Community Grant Application

Community Grant Application Form

Part 1

Which of Hateley Cross Big Local’s legacy intention will your project contribute to:Required

Community Pride – Be cleaner and greener. Green spaces and enhanced environment.
Community Aspiration – Improved well-being, education, training and work.
Community Spirit and Inclusion – Increased neighbourliness, bringing people together through events and activities. Please select at least one option

Will your beneficiaries live mostly within the Hateley Cross Big Local Area?

YesNo Invalid Input

If No, please tell us more about the project beneficiaries and where they live

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Part 2

Tell us about your organisation

Name of your Organisation:Required

Please enter an organisation name

Primary Contact name and positionRequired

Please provide a primary contact

Address

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Telephone

Invalid Input

Please enter a valid email address

Secondary Contact name and position

Invalid Input

Address

Invalid Input

Telephone

Invalid Input

Please enter a valid email address

What does your organisation do?

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How long has your organisation been operating?

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Part 3

Tell us about your project

What is the name of your project?Required

Invalid Input

What does your project aim to do?Required

Invalid Input

How many people will benefit from the Project?Required

Please enter numbers only

How many of these people will be from Hateley Heath and Stone Cross areas?Required

Please enter numbers only

How will your project improve the lives of the beneficiaries above?Required

Invalid Input

Part 4

Tell us how much funding you need.

Please provide a project budget or use the template provided at Q4

How much are you asking Hateley Cross Big Local for?Required

Please enter an amount

How much is being funded from elsewhere?Required

Please enter an amount

How much is the total cost of your project?Required

Please enter an amount

Project Budget Template

Updating the fields below will automatically update the totals shown above

Sessional staff

HCBL funding

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Other funding

Invalid Input

Total costs

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Room Hire

HCBL funding

Invalid Input

Other funding

Invalid Input

Total costs

Invalid Input

Print, post & stationery

HCBL funding

Invalid Input

Other funding

Invalid Input

Total costs

Invalid Input

Advertising

HCBL funding

Invalid Input

Other funding

Invalid Input

Total costs

Invalid Input

Services

Please give details

Invalid Input

HCBL funding

Invalid Input

Other funding

Invalid Input

Total costs

Invalid Input

Other

Please give details

Invalid Input

HCBL funding

Invalid Input

Other funding

Invalid Input

Total costs

Invalid Input

Total

HCBL funding

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Other funding

Invalid Input

Total costs

Invalid Input

Part 5

Tell us where and when you will deliver your project.

Where and when will your project take place?Required

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If volunteers are helping deliver your project, how many will be helping you?

Is your project open to all, or will the beneficiaries be specific sections of the community?Required

Please provide us with details of who your project benefits

Part 6

Only complete this section for grants of £1,000 or more.

Tell us some more:

What community support do you have for your project?

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How do you know that there is a need for your project?

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Declaration

To be completed by all grant applicants

We declare that the information given in this application is true and correct.

We agree to be bound by the Terms and Conditions and Reporting requirements for a grant approved by Hateley Cross Big Local in respect of this application.

We declare that the Primary and Secondary contacts as identified in Part 2 of this application are authorised to submit the application on behalf of the organisation identified in Part 2.

Contacts signing of declarationRequired

Primary Contact
Secondary Contact Invalid Input

Additional Information to be sent with the application:

A list of the members of the Management committee/Board of trustees/Board of directors with at least 3 unrelated people as members, showing who has bank authorisation.
Your written constitution/articles/set of rules.
A copy of your most recent annual accounts or financial records showing your organisations balance of funds, income and reserves.
A bank statement from the last 3 months.
Safeguarding policies (if you will be working with children or vulnerable adults)
Equality, Inclusion and Diversity Policy.

Please send additional information specified above to:

Hateley Cross Big Local
c/o SCIPS Ltd
37 - 47 Birmingham Road
West Bromwich
B70 6PY

Or by email to hateleycross@gmail.com