Vaccine Inequality Small Grants Application Form

Vaccine Inequality Small Grants Application Form

Thank you for your interest in the Vaccine Inequalities Small Grant. Please complete the application form below, ensuring you have answered each question and provided sufficient detail. You can save your form and return to it- just scroll down to the 'Save' button. Applications for grants can be submitted at any time up until 12 noon on 1st December. We will aim to make a decision as soon as possible, ideally within 7 days dependent on staff capacity. Before completing form, please double check that your proposed project and your organisation are eligible. The project should be completed by 31st January 2022. If you have any questions regarding the application please contact us on support@sparksomerset.org.uk and we will be happy to help.
About your organisation:
Organisation name:
Main contact name *

First Name Last Name
Role within the organisation. *
Email address: *
Phone number: *
Address *

Street Address

Street Address Line 2

Town County

Post Code
Type of organisation

About the project.....
How much money are you applying for? *
Please provide a breakdown of how you will use the money you are applying for: *
Why is your project needed? Specifically, why do the people you're targeting need help/support with regards to COVID-19 vaccination? *
Please describe the project. (What are you planning to do, and what impact will it have?) *
How many people do you hope will benefit from your project? *
How will people know about your project? How will they be referred or signposted? *
What makes your organisation well placed to deliver the project? (Location, expertise, etc) *
Where in Somerset will you target your project? *

Mendip South Somerset Taunton and Somerset West Sedgemoor Countywide
How will you evidence the development and success of the project? How will you know it has been successful? *
The finance bit....

If successful we want to pay your grant money to you as quickly as possible, please complete your bank details to allow us to do this. If you do not have a bank account in the name of your organisation, or if you are an individual, please leave this blank and we will discuss payment with you if successfully awarded a grant
Bank account name:
Account Number:
Sort code:
Date of last accounts:
Total income:
Total expenditure:

Please tick to confirm whether you/ your organisation has the following documents:

Safeguarding policy Constitution or governing document We don't currently have these documents

Submission

Please check details on your form carefully and ensure you have completed all required sections. Click on the link below to carefully read our terms and conditions which will form your grant agreement if you are successful. Please also click the link to our privacy policy detailing how your data will be stored and used.

About your organisation: