Grant Application Form

SCOTHERN PARISH COUNCIL

GRANT AID APPLICATION FORM

 

 

 

Name of Organisation

 

Name of Project

 

Address of Organisation

 

Name, Address,

Phone No. & email

of authorised contact

 

 

Status of the Organisation

Registered charity number

 

Non charitable voluntary group

 

Other

 

Project aim?

(continue on separate sheet if necessary)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What is the grant requested for?

(continue on separate sheet if necessary)

 

 

 

 

 

 

 

 

Number of people likely to benefit?

 

Start date for project

 

Expected duration

 

Please itemise all costs and provide copies of appropriate supporting paperwork.  For grant applications over £1000 evidence is required that at least three estimates have been obtained.  A copy of your last audited end of year accounts will also be required.

 

 

 

Sources of Funding

Fund-raising

 

Private sector

 

County Council

 

District Council

 

Other (please specify)

 

TOTAL MATCHED FUNDING

 

GRANT REQUESTED

 

To whom should the payment be made payable if your application is successful?

 
   

Signed

 

Position in Organisation

 

Date

 
       

 

Send to: Scothern Parish Council, 13 The Close, Sturton By Stow, Lincoln, LN1 2AG or

clerk@scothern-pc.gov.uk

Please return your completed form to the above address/email before 30 September if your application is in excess of £250.00.

Grant applications are considered during budget discussions in November, for payment in the following April. You will be advised by February if your application has been successful.

Organisations receiving grant aid of more than £500 will be required to provide a brief report to council showing how any funding has been used, together with sight of any supporting paperwork requested.