Fillable Community Development Fund Application Form (Llanelli Rural Council)

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Community Development Fund Application Form (Llanelli Rural Council)

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The Community Development Fund Application Form (Llanelli Rural Council) form is 4 pages long and contains:

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  • 90 other fields

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LLANELLI RURAL COUNCIL
COMMUNITY DEVELOPMENT GRANT APPLICATION FORM
Prior to completing this application form please read the attached guidelines to ensure your project
is eligible for grant assistance under the Council’s grant scheme. Please complete in full as
incomplete application forms will not be considered for grant aid. Use only the space provided in
this form, continuation sheets will not be read.
APPLICANT’S DETAILS
HOW LONG HAS YOUR ORGANISATION/GROUP BEEN ESTABLISHED?
Years Months
NUMBER OF VOLUNTEERS INVOLVED IN YOUR
ORGANISATION/GROUP
IS YOUR ORGANISATION/GROUP REGISTERED AS A CHARITY? YES NO
IF YES, PLEASE STATE YOUR CHARITY REGISTRATION NUMBER
PROJECT DETAILS
CONTACT NAME:
ORGANISATION:
TEL:
MOBILE:
EMAIL:
ADDRESS:
………………………………………..
……………………………….…….....
………..…………………………..…..
…….…………………….………..…..
…
WHAT IS THE MAIN PURPOSE OF YOUR ORGANISATION/GROUP?
………………………………….………………………………….……………..…………………………
……….…………………….……………………………………………….………………….……………
….……………..…………………………………………………………….………………………………
TITLE:
DESCRIPTION:
………………………………….………………………………….……………..…………………………
……….…………………….……………………………………………….………………….……………
….……………..…………………………………………………………….………………………………
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………….………………………………………………………………………………...…………………
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LOCATION:
WARD:
HAS THE PROJECT STARTED? YES NO
DOES YOUR PROJECT REQUIRE PLANNING PERMISSION? YES NO
DO YOU HAVE THE NECESSARY PLANNING PERMISSION? YES NO
TOTAL PROJECT COST: (please provide breakdown)
Cost (£)
Item
Cost (£)
Item
………… / …………..………………………
………… / …………..………………………
………… / …………..………………………
………… / …………..………………………
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CAN V.A.T. BE RECLAIMED? YES NO
PLEASE STATE THE AMOUNT OF GRANT SOUGHT FROM
THE COUNCIL (maximum of £3,000)
IS THE PROJECT SOLELY DEPENDENT ON RECEIVING
GRANT AID FROM THE COUNCIL? YES NO
IF THE COUNCIL IS UNABLE TO AWARD THE AMOUNT
REQUIRED, WOULD A SMALLER AWARD BE ACCEPTABLE? YES NO
OTHER FUNDING SOURCES FOR THE PROJECT
SOURCE
AMOUNT
SECURED/APPLIED FOR/TO
BE APPLIED FOR
Please indicate against each source
1 ………………………………………….………… / £…………….. / …………….……………………..
2 ………………………………………….………… / £…………….. / …………….……………………..
3 ………………………………………….………… / £…………….. / …………….……………………..
PLEASE BRIEFLY EXPLAIN HOW YOUR PROJECT WILL HELP PROMOTE COMMUNITY
DEVELOPMENT AND LIST THE BENEFITS:
………………………………….………………………………….……………..…………………………
……….…………………….……………………………………………….………………….……………
….……………..…………………………………………………………….………………………………
….……………..………………………………….…………………….……………….………..…………
………….………………………………………………………………………………...…………………
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START DATE:
COMPLETION DATE:
PROJECT BENEFIT:
WHOLE COMMUNITY
ORGANISATION/MEMBER
INFORMATIVE/COMMEMORATIVE
£
BANK DETAILS
Please provide details of the main bank/building society account held by your organisation into which any
grant monies would be paid:
Please provide details of all other bank/building society account(s) held by your organisation in the box
below:
NAME OF BANK/BUILDING
SOCIETY
NAME ON
ACCOUNT
ACCOUNT
NUMBER
BANK SORT CODE
1 …………………………… / .……………………… / …………………… / ……………………
2 …………………………… / .……………………… / …………………… / ……………………
3 …………………………… / .……………………… / …………………… / ……………………
Any undisclosed sources of finance may render your application invalid. A copy of the latest statement for
each of these accounts, covering a period of at least one month, is requested with the application.
ATTACHMENTS (please ✓)
MANDATORY
ANNUAL/AUDITED ACCOUNTS
CONSTITUTION
BANK STATEMENTS
QUOTATIONS FOR PROJECT ITEMS
IF APPLICABLE
ARCHITECT/CONTRACTOR ESTIMATE(S)
BUSINESS/PROJECT PLAN
STATUTORY CONSENT(S)
PROOF OF OWNERSHIP
DRAWINGS OF SCHEME
PROOF OF FUNDING
INSURANCE INDEMNITY
NAME OF BANK/BUILDING SOCIETY:
ADDRESS:
NAME ON ACCOUNT:
ACCOUNT NUMBER:
BANK SORT CODE:
DECLARATION
We, the undersigned, on behalf of the above organisation declare that:
1. All sources of funds for the project, from whatever source, are declared in the application
and any additional sources of funding that become available in respect of the project will be
immediately declared to the Council.
2. Any misleading information at any stage of the application process, whether deliberately or
accidentally given, may render the application invalid and require the return of any Council
funds.
3. All information submitted in the application and in any supporting document(s) is truthful
and accurate and the Council will be informed if there are any amendments to the
application or any change in circumstances and that we are the authorised individuals
permitted to complete this application on behalf of the organisation.
4. Any organisation awarded a Council grant will be subject to the monitoring policies and
procedures laid down by the Council.
5. Any grant support from the Council must be formally and publicly acknowledged with due
recognition to the Council.
6. All relevant enclosures as requested under the attachments section of the application are
included.
7. The information provided in your grant application will be processed securely and in
confidence by the Council. The information will not be disclosed to third parties. However,
copies of your application form will be shared internally by officers and also distributed to
Councillors serving on the Council’s Grants Panel in order to consider the application
alongside other applications received by the Council. Your information will be kept on file
for a predetermined period after your application has been considered by the Panel. This is
in accordance with the Council’s document retention policy and is necessary to satisfy the
Council’s administrative arrangements and in order to perhaps contact you again about your
application. Further information about how the Council processes personal information can
be found by accessing the Council’s privacy notice.
SIGNED: ……………………………………. SIGNED: ……………………………………...
NAME: ……………………………………… NAME: ………………………………………..
CAPACITY: ………………………………… CAPACITY: …………………………………..
DATE: ………………………………………. DATE: ………………………………………...
Completed application forms to be returned to:
Clerk to the Council,
Llanelli Rural Council
Vauxhall Buildings,
Vauxhall
Llanelli
SA15 3BD
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Community Development Fund Application Form (Llanelli Rural Council)

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Completed 16 July 2020

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