Community Wildlife Fund

Application Form

Please Note: Handwritten forms are to be completed in BLOCK CAPITALS and in black ink

1. Details
Name: / Organisation
Address:
Website:
Email Address:
Contact Number: / Alternative Contact
Name:
Contact Number:
2. Project title (a working name that describes your project)
3. Project description (see Guidance Notes) maximum 400 words
4.What will be the result of your project? (see Guidance Notes) Maximum 200 words
5. Who owns the land where the project will take place?
Have you obtained all the permissions you require to carry out the project? (e.g. planning permission, landowner’s consent, Local Authority or Environment Agency approval)
6. Project location
Please supply a map showing the project location. Map attached yes/no
Ordnance Survey grid reference ………………………………………………..
7.Project Actions. Please provide details of how will your projectwill (maximum 150 words):
  1. Involve the local community?

  1. Help to look after the Northern Devon’s wildlife?

  1. Increase awareness of wildlife and wildlife issues?

8. Please estimate the cost of your project, broken down into the following:
Total
Purchase of goods/equipment / £
Hire of equipment / £
Other costs (please state what they are) / £
£
£
Total / £
9. Sources of funding broken down into the following:
Name of Organisation / Cash / In-Kind(See Guidance) / Total
(who is making the contribution to the project) / Financial contribution / Donation of equipment or volunteer hours / Total value of cash and in-kind donations
You or your organisation / £ / £ / £
Other organisations / £ / £ / £
Funding requested from the CWF
(Maximum £500) / £ / £ / £
Total project cost / £ / £ / £
10.Any other information about your project that will support your application. (See Guidance Notes)
11. Organisation status
Private Individual/business
Voluntary/Charity Reg. charity number: (if applicable) ….………………………
Parish Council
Other ………………………………………... / YES / NO
YES/NO
YES / NO
12. Please provide main milestones through to the end of the project. (See Guidance Notes)
Milestones / Date
1.
2.
3.
4.
5.