Big Local Groups Support Fund

(over £150)

Application form

Use this application to apply for amounts between £150 and £500. Please read through this form carefully, then complete all sections of it, writing clearly and in black ink. Any queries contact the Support Fund Manager on 0121 643 7456.

Details of who’s applying

Name of Group or Network ______Friends of the Earth

Name of Proposer ______

Position in Group or Network ______

Address for correspondence ______

______

Telephone (day) ______(eve) ______

Fax number and/or e-mail address ______

Signature ______Date ______

This application is endorsed by the following two officers of the Group or Network

Name ______

Position in Group or Network ______

Signature ______Date ______

and

Name ______

Position in Groups or Network ______

Signature ______Date ______

Do you need a decision by a particular date? Yes  No If yes, by when? ______

Why are you applying?

Why does your Group want a grant?

Give a brief description of the project or campaign for which you are seeking funding, and what it aims to achieve.

Is the main purpose of this application either to run a local campaign? 

Or to develop the Groups ability to campaign? 

What do you propose to do with the grant?

Give details of how the Group plans to deliver this project, from start to finish, explaining each of the stages that are involved. It will help if you also summarise its objective(s), targets, the tactics or methods that you intend to use, and the people and resources that are needed. You may wish to continue on a separate sheet.

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When do you propose to spend the grant?
Give details of the timetable for this project, setting out when you intend to achieve each of its key stages.

How will this project benefit your Group, both now and in the future?

What external benefits will the project have?Eg to the environment, other FOE Groups, local communities etc.

How will you measure the success or effectiveness of this project?

Give details of any measurable targets or clear outcomes that could be monitored.

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How much will it cost?

Please provide a full budget summary, itemising all of the elements that are involved in delivering the project; if you have any quotes or estimates then do attach copies of them.

Description of cost item - make sure that you include everything that’s involved, i.e. project running costs as well as new resources. / Estimated cost
£
£
£
£
£
£
£
£
£
£
£
£
Total / £

How much funding are you applying for out of the Local Groups Support Fund?______

Does the Group have enough funding to cover the balance of the costs? Yes No

If you are successful in your application we will ask you to complete an evaluation form. When will you return your evaluation form? ______

Please give details of the Group’s current fundraising initiatives.

You only need complete this section if:

- your Group is planning to raise funds to cover the balance between this application and the total project cost, or

- you are applying for 100% funding of the project (in which case you should say why your Group cannot raise more funds).

Checklist - have you enclosed the following? (NB:this information is required)

- Minutes or other evidence that the Group as a whole supports the application Yes No 

- A copy of the most recent Group accounts or bank statement Yes No 

Please return this form to: Support Fund Manager, Activism Team, Friends of the Earth, The Printworks, 139 Clapham Road, SW9 0HP or

Big Local Groups Support Fund Local Grt Fund

Internal checklist

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Date of receipt ______

Application details databased 

Details of any other applications made in the current financial year by this group ______

______

Application passed for assessment to

______and

______and

______

Details of decision databased 

Grant agreed?

Yes  No 

Grant refused

Reasons for refusing grant

______

______

______

______

______

______

______

______

______

______

______

______

The process

  • Application received by Support Fund Manager
  • Details databased (Date, Group, amount applied for, campaign or development lead, purpose of grant) by Fund Manager
  • Details copied to appropriate other person(s) by Fund Manager
  • Decision reached by Fund Manager
  • In case of refusal this includes reasons for doing so
  • In case of an award this includes the amount awarded, conditions that will apply and arrangements for monitoring.
  • Cheque raised by Team Leader
  • Letter of offer including conditions, monitoring requirements and cheque sent to Group by Fund Manager
  • Details databased

Grant awarded

Amount applied for £ ______

Amount granted £ ______

Cheque raised on ______

Letter of offer with

cheque sent to Group on ______

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