Small Grant or Set up Grant

Crowle and Ealand Town Council
Community Grants APPLICATION FORM –

SMALL OR SET UP GRANT up to £150
Before completing this form please read the Grant scheme Guidance
Section 1

Contact Details
Organisation Name
Your Name

PrefixFirst NameLast Name
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Phone Number

Area CodePhone Number
Email Address
example@example.com
Mobile Number
Organisation website or facebook address
Position in Organisation (eg member, Treasurer etc)
Section 2

Details of applicant organisation
Church or SchoolConstituted GroupNew GroupCompany limited by guraranteeRegistered Charity
Aims of Group
Date Formed

MonthDayYear
Date
What percentage of your members live in Crowle and Ealand
%
No. of people involved in running of club
No of members
Section 4

Project Costs
Tell us how much for your project
Item, activity, or travel costs
Total Cost
£
Item, activity, or travel costs
Total Cost
£
Item, activity, or travel costs
Total Cost
£
Total Cost of All Items
£
Tell us the other organisations from which grant aid has been applied for / confirmed if applicable.
Organisation Name
Amount Requested
£
YesNoOther
Organisation Name
Amount Requested
£
YesNoOther
Amount Requested
£
Total Amount of Grants Awarded
£
Section 5

Financial Need
What are you putting towards the project?
£
Amount you would like from Crowle & Ealand Town Council
£
Tell us how much money you have in the bank across ALL accounts. If more than six months turnover, please explain what this is for

Please upload or post supporting information

Rows	Uploaded	Posted
Copies of most recent bank statements for ALL Accounts
Copies of quote or evidence of prices

File Upload

Cancelof
Section 6

Declaration
- We have read the Crowle and Ealand Town Council Grant Guidance Notes.
- We have read, understood and accept on behalf of the organisation the conditions of grant aid for the scheme to which we are applying and agree on behalf of the applicant organisation to abide by them.
- We understand that any grant offered will only be available for the purpose for which it was approved.
- In signing this form we agree on behalf of the group to retain and made available on request, all receipts or other proof of purchase in order that the Council can ensure the grant was spent in line with the approval given.
Bank Account details you agree for funds to be deposited to
Account Name
Sort Code
Account Number
Signature

Clear
Name

First NameLast Name
Date

MonthDayYear
Date
Should be Empty:

Crowle and Ealand Town Council

Community Grants APPLICATION FORM –

Before completing this form please read the Grant scheme Guidance

Section 1

Section 2

Section 4

Section 5

Section 6