Lady Margaret Transform Your Alley

Application 2017-8

CLOSING DATE FOR RECEIPT OF APPLICATIONS:

NOON Thursday 3 May 2018

Please note that late applications will not be considered.

ALL APPLICANTS MUST COMPLETE ALL SECTIONS AND SIGN THE DECLARATION ON PAGE

AND EMAIL TO

Lady Margaret ward forum have put £1,700 aside as a pilot scheme to support local residents to transform their alleysso that they help to make your street feel and look cleaner and safer.

You are invited to apply for up to a max of £150 per person.

The ward councillors will select their preferred projects and the applicants will be notified by email by Friday 1 June 2018.

Successful applicants will then be asked to sign and date a form agreeing that they will accept the funds to deliver the project set out in this form and will post a photograph of their project as part of a case study to be published on the Bubble website once the project is completed.

Your contact details

1 / Full Name:
This is the name to go on a cheque(put your preferred name in brackets)
Postal Address:
This will be the address where any cheque would be sent
Postcode:
Contact Phone Numbers:
Email Address:

Where is your alley? (please use the nearest postal addresses)

2
Have you discussed your ideas with your immediate neighbours?
3 / Please attached the consent forms with their signatures and date
4 Have you discussed your ideas with others who may be affected by your proposal?
5 This is where you tell us the detail about your project to transform your alley so that it helps to make your street feel and look cleaner and safer.
6 / When will the project be delivered?
Start Date:
Finish Date:
How many people will benefit?

My budget (maximum £150 per person)

Item / Cost Breakdown / Total
Cost
What other resources do you need to help you do your project?

Declaration (please print and sign)

When you have completed the application please sign this declaration.

I …………………………………………… (insert name)

confirm that the information given in this application is correct and that the project will not be conducted for my sole personal gain.

I undertake to inform the London Borough of Ealing of any changes in the project or my circumstances that would affect this application.

Signed………………………………………………………. Date……………………

Checklist

Please ensure that you have:

Completed the contact information on page 2.

Answered all the questions fully, and signed the declaration on this page.

Completed forms to be emailed to

Or sent to:Lady Margaret Transform Your Alley

Community Management Team

Ealing Council

5thFloor

Perceval House

14 – 16 Uxbridge Road,

Ealing, London, W5 2HL

Lady Margaret Transform Your Alley 2017-18 - Application