By filling in this form, you agree that your details will be passed on to The Co-op Foundation to support the assessment of your application. Your applications will also be shared with representatives of Omidyar Network and Federation. We will only use this information for this purpose and will not pass it on to any other third parties. You can contact us about your data at any time sam.freston@coop.co.uk or writing to the address below.

Co-op Foundation
1 Angel Square
Manchester
M60 0AG

If you have any questions regarding this application form, please contact omidyar@coop.co.uk

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* 1. What is your organisation's full legal name?

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* 2. Tell us if your organisation uses any other 'working name'

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* 3. What is your organisation's registered address?

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* 4. Registration number (e.g. company or society number)

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* 5. Details of charitable status, if applicable

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* 6. When was your organisation established?

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* 7. How many people work in your organisation?

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* 8. How many co-working desks do you need? (Up to a maximum of 4)

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* 9. When would you ideally like to move to The Federation?

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* 10. Please provide your contact information

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* 11. Please let us know why you have decided to apply for desk space at the Federation and why you are a suitable organisation

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* 12. Please supply your governing documents (e.g. Rules or Articles of Association )

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* 13. Please provide your business plan. (This can be in any format or level of detail, but must cover your mission, values, social impact, key people, plans for community involvement and financial projections)

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 14. If you have been established for more than 1 year, please provide your latest set of accounts

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