Grant Application Form

Grant Application Form

This application form should be used for Grant applications from Leighton-Linslade Carnival, and must be submitted on or before 31st August. Please refer to the Procedures and Guidance Notes documents when completing this form.
Name of Organisation*
Name and address of contact for this application*
Telephone number/s for contact for this application*
Email address for contact for this application*
example@example.com
Status of organisation (if registered charity, please include number)*
Brief description of purpose of group.
How long has the organisation been established?*
Are you part of/affiliated to a larger organisation?*

YesNo
Please provide contact details for an independent referee (someone who knows about the group but is independent).*
Does the organisation have its own bank account with a minimum of two signatories?*

YesNo
Please confirm account name and account details for bank transfer, should the application be successful *
Does your group support (please tick all that apply):

over 55younder 5yo5-18yopeople with special needspeople exclusively within Leighton Buzzard and Linslade
Please give brief reason for application*
How many people in Leighton-Linslade do you expect to benefit ?
I declare that the information given is correct to the best of my knowledge and that any funds received will be used solely by the group detailed on this form.*

please tick
I confirm that I am happy for Leighton-Linslade Carnival to retain this application form and the personal data contained within it, in order to process the grant application. I understand that data will be held securely and not passed on to any third parties. I am aware that the Carnival’s Privacy Policy is available to view on its website.*

please tick
Name of Applicant*
Role in Organisation or group*
Date of Application

DayMonthYear
Should be Empty: