Applying for grants

* Required fields

Application made by *

On behalf of *

Organisation address *

Organisation telepone number *

What year was the organisation formed? *

What is your current membership (senior)? *

What is your current membership (junior)? *

Please give a description of your organisation’s aims and objectives *

If membership of your organisation is by subscription please enter the rates:

Senior rate

Junior rate

Is your membership open to the general public? *
YesNo

Description of project or purpose for which a grant is required *

Estimated total cost of project *

Amount requested from Ponteland Town Council *

What are the total funds available from your organisation towards this project? *

Have either yourself or other members of your organisation approached other authorities or sources for funds towards this project? *

What were the results of these applications? (please indicate amounts pledged) *

Have you any plans for raising the additional finance for the project? *

Please attach a copy of your organisation’s accounts

Please confirm the proportion of grant that will be spent in Ponteland *

Declaration

I hereby declare on behalf of (organisation) *

That:

1. This application is submitted on behalf of a non-profit making Voluntary Organisation.
2. To the best of the Organisation’s knowledge, the particulars on this application are correct.

I undertake, on behalf of the Organisation, that the grant or such part of it as Ponteland Town Council may determine, will be repaid in the event that the Organisation is found to be in breach of the above, or if the facilities cease to be used for the purpose for which the grant is given, or if the project winds up within five years.

Signed *

Status *

Date *