Community Grant Application Form

Should you require any assistance in completing this form please contact Peter Banford on 01562 733036

Section A

Applicant Details

Are you a first time applicant?

Yes No

A1. Organisation/Group Details

Name:

Address:

Post Code:

Phone:

Mobile:

Email Address:

A2. Applicant/Contact details (if different from above)

Name:

Address:

Post Code:

Phone:

Mobile:

Email Address:

A3. What type of Organisation/Group are you?

Tenant Group
Volunteer Group
Community Organisation
Registered Charity
Other

Other, please specify:

Section B

Project Details

B1. When will your project start?

B2. Please give a brief description of your project. If you are using the grant to purchase equipment you will be required to provide three quotes.

B3. How many people will benefit from this project?

B4. Approximately what percentage of the project beneficiaries are Wyre Forest Community Housing Tenants? (should not be less than 70%)

B5. What geographical area does the project cover?

B6. How do you know there is a need for the project?

B7. In what ways will the project benefit members of the community?

B8. Please give a brief description of the projects estimated outputs and an approximate date when you expect these to be achieved?

B9. What will happen to the project if your application is not successful?

B10. How will you ensure that the project is publicized and that it is available to all potential users?

B11. Wyre Forest Community Housing is committed to equal opportunities for all. How will you ensure that all members of the community will have access to your project.

Section C

Monitoring and Evaluation

C1. How will you monitor and evaluate your project?

C2. How will you use this information to adapt and develop the project?

Section D

Project Finances

Project Budget

D1. Amount of grant applied for in £'s

D2. Other sources of funding, if any in £'s

Total project cost in £'s

D3. When do you require the grant?

D4. When will the grant be spent?

D5. If the project is to continue after the grant period how will future costs be financed?

D6. If the project is to end after the grant period have you an Exit Strategy? If yes please give details

Community Grant Application