Melksham Town Council Grant Application Form

Melksham Town Council is committed to supporting and strengthening our local community. Each year, we allocate a portion of our budget to a grants scheme designed to bring tangible improvements to the lives of residents and enhance community well-being. These grants aim to support local projects, initiatives that contribute to a stronger, more connected, and vibrant Melksham.

Please read the grant application policy and guidance notes, before completing this form.

Please Note - Applications that do not benefit the community and/or individuals based in the area covered by Melksham Town Council will be rejected.

The area covered by Melksham Town Council does not include Bowerhill, Berryfields or surrounding villages, including Semington, Beanacre, Whitley and Shaw.

Following your Application, you are encouraged to attend the Finance, Administration & Performance Committee meeting relevant to your application round. This will allow you to ask and answer any questions in support of your application.
1. Contact Information
Organisation/Group Name*
Contact Name*
Postal Address*
Postcode*
Phone Number*
Mobile Phone Number*
Email*
2. Type of Grant
Which type of grant are you applying for? Please refer to policy*

Core GrantsCommunity GrantsFacility Hire Grants
If applying for a facilities hire grant, please contact Melksham Assembly Hall team or check the Parks and recreation hire policy prior to making this application to obtain a quote for the exact amount your hire will cost for your event.
If applying for a Community Grant, is the maximum that can be applied for is £1000*

YesNo
If Yes, please explain the exceptional circumstances:
3. About your organisation
Please confirm that your organisation has:

Its own bank/building society current account, in the name of the organisation, with two unrelated signatoriesAt least three members on its management committee/boardA written governing document (e.g. a constitution, memorandum, articles of association, set of rules or trust deed
Are you a registered charity ?

YesNo
If Yes please provide your charity number
Is your organisation part of, or affiliated to, a larger organisation?

YesNo
If Yes which organisation:
Please tick the categories that best describe your organisation:*

Charitable OrganisationYouth GroupSenior Citizen GroupSports Club or art groupAdvice OrganisationOrganisation assisting the disabledMinority GroupCommunity BuildingCommunity EventHealth/transport/safety groupOther
4. Aims and Objectives of your organisation
What does your organisation do and how does it benefit the community and/or individuals in the area covered by Melksham Town Council?
5. The Project/Service
Project or Service Name:
Please describe what the funding is being requested for:
What evidence do you have that this project/service is required in the area covered by Melksham Town Council?
What evidence do you have that this project/service is will benefit the community and/or individuals based in the area covered by Melksham Town Council?
What evidence do you have of adverse effects on the community and/or individuals based in the area covered by Melksham Town Council if your project/service does not continue?
6.Beneficiaries
How many people in total will benefit from this grant?
How many of the beneficiaries are residents of the area covered by Melksham Town Council?
Please explain how you calculated the number of beneficiaries within the area covered by Melksham Town Council?
7. Financial Information
Estimated Total Cost of Project?
Grant Amount requested?
What are your current or planned subs/fees/charges?
Please detail all received and applied for grant applications, sponsorship and in kind donations Please refer to the bullet points below for full details of what to include ?
Please note: Melksham Town Council do not normally give grants for running costs unless there are exceptional circumstances.
Please include:
- grants received and applied for from other organisations
- any income received from fundraising
- any exisiting reserves
Please note: projects over £250 must be match funded if you are requesting over £250 (voluntary time can be counted as benefit in kind)
How will you spend the grant money you are applying for?
8. Annual Accounts

Please provide the following information from your annual accounts:
Account year Ending:
Total Expenditure:
Total Gross Income:
Balance at year end:
Savings (Reserves, Cash, Investments)
If your savings are more than your annual expenditure, what are they for?
9. Eligibility

Please tick to confirm that this grant application meets the following criteria
Please tick to confirm that this grant application meets the following criteria*
Is the Grant requested for general or ongoing running costs such as salaries or rent?*

YesNo
10. Additional Information
Has your group/organisation previously received funding from Melksham Town Council*

YesNo
If Yes what year was it awarded?
How much was awarded?
What was the funding for?
Is the funding for security measures?*

YesNo
If Yes, do you have the support of the local police and/or crime reduction officer?

YesNo
If yes please enter the contact name
Name of police or crime reduction officer
Is the funding for work with vulnerable adults or children?*

YesNo
If Yes, do you have the support of either Adult Social Care or Children's Services at Wiltshire Council

YesNo
If yes please enter the contact name
Name of staff at Wiltshire Council
11. Checklist

Please ensure the documents outlined below are attached:
Please note - applications that are missing documents will be rejected unless an explanation is provided for its absence.
Upload a copy of your governing document, (e.g. constitution, memorandum, articles of association, set of rules or trust deed)*

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Upload a copy of your most recent accounts*

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Upload a copy of your most recent bank statement & details of any other investments/savings*

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A copy of your Safeguarding Policy

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A copy of your Equal Opportunities Policy or Statement

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A copy of your Environmental Policy (or evidence of the environmentally responsible and sustainable practices of your organisation.

Browse Files

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12. Bank Account Details
Name of Account
Account Number
Sort Code:
13. Declarations
·       In accordance with the General Data Protection Regulation (GDPR), I/we agree that Melksham Town Council will process and hold personal information about me/us only in relation to my/our grant application.

·       I/we consent to my/our personal information, including that contained within this form, being stored manually and/or electronically. It will be held securely and treated confidentially for 6 years after an application is made.

·       I/we understand that it will only be accessed by authorised staff members to manage the grant application process.

·       I/we also understand that Melksham Town Council may pass details onto an official organisation where required to do so by law or contract.

·       I/we understand that my/our data will be disposed of securely 6 years after the application and that I/we have the right to correct the information at any time.

·       I/we have been made aware of my/our rights under GDPR.

·       I/we declare that the information confirmed in this application is correct and that any grant received will be applied as detailed in the request.

·       I/we declare that I/we have read the Grant Application Policy and that the application complies with the terms laid out in the Policy.

·       I/we declare that I/we have included all the requested information.

·       I/we fully understand that if I/we do not include the requested information and/or if the application does not comply with the policy, the application may be rejected.

·       I/we agree to complete and return a Monitoring Form within 6 months of receipt of any grant funds for consideration by the Finance, Administration & Performance Committee.
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At Melksham Town council we understand the importance of protecting your data. To see how we process, store and look after your data, see our privacy policy on our website, https://www.melksham-tc.gov.uk/ or ask a member of the team to send you a copy. 01225 704187
Should be Empty:

1. Contact Information

2. Type of Grant

3. About your organisation

4. Aims and Objectives of your organisation

5. The Project/Service

6.Beneficiaries

7. Financial Information

8. Annual Accounts

9. Eligibility

10. Additional Information

11. Checklist

12. Bank Account Details

13. Declarations