Community Chest - Application form

Community Chest - Application for Funding - 2024

CLOSING DATE for applications - 31st July 2024

Check these four conditions first - see if you are eligible to apply for a grant

i. Your project/event/purchase will predominately benefit a group of people within the LL30 and/or LL31 postcodes

ii. Your group is non-profit making, i.e. a registered charity, a voluntary or community group, or a club or society

iii. You are only seeking a one-off payment (we cannot provide ongoing funding support)

iv. You have got, or will have in place, the correct level of insurance, to deliver the activity you are applying for funding for

Please e-mail copies of any accounts, annual reports, constitution etc that you feel help to support your claim, but this is not essential.

Send to rotaryllandudno@gmail.com

Section 1 - Details of the Applicant

1a Name of group organisation applying for grant

1b. Contact details of person completing the application form

Name

Position

Email address

example@example.com

Phone (s)

Postal address

Section 2 - Group / Organisation details

2a. briefly explain what your group / organisation does (e.g. - youth club, charity) & your aims

2b Registered Charity no if applicable

2c. Does your group / organisation operate from a different address to the contact details above?

If Yes please give details below

Address

Post Code

Phone (s)

Your web address ( or say "none")

Your Facebook page name (or say "none")

Section 3 - Project information

3a Name of proposed project event purchase

3b Which geographical area will the project focus on? eg describe which town/ parish /ward neighbourhood/area?

3c. What do you intend to do with the money if your application is successful?

3d What will be the impact on the community - i.e. what will be the main outcome of the grant?

3e Would you be happy to participate in photos to publicise the project? (Yes/No)

3f. Are there any types of persons who are especially intended to benefit from the project? (e.g. any particular age group/gender/ethnicity/rural/urban/disability groups?)

Section 4 - Financial Details

4a. How much money are you requesting from the fund?(grants awarded are between £100 and £500) £

4b - Who should our cheque be made payable to?

5 How you can help us

We are grateful if you are able to to complete this short survey section to help us improve this initiative and Llandudno Rotary in general. It does not form part of the application and is for information only.

OK to leave 5a and 5b blank if you wish

5a. How did you hear about the Llandudno Rotary Community Chest? Please check all relevant boxes

5b. Tell us if/how we can make this easier

Any comments you care to make about how easy or difficult it has been obtaining and then completing this form may help us to iimprove the process next time round

I declare that to the best of my belief the information submitted on this application is accurate and up to date and agree to notify Llandudno Rotary Club immediately should my/our circumstances or information change regarding this application. I further declare that I/we have read and agree to comply with the conditions detailed below

Full name of main contact person (this counts as your signature to the eclaration above)

Date this form has been completed

Rotary Club of Llandudno

May 2024