Community Development Fund Application

Name of Organisation/Group *

Please describe why the group was set up in the first place

Project Title *

Name *

Address *

Postcode *

Telephone Number *

Email Address *

Website *

How much money are you requesting from the Community Panel? *

Have you applied to the fund before? *

Yes

No

If YES, were you successful?

Yes

No

What projects did you request funds for?

Is your current application a one-off cost? *

Yes

No

Will further money/income be required at a later date? *

Yes

No

Is the application requesting all of the project cost? *

Yes

No

Please give a breakdown of the total project costs. Please attach copies of quotes, Three quotes MUST be obtained if any individual item costs in excess of £500. Quotes should be inclusive of VAT. *

Please give a breakdown of the project's income e.g. fundraising, grants etc

Project start date *

Month

Day

Year

Project end date *

Month

Day

Year

Please tell us about your project *

Is this a new or ongoing project? If ongoing, when was it set up? *

Please tell us how many local residents you estimate will use the project. Tell us how you know this. *

Are you confident your project is not duplicating other services in the area *

Yes

No

Please tell us about the results of any consultation you have carried out *

How will this benefit our tenants and the wider community? *

What could prevent your group from successful delivery of the project? Do you foresee any difficulties such as local residents not taking part of match funding not being secured? *

If your application is successful, how will you publicise that your project is funded by us? *

If your application is successful what payee name should appear on the cheque? *

Does your project involve working with children, young people (under the age of 18) or vulnerable adults? *

Yes

No

Do all the project workers have an up to date Disclosure Barring Service check? (proof may be required) *

Yes

No

Are there any health and Safety implications relating to this project? *

Yes

No

If YES have you undertaken a Risk Assessment?

Yes

No

Is there appropriate Public Liability Insurance cover? (if applicable)

Yes

No

Signature *

Date *

Month

Day

Year

On behalf of (organisation) *

You are here

Accessibility