Tactran Sustainable Travel Grant Scheme 2016/17

Application Form

1.  / Name of Organisation Making Application:
Please indicate the name of the Company or Organisation making the application. This should identify the potential beneficiary of the proposal, whether organisation-wide, one workplace within an organisation or a specific group of staff (e.g. Property Section within Any Building)
Main contact Name:
Address for Correspondence:
Email:
Tel:
Postcode:
Address of premises where grant will be spent (if not same as above)
Postcode:
No. of employees grant scheme would benefit:
c Large employer (>250 employees)
c Medium employer (50 - 250 employees)
c  Small employer (<50 employees)
Type of Organisation Making Application:
c  Local Authority
c  Health Board
c  Educational establishment
2.  / Brief description of proposal (maximum 100 words – bullet points are welcome)
Benefits:
Costs:
Proposed effect:
Please provide a brief description of proposal including details of whom and how it is likely to benefit.
3.  / Total cost of proposal
£
Total grant applied for (maximum £5,000 and normally no more than 50% of total proposal cost)
£

About Your Grant Application:

4.  / Name of proposed project:
5.  / Your funding source(s) for current proposal (other than Tactran’s STGS):
Please give details of sources of funding to support the grant.
6.  / Does your organisation have a Travel Plan which has been accepted by your Management Committee/Board?
7.  / Have you implemented a travel planning measure in the last 12 months? (If yes, please provide details of a short case study with details of implementation – 300-500 words)

About Your Organisation’s Travel:

8.  / Percentage of total staff who may benefit from the grant::
9.  / Percentage of employees who currently travel to work by single occupancy car (if known):
Is there any other further information you would like to add to support your application?

About Your Grant Application

Tactran aims to provide a decision within one month of receiving your application. If successful, when do you intend to start implementing the proposal and when would it be available for use?
Planned Commencement Date:
Planned Operational Date:

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