Grant Application Form

1. Application details

1.1 Organisation name and registered address: *

1.2 Tell us how your group is organised: *

1.3 Project Name: *

1.4 Please indicate which of the following apply to your organisation: *

Voluntary Organisation

Friends Group

Registered Charity (inc. number below, if applicable)

None of the above - please specify

Additional information:

2. Project purpose

2.1 Provide a concise description of the purpose of your project, detailing what it will achieve and how it will benefit your community. What is the evidence of need for your proposal and which groups will benefit. *

2.2 How will you ensure people with different requirements can participate in the project and have continuing access? *

2.3 Where will the project take place? *

2.4 How many residents will benefit from your project *

2.5 Planned project start date: *

2.6 Planned project end date: *

2.7 Where will this project run from? *

3. Funding

3.1 Full cost of project: *

3.2 If you have raised other funds towards your project, or approached others, please list sources and amounts *

3.3 What will you do if you get less funding than you asked for from D&BH Parish Council? Will part or all of your project still go ahead if we are unable to give you all the funding that you have applied for?

3.4 Below, please provide a full breakdown of the project and detail the items you will spend a grant on *

3.5 Give the year and amount of any funding your organisation has received in the last 3 years from D&BH Parish Council. *

4. Strategic value

4.1 Indicate which of the Council’s priorities and aims relate to your project, in accordance with our Business Plan objectives. *

5. Permissions and Insurance policies

5.1 Are external permissions required for your project? e.g. planning permission *

The Business Plan can be viewed on the Parish Council’s website

5.2 Have these been granted? *

Yes

No

N/A

If not, when do you expect to receive it?

6. Declaration

I confirm that: *

I am authorised to sign on behalf of the above named organisation and that any funding will not benefit any individual or private business more than the local community generally and will only be used for the purposes specified in the application.

I will keep appropriate financial records and equalities data records in order to evidence project expenditure and how the funding has benefited the local community and will notify the Downend & Bromley Heath Parish Council once project expenditure has been concluded.

I declare that, to the best of my knowledge, all statements and representations made in connection with the data are true, accurate and correct.

Enter your name *

Position *

Enter your email address *

Date *

Address *

Phone Number *