Melksham Town Council Grant Monitoring Form

1. Contact Information
Organisation/Group Name*
2. Grant Awarded
Which type of grant are you applying for?*

Core GrantCommunity GrantFacility Hire Grant
Total Awarded:
Date Received:

MonthDayYear
Date
3. Item/Activity

Please give details below of the items or activities funded by this grant
Items and Activities Purchased
Total Amount Spent from Melksham Town Council Grant:
Has the grant been spent in accordance with its purpose as previously approved?

YesNoPartially
4. The Benefit of your grant
Please give details below of the ways in which your grant has been of benefit to the work of your group and how this benefits the community and/or individuals within the Melksham Town Council areas.
How many people in the Melksham Town Council area have benefited from the grant?
5. Additional Information
Is there anything else that you would like to say regarding your grant, the grant application process or means communication regarding your grant?
Upload image of your item/activity

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Date

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Date
Do you give consent for photos to be provided or taken of you and your organisation for use in social media, press releases and future grant marketing

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Would you like your information retained to be contacted about grant opportunities from Melksham Town Council Events

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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
Please verify that you are human*
Should be Empty:

1. Contact Information

2. Grant Awarded

3. Item/Activity

4. The Benefit of your grant

5. Additional Information