Fillable Grant Application 2020/21 (Burnham-on-Sea & Highbridge Town Council)

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Grant Application 2020/21 (Burnham-on-Sea & Highbridge Town Council)

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1
Grant Application 2020/21
Once you have completed this application form please enclose the following:
CHECKLIST
A signed and completed application form
A copy of your organisations most recent approved accounts (figures from these
accounts will be made available at the open meeting for discussion)
A copy of your organisations most recent bank statement (for all accounts)
A copy of your organisations governing documents
A copy of the quotation(s) for the project
Please feel free to include any additional information/photographs/sketches
Failure to send all documentation required will result in a delay in processing your application
Please ensure that you have read and understood the Grants Policy located on our
website https://burnham-highbridge-tc.gov.uk/your-council/finances/grants before
completing this application form. All sections of this form must be filled in if relevant to your
application. If the form is incomplete, it may delay the application.
Section One: – Your Organisation and Contact Details
Name of organisation: ……………………………………………………………………………………
Organisation address: ……………………………………………………………………………………
………………………………………………………………Post Code: ………………………………..
Contact Name: ……………………………………………
Position within Organisation: ………………………………………………………………...................
Contact address: (if different from above) .……………………………………………………………
……………………………………………………………….Post Code: ……………………………….
Contact telephone number: …………………………………………………………………………….
E-Mail address: ………………………………………………………………………………………….
If you would like any help or information to prepare your application please
contact the Responsible Finance Officer, Sally Jones:
Telephone: 01278 788088
Email:
Please send completed application form and supporting documentation to:
Sally Jones – Responsible Finance Officer
The Old Courthouse
Jaycroft Road
Burnham-on-Sea
Somerset TA8 1LE
ac
counts@burnham-highbridge-tc.gov.uk
Name of your organisation:
Voluntary Group
Registered Charity Charity number ……………………...
Community Interest Company Company Registration Number…………………….
Other (please specify)………………………………………………………………………...
What is the current membership Adult………………….. Child ……………………
Please list and Burnham-on-Sea and Highbridge Town Councillors associated with your group,
……………………………………………………………………………………………………………..
What are the main activities of your organisation? Include what type of group you are i.e.
residents group, youth group, etc, and explain what your organisation does and its aims
Section Two: – About Your Grant - What would you like the grant for?
Capital Project - please give details of your project
Revenue Grant - to help with running costs
Yes / No - if yes please give details and
provide a Business Plan
Community Event – please give details of your event
Please include: Why you need funding to support your community project. Briefly describe the
project or purpose for which you require a grant. How will it benefit the community or residents
of Burnham and Highbridge? Is it for the benefit of your members, or the wider community? Is it
aimed at a particular group within the community?
2
Who will benefit from the project? Please tick all boxes that apply
Young People Unemployed people Older People
People with disabilities People with low income
Ethnic or minority groups (please specify)
Others (please specify) ……………………………………………………………
How many people from Burnham-on-Sea and Highbridge will directly benefit from your
project?...................................................................................................................
How will they benefit?
3
How will you measure the success of your project? For example: footfall (how will you
measure), positive press coverage (we may expect to see copies), delivered on time, on
budget, increase in membership numbers, etc
When do you intend to start and finish your project? Please note: we will not be able to fund
projects that have already started or completed before the application has been considered.
If building work/improvements are being carried out as part of your application, will this provide
access for people with disabilities – please give details and provide quotes
Section 3: Project costs
Please provide a full breakdown of your project costs
No:
Item Description
Cost
Total Project Cost
£
How much money are you requesting? £……………..
4
As part of the application criteria you will need to indicate if you have applied to or contacted
other organisations for funding towards this project
Funding Organisation
Decision
Amount applied
for
Yes / No / Pending
Yes / No / Pending
Yes / No / Pending
Yes / No / Pending
If appropriate – have the necessary planning consents been obtained for the project, and if so
when (please give reference number)?
of this funding will be required before a grant is paid)
Most recent approved accounts summary.
Opening
Balance
Income
Expenditure
Closing Balance Date of Accounts
£ £ £ £
What happens next, if your application is successful?
Applications for consideration must be received 10 working days before the Policy and
Finance meeting. Please look on our web site for the dates.
The Responsible Finance Officer will write to you as soon as possible after the full Town
Council meeting to confirm if the grant has been approved, and if so, to confirm the amount
agreed and send you a grant monitoring form for your completion.
Cheques or payments will only be made payable to the organisation’s bank account – not an
individual.
Burnham-on-Sea & Highbridge Town Council reserves the right to reclaim the grant in the
event of it not being used for the purposes specified on the application form.
5
No
No
No
No
Please confirm the details of the bank account that you would like the grant to be paid into if
successful-
Name of the Account:
Sort Code: Account Number:
Section 5: Declaration
• I agree that, if successful, the grant will be used conditionally for the purpose for
which it was applied.
• I agree to report back to the Town Council on the success of the project and provide
accounts of how the money was spent.
• I understand that the Town Council reserves the right to publish on its web site the
names of the organisations that have been awarded grants and the amounts
awarded.
• I confirm that the organisation adheres to all relevant legislation and procedures eg
Health & Safety, Risk Assessments, Safeguarding, etc.
• Recognition of the grant must be made in any publicity.
Signed: ………………………………………… Position held: ............................................
(on behalf of organisation)
Print name: …………………………………………… Date: …………………………….
6
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Grant Application 202021 (Burnham-on-Sea & Highbridge Town Council)

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Completed 19 January 2021

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