OFFICE USE ONLY
Date Application Received
_____________________
(1)
(2)
(3)
Company Match
_________________
_________________
_________________
community group application form
Section 1 – Only one request for assistance per application form
Name of Voluntary/Community Organisation:
......................................................................................................................
Address:
......................................................................................................................
......................................................................................................................
Postcode:
......................................................................................................................
Project name:
......................................................................................................................
Name of contact:
......................................................................................................................
Job title:
................................................................................................................. ….
Tel No:
............................ …….
E-mail:
……………………………… Website
Fax No:
………………………………….
………………………………….
Section 2
Please select from the list below the type of professional support or business advice your group would
benefit from: Only one request for assistance per application form.
Accountancy/Finance
Architectural
Human Resource
Information Technology
Legal Support
Marketing/PR/Design
Quantity Surveying
Strategic/Business Planning
Not sure/Other
Sponsorship or Event Management
Outline below how a business and/or a professional firm could help your organisation. Please be as
specific as possible eg business planning, human resources etc:

.......................................................................................................................................

.......................................................................................................................................

.......................................................................................................................................
Outline the desired outcome resulting from ProHelp support/advice:

.......................................................................................................................................

.......................................................................................................................................

.......................................................................................................................................
Please highlight if there is an expected deadline and why:

.......................................................................................................................................

.......................................................................................................................................

.......................................................................................................................................
To help us process your application effectively, please list below the names of any professional firms
already involved with your organisation (eg accountant, lawyer).
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
Has your management committee authorised you to make this application on behalf of your organisation?
Yes
No (please explain)
......................................................................................................................................
......................................................................................................................................
Would your organisation benefit from a team of business volunteers?
Yes
No
If yes, briefly outline the type of project that a team of volunteers could do i.e. painting & decorating,
gardening, event etc.
. ....................................................................................................................................
......................................................................................................................................
Section 3
How did you hear about ProHelp?
......................................................................................................................................
......................................................................................................................................
How is your group constituted? Tick all that apply. (NB: In order for your application to be considered,
please enclose a copy of your Constitution or Memorandums and Articles or other relevant
documentation)
Registered Charity (N XT17462)
Company Limited by Guarantee [Date of Incorporation _ _/_ _/_ _(dd/mm/yy)]
Constituted Group
Social Enterprise/Social Economy Project/Community Business
Other (Please specify:) .......................................................................................................
When was your organisation established?
......................................................................................................................................
......................................................................................................................................
Please outline the aims and objectives of your organisation
(please enclose any relevant information eg Annual Report)
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
What services do you provide?
(ie training, childcare, employment)
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
Who benefits from the work of your organisation?
(ie women, children etc)
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
What geographical areas benefit from your services?
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
Does your group or activities provided fall in an area identified as:
(Please check all that apply)
TSN
Neighbourhood Renewal
Weak community infrastructure
High Deprivation
How is your organisation funded?
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
Declaration

I consent to the details of our organisation and this project appearing in ProHelp/Business
in the Community publications/website or marketing materials.

I understand that the details provided on the application form may be forwarded to
professional firm members of ProHelp for their consideration in relation to this application.

I understand that the details provided in the application form and during the term of the
project may be forwarded to other organisations for the purpose of external evaluation.

I confirm that the details given are accurate and reflect our current position.

I understand that should ProHelp seek further information, this does not necessarily
indicate a successful application and that when a project application is declined, no
explanation need be provided.

It is also understood that this application form does not form part of any contract to provide
a service. In the event of a successful application, any contract is solely between my
organisation and the firm.
Please attach any relevant information, such as Constitution or Memoranda and Articles, Annual
Report, Business Plan, to support your application.
Signature:
............................................................................
Print Name:
............................................................................
Position:
............................................................................
Date:
............................................................................
Once completed in full, please return the form to the following address:
Kyle Lawlor
Business in the Community
Bridge House
Paulett Avenue
Belfast, BT5 4HD
Tel:
Fax:
E-mail:
(028) 9046 0606
0870 4601731
[email protected]
Please note that completed applications will be accepted by e-mail