Application for grants over Â£500 | Clayton Parish Council

Applicant Details

First Name *

Last Name *

Contact Number * Address * Application on behalf of (group name) *

Charity No (if applicable)

VAT No (if applicable)

Grant & Costs

Grant requested *

£

Total Project Cost *

£

Description of project for which you are requesting a grant, including details and costings *

Impact & Funding

How many people do you expect to benefit from the proposed grant? *

👥

What percentage of these people live in Clayton? *

%

How much (per year) do you receive in primary funds?

£

Who provides your primary funds? *

What other grants have you received in the last 3 years (amounts and from who)? *

Accounts & References

Please supply your last balance sheet/audited accounts. If your group is being run or has been running for less than a year, applicants must supply one business and one personal reference.

Business Ref

Personal Ref

Please attach any other relevant information you think is appropriate (insurance, health & safety, planning permission, etc.)

Have you applied to other funding bodies regarding this current application (if yes and successful or not please specify)? *

Yes No

What promotion can the Parish Council expect to receive from this project? * Do you agree to provide evidence that the grant has been used as intended within 4 weeks of the project being completed? *

Yes No

Cheque & Declaration

Name to which the cheque should be made payable * Address where cheque should be sent * Signature of Applicant * Date *