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Community Chest Application

  • Please complete with reference to Community Chest Criteria and Community Chest Application Guidelines documents
  • All informationmust be completed.

Section A – Overall Summary

Contact Details

Organisation
Contact Name
Full Address & Post Code
Telephone No
Email Address
Charity No (if applicable)
Company Reg. No (if applicable)
Project Details:
(Please summarise the project in 50 words or fewer)
Theme (Please tick or highlight) / Building neighbourhoods
Celebrating heritage and culture
Working for community change

Bidder

Is this your first funding application with TVH? / YES/NO
If NO, please give details:
Is anyone involved in the project a TVHA Resident / Employee / Board Member or relation? / YES/NO
If YES, please give details:

Attached Information (please tick or highlight):

Annual Report & Accounts attached
Minutes of AGM and spreadsheet of accounts attached.
Equality and Diversity Policy / Please list other Supporting information here:
When do you expect your project to start/finish?
Where did you hear about the community chest fund?
Section B – Project Details

Project

Project Title:
Amount Requested:
Overall Project Cost:
Borough project is in:
Scope of project(How will the project be delivered, main borough project will be delivered in, please state your target group/groups/ages (300 words)
How do you know there is a need for your project:
How will your project directly benefitTVHA Residents:
Expected Outcomes: (What changes do you expect to happen from the project)

Measurable Outputs:(No. of expected participants etc.)

How does your project demonstrate value for money:
What opportunities are available for TVHA residents on your projects? (eg work experience/placements, jobs)
How does your project contribute to TVHA 17/18 priorities: (Details can be found in Criteria)
Section C – Budget
Total Project Budget
Community Chest Contribution Required
Total Budget Breakdown (annex budget summary if appropriate):
Funding Partners Approached and Funds Secured (including any failed bids):
Quality Assurance: Details of Previous Project Management:

Please return this form, once complete, to:.

If you have any queries, please contact the Community Investment Officeron;

020 3846 0113, 07775580864or email .