Wychavon Rural Fund Expression of Interest

Wychavon District Council Rural Fund Expression of Interest Form
About You
Name*

First NameLast Name
Email*
example@example.com
Telephone number*
Role in the business/organisation*
Have you used an agent, consultant, or business manager to complete this application?*

YesNo
Do you want your agent to act on your behalf for this enquiry

YesNo
Please provide their contact details [Name/address/email address/phone number]
How did you learn about the Wychavon Rural Grant Programme?

About Your Business or Organisation
Name of business/organisation*
Address of business/organisation*

Street Address

Street Address Line 2

CityCounty

Postcode
Legal status of business/organisation
Please specify
How many employees or members does your business/organisation have?*
What was the turnover/income for your business or organisation in the last full financial year? If not applicable, enter N/A
Which sector does your business/organisation primarily operate in? [If involved in multiple sectors, please select the one that represents the largest portion of your activities.]
Please specify
What are the primary day-to-day activities of your business/organisation?
Is your business/organisation affiliated with any other organisations or businesses?*

YesNo

Have you received public funding in the last three years?*

YesNo

Please enter the following details about any public funding received in the last three years

	Funding Received	Purpose	Amount (£)	Date
Funding 1
Funding 2
Funding 3
Funding 4
Total

Please provide details for the applicable identifiers and reference numbers listed below for your business or organisation. If an identifier or reference number does not apply, enter N/A.
Single Business Identifier
Companies' House Certificate of Incorporation Reference Number
Registered Charity Number
VAT Registration Number
Universal Tax Reference

About Your Project
Project name*
When will your project start?*

DayMonthYear
When will your project finish?*

DayMonthYear
Will your project take place at the address you have given us for your business/organisation?*

YesNo
Where will the project take place and what is the postcode?
Please confirm that the project is in an eligible location*

Yes

Please provide a detailed breakdown of how you plan to fund the project costs, including the amount of grant funding you are requesting.*

	Source of funding	Amount (£)	Status [Secured, applied for, etc.]
Requested Rural Fund
Match Funding
Other Funding 1
Other Funding 2
Other Funding 3

Please describe your project, including what it will involve, the activities to be undertaken, the purpose and need for the project, and how the funding will be utilised.*
What are the expected outputs and outcomes of the project?*
Will your project require planning consent?*

YesNo
IMPORTANT: If you are invited to submit a full application form, please include a copy of the consent. Due to the tight deadlines for projects under the Rural Fund, we cannot accept proposals that require the grant of planning permission.
IMPORTANT: If we believe your project may require planning permission and/or listed building consent, and you have indicated otherwise, we will ask you to provide evidence supporting your claim (e.g., a lawful development use certificate).

Important Information
You should not commence project activity, or enter into any legal contracts, including the ordering or purchasing of any equipment or services, before your application has been formally approved and you have entered into a grant funding agreement. Any expenditure incurred before the approval date is at your own risk and may render the project ineligible for support.

If your project idea is eligible you will be invited to submit a Full Application form. As part of your application you will be required to submit the following, as appropriate:

• Your most up to date full accounts and your most up to date Balance Sheet and Profit & Loss information

• Quotes for the work in line with requirements stated in guidance

• Evidence of match funding

• Evidence of the ability to pay for the project up front until grant is received

• Evidence of planning consent

• Evidence of other consents/licences as needed; including permission for works on rented/tenanted premises

If you knowingly or recklessly make a false statement to obtain grant aid for yourself or anyone else you risk prosecution, the recovery of all grant payments, an additional financial penalty and exclusion from other schemes operated by Wychavon District Council. By submitting this form you are confirming that you have read and agree with the above declarations and you consent to us processing the information that we collect from you in accordance with our Privacy Policy.
Have read and agree with the above statements?*

Yes

Privacy Policy
Your information will be stored and processed in accordance with the current data protection legislation. Wychavon District Council is the data controller for personal data you give to us or we hold about you.

We are subject to the Freedom of Information Act 2000 and other obligations under law which require us to act transparently and which grant certain rights of access to the public to information held by us. This means that, whilst we will respect the sensitivity of the information you provide, there may be legal requirements which oblige us to disclose this information.

We will use the information you provide to administer, process and assess your application for funding under the Rural England Prosperity Fund and the UK Shared Prosperity Fund and to administer any funding if your application is successful. We may publish details about this application on our website (this may include all or some of the project and applicant details).

Information may be shared with other persons or organisations helping us with the assessment and monitoring of applications. Information you provide may also be shared with other government departments, agencies and third parties appointed in connection with the administration of the Rural England Prosperity Fund and the UK Shared Prosperity Fund. Such organisations may use this information to contact you for occasional customer research aimed at improving the delivery of this programme.

Your information may also be shared with other government departments and agencies for the purpose of fraud prevention. The application and evaluation of grant funding is also subject to audit and reviews by internal auditors who may need to access the information you submit in your application.

If you supply personal information relating to third parties (e.g. delivery partners) as part of your application, you must ensure that you inform those third parties about how you use this information and inform them that this information will be passed to and processed by us as set out in this policy.

You may be asked to supply some sensitive personal data as part of your application such as information about racial or ethnic origin, political opinion, religious beliefs, trade union membership, physical or mental health, criminal offences or proceedings. We will only use this information for the purpose of processing your application and for statistical analysis. If it is shared with other government bodies for the purpose of statistical analysis, it will be shared on an anonymised basis.

We will not hold your information for longer than is necessary. We will hold the majority of your information for three years after the programme closure, unless we have a legitimate reason to hold this for longer, for instance in defending any legal proceedings brought by any person or body in relation to your application or any funding we have provided, or as required by law or any relevant code of practice.

If any information that we hold about you is, or becomes, inaccurate or incomplete, please tell us and we will correct it.
Have you read and agree with the above statements?*

Yes
To receive an automated notification confirming receipt of your submission and providing a copy of your answers, please select "Yes" to receiving emails. If you prefer not to receive this notification, please select "No" to receiving emails.
I agree to receiving emails*

YesNo
Should be Empty:

	Name	Nature of affiliation	Total FTE's	Turnover (£)	Balance sheet (£)
Business/ organisation 1
Business/ organisation 2
Business/ organisation 3
Business/ organisation 4

Wychavon District Council Rural Fund Expression of Interest Form

About You

About Your Business or Organisation

About Your Project

Important Information

Privacy Policy