North York Moors National Park Authority

North York Moors National Park Authority

APPLICATION FORM(2018/19)

You must read the ‘Guidance for Applicants’ before completing this form.

Date:
Project title:
Project location:
Organisation name:
Charity registration number or Business registration number: (if applicable)
VAT registered: (please tick) / YES / NO
Address:
Tel no:
Email:
Website:
Main contact name:
Position within organisation:
Address:
Tel no:
Email:
Please provide a brief description of your project.
If you’re applying for grant towards one or more elements of the project rather than the whole project please identify which elements these are.
Please state which of the Community Grant’s priorities your project will fulfil, and justify how?(see Guidance for Applicants)
Estimated total project costsYou MUST provide costs or quotes as set out in Guidance for Applicants
Include VAT in all your costs IF your organisation cannot reclaim VAT / Breakdown of Project Costs:
TOTAL PROJECT COST = / £
How much funding are you applying for from this Grant?
NPA funding is only available for up to 70% of total project costs,up to a maximum of £5,000 / AMOUNT OF GRANT REQUESTED = / £
PERCENTAGE OF TOTAL PROJECT COST =
Please provide details of the other sources of funding for your project and provide a copy of any grant offers.
Please provide a cash flow forecast.
Please note that grants can ONLY be claimed once the work has been invoiced and paid.
Please let us know if you will need to make interim claims and when.
Please outline the community benefit that will be achieved by your project
Please detail the local community support for your project, including any voluntary contributions of labour etc.You MUST attach written support from at least one other community group, e.g. Parish Council, Youth Club.
Please detail what permissions are needed and provide copies. Please note it is your responsibility to get these permissions.
Project completion date (must be before 31 December 2018)
Please let us know how you heard about the Community Grant.

Please return this Application Form and supporting information to Rachel Smith

By email:

By post: Conservation Department, North York Moors National Park Authority,

The Old Vicarage, Bondgate, Helmsley, York, YO62 5BP

For Applicants - checklist of supporting documents supplied.

Indication of costs
Written specification of work as used to obtain quotes
One quote received for each element – two quotes received for any elements which will cost more than £2,500
Written record of opening of quotations (if any element will cost more than £2,500)
Copies of other grant offers
Copies of any necessary permissions
Evidence of community support
Photos

Any data you provide on this Form will be held by the North York Moors National Park Authority under the Data Protection Act 1998, and will be used only for the administration and management of NPA grants.