Gen2 Small Grants
Application Form B - over £500
Contact Information
Are you located within the Diocese of Peterborough?
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Yes
No
Name of your Church or Organisation:
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Address
Street Address
Street Address Line 2
City/Town
County (optional)
Postcode
Main contact for this application:
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First Name
Last Name
Phone:
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Email
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Would you like to be added to the Gen2 Team mailing list to receive further information about children, families and youth ministry opportunities, funding, training and stories?
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Yes
No
If different from applicant, please provide the name of the Incumbent supporting this application:
First Name
Last Name
Incumbent's Email
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About the Project
Project Name
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Total Project Cost
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Requested Amount
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Project Start
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Day
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Month
Year
Date
Project End
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Day
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Month
Year
Date
What is the need you are aiming to address and how will your project help?
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Where will the project operate?
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Where do most beneficiaries come from? Do you have an idea of how many people would benefit from your project?
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What are the long-term benefits that you expect? How will you continue to sustain them beyond the end of the grant period? Have you got a team (paid or volunteer) to support you?
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Optional: Will there be any joint working or partnership with the wider deanery/neighbouring parishes or other local organisations? If so, please give details.
Project Evaluation
What are the specific goals for the project? How will you measure and monitor them?
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Goal
Measure
How will you monitor this?
1.
2.
3.
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Project Costs & Resources:
If available, please list other sources of income for the project and include any match funding you may have.
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Source
Estimated Income
1.
2.
3.
What are your estimated costs? (If employing a member of staff, please list salary, NICs, pension, training, expenses etc. as separate items)
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Expenditure Item
Estimated Cost
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2.
3.
4.
5.
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Please attach a PDF copy of the latest Annual Report & Financial Accounts and minutes of PCC meeting or email discussion agreeing your application. If appropriate, please inform us of any recent expenditure or income which would materially alter the organisation’s financial position.
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I confirm that to the best of my knowledge the information given within this form is accurate.
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Signed by:
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Applicant's First Name
Last Name
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