St Neots Town Council Grant Aid Application Form
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1ST NEOTS TOWN COUNCIL GRANT AID APPLICATION FORM
Name of Organisation:
Total Membership:
Adult Membership:
Other Members (Children/Families/or please specify………………...…..):
Purpose of Organisation:
Are you a registered charity
Yes/No
Reg. Number
Individual authorised to make this application:
Name of Contact
Position Address of Contact
Post Code
Tel No
(Day)
(Evening)
DETAILS OF APPLICATION -
Amount applied for £
Description of the project seeking financial support:
Estimated Total Cost
£
Additonal Project Funds sought
£
Breakdown
£
Breakdown: Internal Fundraising
£
£
Balances / Reserves
£
£
Grant Aid
£
£
£
Describe the anticipated benefits to the organisation and to St Neots if this scheme is to go ahead.
Have applications been made to any other funding bodies in respect of this project
Organisation
Amount
Date
Result of Application
£
/
/
Approved / Declined
£
/
/
Approved / Declined
Details of any previous assistance received in the last 5 years from funding bodies, including St Neots Town Council
Organisation
Amount
Purpose
Date
£
/
/
£
/
/
CHECKLIST FOR APPLICANTS (For Grants in excess of £100)
Organisation's budget for current year
(
)
Project estimates
(
)
Annual Accounts for last complete year.
(
)
Other supporting information
(
)
Constitution/Set of Rules
(
)
DECLARATION: I have read and accept the terms and conditions under which any grant awarded will be made.
Signed
Position
/
/
Date
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