Big Local Groups Support Fund
(over £150)
Application form
Use this application to apply for amounts between £150 and £500. Please read through this form carefully, then complete all sections of it, writing clearly and in black ink. Any queries contact the Support Fund Manager on 0121 643 7456.
Details of who’s applying
Name of Group or Network ______Friends of the Earth
Name of Proposer ______
Position in Group or Network ______
Address for correspondence ______
______
Telephone (day) ______(eve) ______
Fax number and/or e-mail address ______
Signature ______Date ______
This application is endorsed by the following two officers of the Group or Network
Name ______
Position in Group or Network ______
Signature ______Date ______
and
Name ______
Position in Groups or Network ______
Signature ______Date ______
Do you need a decision by a particular date? Yes No If yes, by when? ______
Why are you applying?
Why does your Group want a grant?
Give a brief description of the project or campaign for which you are seeking funding, and what it aims to achieve.
Is the main purpose of this application either to run a local campaign?
Or to develop the Groups ability to campaign?
What do you propose to do with the grant?
Give details of how the Group plans to deliver this project, from start to finish, explaining each of the stages that are involved. It will help if you also summarise its objective(s), targets, the tactics or methods that you intend to use, and the people and resources that are needed. You may wish to continue on a separate sheet.
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When do you propose to spend the grant?Give details of the timetable for this project, setting out when you intend to achieve each of its key stages.
How will this project benefit your Group, both now and in the future?
What external benefits will the project have? Eg to the environment, other FOE Groups, local communities etc.
How will you measure the success or effectiveness of this project?
Give details of any measurable targets or clear outcomes that could be monitored.
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How much will it cost?
Please provide a full budget summary, itemising all of the elements that are involved in delivering the project; if you have any quotes or estimates then do attach copies of them.
Description of cost item - make sure that you include everything that’s involved, i.e. project running costs as well as new resources. / Estimated cost£
£
£
£
£
£
£
£
£
£
£
£
Total / £
How much funding are you applying for out of the Local Groups Support Fund?______
Does the Group have enough funding to cover the balance of the costs? Yes No
If you are successful in your application we will ask you to complete an evaluation form. When will you return your evaluation form? ______
Please give details of the Group’s current fundraising initiatives.
You only need complete this section if:
- your Group is planning to raise funds to cover the balance between this application and the total project cost, or
- you are applying for 100% funding of the project (in which case you should say why your Group cannot raise more funds).
Checklist - have you enclosed the following? (NB: this information is required)
- Minutes or other evidence that the Group as a whole supports the application Yes No
- A copy of the most recent Group accounts or bank statement Yes No
Please return this form to: Support Fund Manager, Activism Team, Friends of the Earth, The Printworks, 139 Clapham Road, SW9 0HP or
Big Local Groups Support Fund Local Grt Fund
Internal checklist
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Date of receipt ______
Application details databased
Details of any other applications made in the current financial year by this group ______
______
Application passed for assessment to
______and
______and
______
Details of decision databased
Grant agreed?
Yes No
Grant refused
Reasons for refusing grant
______
______
______
______
______
______
______
______
______
______
______
______
The process
· Application received by Support Fund Manager
· Details databased (Date, Group, amount applied for, campaign or development lead, purpose of grant) by Fund Manager
· Details copied to appropriate other person(s) by Fund Manager
· Decision reached by Fund Manager
· In case of refusal this includes reasons for doing so
· In case of an award this includes the amount awarded, conditions that will apply and arrangements for monitoring.
· Cheque raised by Team Leader
· Letter of offer including conditions, monitoring requirements and cheque sent to Group by Fund Manager
· Details databased
Grant awarded
Amount applied for £ ______
Amount granted £ ______
Cheque raised on ______
Letter of offer with
cheque sent to Group on ______
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