide the following for your reference: Name, Organisation they work for (organisations only), Contact number, Email, Relation to you/ organisation.
For example Risk Assessment
Public liability insurance, if applicable
For example quotations
Statement evidencing that all staff & practitioners are DBS checked to the required standards for the project being undertaken.
I confirm that the information given on this form and any supporting papers is to the best of my knowledge and belief true and accurate. I understand that if I have given misleading information this will be sufficient grounds for cancelling this application. I consent Origin Housing Ltd using material contained in this application, or in any accompanying documentation, for publicity purposes.