MEMBERS’ COMMUNITY GRANT
APPLICATION FORM
Please list all Members, their Ward and the Amount of grant applied for.
Member(s)
Ward
Amount Applied for (£’s)
1. Name of Project/Works:
2. Name of applicant:
3. Please give one contact:
Name:
Position:
Address:
e-mail:
Daytime Phone No:
4. Brief Description of Project/Works. Please state how the project helps to
meet the Council’s corporate objectives:
5. Has your group previously applied for a grant from Maidstone Borough
Council? (Please specify date and project name of last grant):
6. When will the funding be required?
7. Is your group able to reclaim VAT?
8. Is there a future cost? If so, how will this be funded?
9. If this is part-funding your project please list the total cost
of the project and provide details of other funding you have or are
applying for.
10. Bank details (account name, sort code and account number):
I confirm that to the best of my knowledge and belief, all the information in
this application is true and correct:
Signed:
Name in
Capitals:
Date:
MEMBERS TO COMPLETE
Declaration of prejudicial interest state ‘None’ if not applicable:
(If you are unsure you have any prejudicial interest, please can you discuss this
with the Monitoring Officer, Patricia Narebor, 01622 602182)
Members Recommendation
I am satisfied that this application meets the criteria of the Members’ Community Grant
scheme, and I therefore recommend this application be accepted.
Signature(s): Date:
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