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SMITH’S WOOD PARISH COUNCIL

GRANT AID APPLICATION FORM

 

Read the guidelines thoroughly before completing this form.  For help with any difficulty call the Clerk to the Council.

Tel: 0121 770 8846, email: smithswoodpc@hotmail.com

 

Group Name:...............................................................................................................................

 

 

Contact Last Name:............................................        First Name:...............................................

 

 

Mr/Mrs/Ms/Miss:........................           Position:...........................................................................

 

 

Address:........................................................................................................................................

 

......................................................................................................................................................

 

Post Code:.............................................   Telephone:...................................................................

 

 

About your group

Describe the aims and objectives of your group.                                                      

 

 

 

 

Who runs the group?  Is it by committee or a group of Trustees?  Does it have the help of paid staff?

 

 

 

 

 

Who benefits from the group (how many people in the Smith’s Wood area)?

 

 

 

How will the grant be used?

 

 

 

The Grant

How much do you need? (Be specific. ‘As much as possible’ will not do.)   £________________

 

Income and Expenditure

 

NOTE:   The committee that decides the grants needs the figures on this page to assess your group’s financial situation.  A copy of your accounts is needed for verification purposes by the committee.  Do not leave answers blank.  If an amount is zero please enter that amount

 

The information on this page must be from your most recent annual accounts.  A copy of these accounts signed as approved by a member      

 

 

 

or officer of thee Management Committee   

or a trustee must be attached to this form.     

                                                                       

Total income* £_______________               

                                                                       

Total expenditure £_______________          

 

*Total income should not include any monies brought forward from the previous financial year.

 

Balance

Total funds** held at your financial year end     £__________________

Of the total held are there any that are listed as restricted funds*** in your accounts? YES/NO

If YES, note below the specified purpose and amount for each fund.

 

**Total funds should include any monies brought forward from the previous financial year.

*** Restricted funds can only be used for a named purpose.  Your committee or trustees may have set the money aside or it may have been given to your group for this specified intent.

 

Other Factors

Are there any trends or events in your group’s future funding not covered above that we should be made aware of?

 

New Groups

If your group has existed for less than a year and does not have a set of accounts, attach an estimate of income and spending for the first year with details of any income and spending since you started, with copies of bank statements, etc., that will support your figures.

 

Declaration

I confirm that I am authorised to sign this application and that to the best of my knowledge the information provided is accurate.  If our group receives a grant it will be used only for the purposes specified above, and will comply with other terms and conditions Smith’s Wood Parish Council attaches to the grant.

 

Signed:...................................................                     Date:..................................

 

    

Checklist