Jack Petchey Achievement Award Grant Repayment Request

Jack Petchey Achievement Award Grant Repayment Request
Use this form to request repayment of your JP Achievement Award Grant. Please make sure to fill in all the information correctly, including the Group/Unit bank account details. You must upload copies of receipts that show the spend.

In line with Scout POR, payment will ONLY be made to a Scout Group/Unit Bank Account.

We would also like to promote our winners on the County Website. If you are happy to be part of this, then please upload a photo of the winner and young people enjoying what the grant was used for along with a brief write up.

DATA COLLECTION & PROCESSING
The data collected on this form is solely used for the administration of the Jack Petchey scheme. Deatils of those nominees that win an award will be sent to Jack Petchey for reporting purposes to ensure that South London Scouts are operating the scheme correctly, and to enable winners to be invited to relevant Celebration Events.
I have read and understood the information regarding grant spend requests and Data Collection and Processing

Grant Repayment Request
YOUNG PEOPLE AWARD GRANTS
The maximum grant amount for Young People Awards is £300 (or £600 if combining with another winner), and any amount in excess of this will need to be paid for by other means.

ADULT AWARD GRANTS
The maximum grant amount is £1000, and must benefit more than one young person. The total cost of your event/project must not exceed £5000. Grants cannot be used to pay for events/projects that have already taken place.

IN LINE WITH SCOUT POR, PAYMENT WILL ONLY BE MADE TO A SCOUT/UNIT REGISTERED BANK ACCOUNT.
Date Award Received
e.g. May 2024
Total grant repayment requested*
Adult Award Reference Number*
found on your award confirmation email
Please upload copies of the receipts to support the grant spend*

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Name of group/unit bank account for repayment*
e.g. 1st South London
Account number for repayment*
Account sort code for repayment*
Please upload any pictures that may be used on the County Website to promote the Jack Petchey Scheme

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Please provide a brief description to go with the picture/s uploaded*
How has the grant made a difference to the Young People?*

Details of Person Completing Grant Request

For Scouts and Explorers, we would suggest that this is their Section or Group Lead Volunteer. For Network and adults we would suggest that this is completed by the winner. We need these details to send the authorisation to spend to.
Your name*

First NameLast Name
Your phone number*

Area CodePhone Number
Your email*
example@example.com
Your Scouting role and/or your relationship to the person being nominated*
Should be Empty:

Details of Award Winner