Grant Aid Scheme Application Form

Important: Please read the Grant Aid Criteria before completing the application form and ensure you have enclosed a copy of your organisation’s annual accounts, balance statement, safeguarding policy, constitutionand any other supporting documents.

About your organisation

Name of organisation:Click here to enter text.

Name of individual completing application: Click here to enter text.

Your role within the organisation:Click here to enter text.

Contact details of individual completing application:

Address:Click here to enter text.

Telephone:Click here to enter text.

Mobile:Click here to enter text.

Email:Click here to enter text.

Address of organisation:Click here to enter text.

Number of members in your organisation:Click here to enter text.

Number of Epping Forest Residents:Click here to enter text.

Number of residents from other authorities:Click here to enter text.

When was your organisation set up? (MM/YY)Click here to enter text.

What is your organisation’s website address: Click here to enter text.

Social Media details:Click here to enter text.
Please include details of all social media platforms that your organisation uses.
Does your organisation have a written constitution?Click here to enter text.
Your application will not be considered unless you supply us a copy of your organisations constitution when submitting your application.

Does your organisation have a Safeguarding Policy? Click here to enter text.
Your application will not be considered unless you supply us a copy of your organisations Safeguarding Policy when submitting your application.

Are you a member of the Epping Forest Compact? Click here to enter text.

Number of volunteers: Click here to enter text.

Number of paid staff: Click here to enter text.

Unregistered / Registered charity?Click here to enter text.

If applicable, please provide the charity number:Click here to enter text.

About your application

  1. What does your organisation do;its aims / objectives / services / activities?

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  1. Tell us about your proposed application and why you are seeking a grant

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  1. Where and when it will take place
    Please provide details of start and finish dates.

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  1. Who will benefit, how many people will benefit and what is the age range?
    Please detail the number of Epping Forest residents that will benefit.

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  1. How are you ensuring value for money?

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  1. Please supply evidence of community support

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  1. Do you have support of your local Town/Parish Council?
    If yes, you may wish to supply us evidence of this support when submitting your application.

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  1. When do you expect to spend the grant?
    This must be after you have received a decision on your application. The Council does not fund things you have already paid for. Please note that grants awarded must be spent within the financial year it was awarded.

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  1. Provide details of any funding that you have received from Epping Forest District Council or other funders

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  1. How did you hear about the Grant Aid Scheme?

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About your finances

  1. Please provide a cost breakdown of your project.
    Please get a quote from your supplier and provide this when submitting your application

Item
/ Costs
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Total of the project / Click here to enter text.
  1. What is your organisation’s current bank balance at time of this application?

(Please supply a copy of your latest bank statement and accounts)

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  1. Amount you are requesting:Click here to enter text.
  2. Have you applied to other organisations for a grant to support this application?
    If so, please give details.Please note: EFDC awards up to 50% of the total expenditure up to £5,000 and therefore encourages organisations to seek match funding.

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In the event that your application is successful, please provide the following payment information.

Account name:Click here to enter text. / Account number:Click here to enter text.
Sort code:Click here to enter text. / Name of Bank:Click here to enter text.

Checklist of paperwork required

  • Copy of organisations constitutionYes
  • Copy of your organisations safeguarding policyYes
  • Copy of your organisations most recent set of accounts and bank statementsYes

If you ticked no to any of these, your application will be considered incomplete and will not be processed.

Conditions

Successful applicants should acknowledge on all correspondence, advertising, and annual reports that the organisation has received funding support from Epping Forest District Council.

The grant must be paid back (in full or in part) if:

  • The organisation is found to be in breach of the conditions
  • The project does not start within an agreed timescale or is discontinued
  • The organisation closes
  • You fail to provide an evaluation report after the project has commenced

Declaration

I apply for a grant on behalf of the organisation as detailed and I declare that:

  • I have read and understood the conditions under which the grants are awarded
  • I have noted all the conditions under which the grant is made and confirm that, if successful, I and the organisation I represent, will abide by them
  • I have read the guidelines and criteria and that the information provided in the application is correct

Your signature:Click here to enter text.Date:03/10/2018

Please return your application electronically to via post to:
Epping Forest District Council
Grant Aid Scheme
25 Hemnall Street
Epping
Essex
CM16 4LU

Contact details


Call the Grants team on 01992 564096

Email us at

Visit the EFDC website: