How much are you applying for?
Contact Details
Name of Organisation
Name of Applicant
Organisation address
Correspondence Address (if different)
Applicant’s position in organisation
Daytime telephone number
Mobile number
Email Address
How did you hear about this fund?
About your organisation
Please tell us a little bit about your organisation
About your project and its community benefit
Please provide a breakdown of your costs for the project
Please do not include VAT if your organisation is VAT registered
Type of cost
Total Cost
Total Amount Requested
If yes, how much?
Have you applied for any other funding?
Community Benefit
Project Timescales
When will your project start and end? Please note for small grants, projects must be completed within 12 months.
Start Date
End Date
Please confirm you have the following and provide copies, where relevant:
If yes, please provide your Charity number:
If you are not a registered charity please confirm what type of group you are
Community group with constitution
Community Interest Company (CIC)
Other
Which geographical area are you working in?
St Dennis
Nanpean
St Stephen
Treviscoe
If yes, how many?
How many committee members/Trustees/Directors run your organisation?
Finance
Total income for last year
Total expenditure for last year
Total amount held in any investments or bank accounts (Explain if any monies are set aside/restricted for a specific purpose e.g. a grant from another funder)
Unrestricted funds:
Restricted funds:
Checklist
This application will only be considered if you enclose the following:
A photocopy of your signed, up to date constitution/set of rules
Copy of your most recent accounts (if you produce them)
Bank statement (s) issued within last 3 months
Declaration
To the best of my knowledge all the information I have provided in this application form is correct. The St Dennis and Nanpean Community Trust may request further information, including additional financial records, and/or ask to arrange a visit to your project.
In signing this declaration you also confirm that:
Any funds received will be used solely for the purpose detailed on this form and that the grant will be returned if the specified project cannot proceed. Your organisation’s legally responsible person (Chair/Treasurer etc) along with your board of trustees/directors/committee, are aware that this application is being made.
You will contact the Trust should there be any changes to your project
You understand that, if successful, details of the project may be published by the Trust and that you must include the Trust’s logo on any publicity (including on your website/posters/flyers etc) about the project.
You confirm that you have read and understood the funding guidance notes issued by the Trust
Please read our
Privacy Statement for an explanation on the way the Trust uses and protects any information that the Trust holds on, or is given by, any individual who comes into contact with The Trust.
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