Evaluation Form

Evaluation Form
Section 1: Applicant Details
Name*

First NameLast Name
Organisation Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Charity/Company Number
Are you an Ebbsfleet resident?*
If no, where do you live?
Do you have any connection to EGCT trustees or anyone else working for the Trust?*
If yes, please give details

Did you face any challenges during the application and activity period and/or experience any unexpected outcomes (positive or negative)? If so, what were they?*
Was any income gained from your project? If yes, how much and from what aspect i.e an entrance fee.*
On a scale of 1 - 5 how would you rate your involvement with us? 1 poor to 5 very good*

1

2

3

4

5

1 is Poor, 5 is Very good
We welcome any comments (positive or negative) you want to make on any aspect of your involvement with The Community Fund:

Section 6: Declaration and Consent
I confirm that the information given on the evaluation form is true. I confirm that I have attached all required additional documentsI understand this data will be stored and processed in accordance with GDPR
Name of Main Contact*

First NameLast Name
Applicant Signature*

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Date of Submission*

MonthDayYear
Date

Office Use Only:

	Details
Round No:
Applicant Ref No:

Section 1: Applicant Details