PARISH GRANT FORM


   ST OSYTH PARISH COUNCIL

GRANT APPLICATION FORM - 2013/2014

The Village Hall, Clacton Road, St. Osyth, Clacton-on-Sea, Essex, CO16 8PE.

Telephone/Fax: 01255 821447.  E-mail clerk@stosyth.gov.uk web address www.stosyth.gov.uk

Please contact Neil Williams, Parish Clerk, on the above address and number, if you require any assistance in completing this application form.

 

1.                  Name of the Project:

 

 

 

2.                  Name of applicant organisation:

 

 

 

3.                  Name and address of contact:

 

 

 

 

            Telephone Number:……………….. E-mail address:……………………..

 

4.                  Status of the organisation:

(please tick as appropriate)

 

            Registered charity                        

            Non-charitable voluntary group

            Other

 

5.                  Nature of the Project:

 

a)     Aims?

 

b)     What is the grant requested for?

 

c)      Number of people likely to benefit

 

d)     Start date for project………………….Expected duration……………………

 

 

 

 

 

6.                  Finance:

 

Please itemise all costs and provide copies of appropriate estimates or price lists.  For projects costing over £1,000 evidence is required that at least three estimates have been obtained.   A copy of your end of year accounts for the last year will also be required.

 

 

 

 

 

 

 

 

7.            Sources of the funding:

 

Please indicate all agencies approached for funding and indicate if requests have been agreed or when you are likely to receive a reply.

 

Fund-raising

 

Private Sector

 

Essex County Council

 

Tendring District Council

 

Others (please specify)

 

 

 

Total Matched Funding

 

 

 

Grant Requested

 

 

Please supply any additional information on a separate sheet

 

Very important – this must be filled in:

 

Who should the cheque be made payable to and address to send to, if your application is successful?

 

 

 

 

 

 

Signed…………………………………Date………………………….

 

Please return your completed form to the above address by Friday 2nd November 2012. Grant applications are considered during budget discussions in late November for payment, usually, the following October 2013.  You will be informed by the end of November if your application has been successful. Please insert an e-mail address if possible.

 


 

 

for Parish Council use only.

 

 

 

 

Date form received at Parish Office

 

 

 

 

All financial information and detail included?

 

 

 

 

Other supporting information included

 

 

 

 

Application considered at meeting on

 

 

 

Result of application

 

 

 

Amount of Grant £

 

Cheque issued

Amount and date

 

 

 

Organisation informed

 

 

 

General Meeting minute number

 

 

 

 

 


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