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Grant Application Form (2020/2021)
Project Title
1 Organisation Details:
Organisation Name
Official or registered address
Postcode:
Telephone No:
Name of main
contact
Position
Does this person have official authority to submit this application? Yes No
Address for contact person if different from above
Type of
organisation
VAT registration
number (if any)
Yes* No
Date organisation established or
incorporated
If a Registered Charity, please
give number
Is this application from a consortium of organisations?
*If yes, please list included organisations:
Please indicate which grant
you are applying for
S106 Grant-
Flood Grant-
Community Grant-
E-mail:
Telephone No:
Postcode:
Email:
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Yes No
Yes No
Finish
2 Membership and Usage
Are you a membership organisation?
If yes, is membership open to all?
What is your current membership?
What are the annual membership fees?
3 Project Details
Where will the project take place
When is the project expected to: Start
Please summarise your project (100 words maximum)
Please refer to the grant guidance notes prior to completing this form
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Why is the project needed?
Please give details of any consultation undertaken in planning your project with either the wider
community or target audience for the project eg parish plan or questionnaire
Please refer to the grant guidance notes prior to completing this form
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Please indicate how you will measure the success and impact of your project
How does your project meet the priorities of the Council?
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Please give details of any special fundraising activities for the project
Yes No
Applied for:
(date)
Granted:
(date)
4 For capital projects only
Is planning permission required?
If yes, please indicate status of the
application with dates
Outline, Full, Listed building
Does your organisation own the property for which you are seeking a grant Yes No
Yes No If no, do you have a lease on the property?
Please give the name of the person or organisation who own the building
The length of any lease and unexpired term:
Please refer to the grant guidance notes prior to completing this form
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5 Project Budget
Expenditure - List items of expenditure
Capital Costs
Amount (£)
Total Capital Cost (a)
Revenue Costs (Community grant only)
Amount (£)
Total Revenue Cost (b)
Total Cost (a+b)
Income - please specify how you will pay for the project
Amount (£)
Ryedale District Council Grant required
Own funds
Local fundraising
In Kind (eg volunteer time)
Other
Total Income (c)
Please note, your Total Costs (a+b) must equal your Total Income (c). For Community and
Flood grants, the grant requested must not be more than £5,000 or 25% of Total Costs
(whichever is the lesser) u
nless you are requesting a grant for project costs of up to £1,000.
6 Declaration: I declare that:
The information on this application form and the supporting information enclosed with it is
accurate to the best of my knowledge
The project falls within the organisation's purposes
My organisation has power to accept a grant subject to the grant conditions stated
The application form should be signed by the Chairman or Chief Executive of the applicant organisation*.
Signed Date
Name
Please refer to the grant guidance notes prior to completing this form
*An electronic signature is acceptable and can be entered below:
£0.00
£ 0.00
£ 0.00
£ 13,484.00
click to sign
signature
click to edit
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Checklist
Please check that the following are included with your application
Copy of your constitution, e.g. trust deed, Memorandum and Articles of Association, set
of rules
Two years audited or otherwise certified accounts including your last complete financial
year (if required)
Details of any research, or consultation, which has informed the development of the
project
Evidence of match funding commitments, formal grant offer letters
Two competitive estimates for all capital works
Relevant plans and drawings
Business Plans and Annual report (if required)
Please return completed forms to: grants@ryedale.gov.uk
Please refer to the grant guidance notes prior to completing this form
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