Community Grant Scheme – Application Form

1. Name of Applicant *

2. Name of Organisation & Address *

3. Summary of Aims & Objectives / Nature of Organisation *

4. Registered Charity Number (if applicable)

5. Date Organisation Set Up

6. Purpose for which the grant is required and the benefit to the residents of the Parish *

7. Estimate the number of residents in the Parish that could benefit *

8. Is this a one-off or on-going project? *

9. Total Cost of Project (£) *

10. Amount Requested in this Application (£) *

11. Please provide a budget breakdown including all sources of funding *

12. Date the project/work will start *

13. Expected completion date (if applicable)

14. How will success of the project be measured? *

15. Date of Application *

16. Please also submit two years of accounts and a bank statement showing current balance

17. Please use this section to add any other relevant information