Grant Application

1. YOUR CONTACT DETAILS

Your name

Name of your organisation

Name of your organisation's project (if this is different)

Your position in the organisation

Your address, including your full postcode

Your telephone number

Your email address

2. YOUR ORGANISATION

What type of organisation are you?
Registered charityVoluntary organisationCompany limited by guaranteeOther (please specify)

Additional information (charity registration number, company number or more details if you ticked "Other")

When was your organisation established?

Briefly describe the purpose of your organisation. If you are a new organisation, describe the services or activities you plan to provide.

If you are a subsidiary of a larger organisation, please enter the name of that organisation.

If your organisation has an agreed Constitution or Memorandum of Association please upload a copy here

If you have applied for and received funding from Gilberdyke Parish Council in the past please provide details of the amount, the year and briefly describe what the funding was used for.

3. DETAILS OF YOUR PROJECT, SERVICE OR ACTIVITY

Describe the project, service or activity you plan to use this grant for, including specifics about what you will do and how you will do it.

What is the time scale for your project, service or activity?

Please state how you know that the people in your community want this project, service or activity and what difference you hope the grant will make.

Describe the anticipated benefits to your organisation and to this parish if this project, service or activity is to go ahead

How many people from the parish do you expect to benefit directly from your project, service or activity?

What is the:
total amount of funding you need for your project?

amount of grant requested from Gilberdyke Parish Council

Please provide an analysis of your calculations and upload any relevant estimates or details.

If the grant awarded exceeds £500 a written report of how that money has been used must be provided to the Parish Council within six months of the grant being awarded.

4. FINANCIAL INFORMATION

Please provide the following details from your most recent annual accounts:

Total Income

Less Total Expenditure

Surplus / Loss

Savings (Reserves, Cash, Investments)

If the grant that you are requesting exceeds £500 then you must provide a copy of your most recent annual audited accounts or, in the case of newly established organisations, the projected income and expenditure for the next twelve months.

Please provide your bank or building society account information:

Name on account

Name of bank or building society

Sort code

Account number

Number of signatories

You can only apply for grant if you have a bank/building society account in the name of your organisation. We will only pay grants into an account which requires at least two people to sign each cheque or withdrawal. These people should not be related.

Applications for grants between £501 and £10,000 open on 1 April and close on 30 June.

Applications for grants of £500 or below open on 1 September and close on 31 November.

5. DECLARATION

"I confirm that, to the best of my knowledge and belief, all the information in this application from is true and correct. I understand that you may ask for additional information at any stage of the application process."

By checking this box and submitting this form you are confirming the declaration above

6. COUNTERSIGNATURE

Please provide the name and contact details of a senior member of your organisation. For example, this may be your Chairperson, Treasurer or Secretary. It cannot be the same person who has completed the declaration.

The Clerk will send them a copy of this application to counter-sign.

Name

Postal address

Email address