Charity of the Year Scheme Application form - myroyalmail

Royal MailCharity of the Year SchemeMatched Giving Application FormPlease fill in this form to apply for matched giving under the Charity of the Year Scheme. This allows you to claim matchedgiving from Royal Mail equal to the amount you raise for Royal Mail’s Charity of the Year up to £2,500 per individual per year.If you are fundraising for any other charity please complete the Community Support Scheme matched giving application forminstead.Charity of the YearRoyal Mail’s Charity of the Year from 2012 -2014 is Prostate Cancer UK. Royal Mail will match money raised for ProstateCancer UK, penny for penny, up to a total of £1 million, capped at £2500.00 per individual per year.Until the point that colleagues reach our £1million fundraising target for Prostate Cancer UK, you can only apply for matchedgiving for Prostate Cancer UK using this form. Please use the Community Support Scheme form to apply for money you raisefor Alzheimer’s Society and Whizz-Kidz.Once colleagues raise £1 million for Prostate Cancer UK, Alzheimer’s Society and Whizz-Kidz will be included in the Charity ofthe Year Scheme and they will be excluded from the Community Support Scheme.Payroll givingThis form does not enable you to sign up for payroll donations. You must complete a separate payroll giving form if you wouldlike to elect to support the Charity of the Year through payroll. For the first time, Royal Mail will match payroll donations to theCharity of the Year up to £100,000 a year on a first come, first served basis. To Sign up to Payroll Giving go tohttp://www.myroyalmail.com/payroll-giving-form.You need to fill in all of the details on this form or we will not be able to process your request.Please ensure you have read the Charity of the Year Scheme Guidelines before you complete this form.

Matched Giving Application Form Charity of the YearEligibility QuestionsAre you an employee of Royal Mail Group? Yes NoIs this the only application for this event? Yes NoIf you ticked No, please detail any other applications that are being submitted:Personal DetailsPlease enter your details in the fields below. All fields must be completed.Employee Payroll ID:First name:Surname:Work Telephone Number:Work/Personal Email Address:Job title:Work Address:Postcode:Fundraising Event DetailsHow much are you hoping to raise:Date of event:Are you fundraising as part of a team? Yes NoIf you ticked Yes, how many people in your team are Royal Mail employees (excluding yourself):Type of fundraising event:RunningCyclingSwimmingTriathlonWalkingQuizSweepstakeRaffleBake saleOtherIf you chose other please specify the type of event:

Tell us a bit about your fundraising event.How are you raising funds and what is your role?Please tick here if you would like to receive fundraising news from Royal Mail.Please tick here if you don’t want to be contacted about featuring in Royal Mail’s internal and external communication aboutfundraising.Please tick here if you would like to receive more information about becoming a Charity Champion for your site.Please note, unfortunately Royal Mail cannot match money raised using any other online fundraising sites, such as JustGiving.Charity of the Year T-ShirtsTo order Charity of the Year t-shirts for you and your team to wear during your fundraising event contact:Tel: 01795 426 465Email: royalmail@edist.co.ukClaimant’s Declaration:I can confirm that all personal information and event details provided in this application are true and correct. I understand thatany false or misleading statement or significant omission may disqualify me from applying to the matched giving scheme andmay render me liable to disciplinary action where dishonesty, theft or fraud are considered to be gross misconduct and mayresult in dismissal. I consent to the above data being held and processed by Charities Trust for administration and analysis foruse by both Charities Trust and Royal Mail Group.Signature:Date:Line Manager AuthorisationTo the best of my knowledge, the information given on this form is accurate and has been completed by an employee of RoyalMail Group. I confirm that I am this employee’s line manager and that, if appropriate, a risk assessment has been carried out.Print name:Payroll numberSigned:Date:Phone number:Please send the completed and signed form to Charities Trust.Charities Trust, Suite 20-22,Century Buildings,Tower Street,Liverpool,L3 4BJAbout Charities TrustCharities Trust is a registered charity that supports businesses and individuals with charitable giving. Charities Trust operatesRoyal Mail’s matched giving and community grant schemes on its behalf. Contact Charities Trust for enquiries regardingCharity of the Year fundraising, matched giving and our grants programmes. The Helpline number is 0151 284 1221. You canalso send an email to royalmail@charitiestrust.org