LOCAL PRIORITIES FUNDING

Transport Project Application Form

To be eligible for consideration your proposal will need to meet at least one of Buckinghamshire County Council’s strategic priorities (Strategic Priorities) as well as a local priority identified by the Local Area Forum (LAF)in the area you applying for (This information can be found in the relevant Local Area Plans or by emailing )

When we receive your application form, it will go through an initial assessment to ensure it fits with the criteria for local area funding. More information about the criteria can be found here: Qualifying proposals will then be assessed, including the costs and initial feasibility of the scheme. Once draft costs have been identified a cost sheet, including a breakdown of risks and contingencies and match funding required, will be sent to you to decide whether you want to proceed with submitting the proposal as a funding request to the Local Area Forum.

A minimum 50% match funding contribution is required for the following types of schemes, which are not a priority for the County Council’s transport budget:

  • Traffic calming schemes, including permanent and mobile Vehicle Access Signs
  • Parking schemes

The Local Area Forum will then receive an assessment of how well the proposal meets the local area’s priorities, the County Council’s priorities and value for money.

Contact details
Contact Name
Position in organisation
Full name of organisation
Address of organisation
Contact telephone number
Email
Section A - About your project
Which local area will your project take place in?

What issue does your submission relate to?
(e.g. Parking, Speeding, footpath resurfacing)
Where are these issues taking place?
Project Background
Explanation and background of issues currently taking place, including:
  • What is the problem the scheme would solve?
  • Please provide a scope, outlining what you would like to achieve.
  • Information such as maps, photos, addresses, and data you have already collected (such as speeding data) can help explain exactly what you want.
  • Please identify any issues that might affect the work, such as drainage affecting the site or land ownership needing to be resolved.

Section A continued
Which County Council Strategic Priorities will be met by this project and how will your project meet these? (Please mark with an ‘X’ any Priorities that will be met)
Priority 1:Safeguarding our Vulnerable
Priority 2:Creating Opportunities and Building Self-Reliance
Priority 3:Keeping Buckinghamshire Thriving and Attractive
Which Local Area priorities will be met by this project? / Priority:
Priority:
How will your project meet these?
Why is your projectneeded?
Who have you consulted with about this project?
Explain who has been consulted with about the project, in particular if the project involves changes to the landscape or building work. Please provide evidence of the consultation.
Have you applied previously for this scheme?
Have you had any costs, feedback or advice about the scheme, from TfB or other organisation? If so please attach details.
Who has been working on the project with you?
Provide details of all the organisations and groups who have been involved with the project and explain how these groups/organisations will work together
How will you know the project has been successful?
Section B - Transportation projects to be delivered by Transport for Bucks (TfB)
Are you proposing that this project is delivered by Transport for Bucks (TfB) / Yes No
Are you proposing to contribute to the costs of the project? Please note 50% match funding is required for non-priority schemes, including parking and traffic calming. / Yes No
Please provide details of all funding sources approached for this project to date and the outcome, if known
Funding source / Amount
Are there any contributions in addition to the funding sources detailed above that will be used in the project?
Please provide details of any in-kind contributions as well as other funding sources not listed in the section above
Section E - About your organisation
What is the budgeted total annual income and expenditure of your organisation in the current
financial year? Current year refers to the year in which you are making this application.
Income / Expenditure
When does your financial year end?
Please list all the people who are authorised to sign cheques or withdrawals on this account
These people should not be related to
one another / Name / Position/Role
Please provide the following details from your most recent annual accounts. Please enclose a copy with your application.
a. Total income / £
b. Total expenditure / £
c. Surplus/deficit for the year (profit/loss) / £
d. Savings (reserves, cash or investments) / £
Signatures
Signature of main contact
I confirm that, to the best of my knowledge and belief, all the information in this contact form is true and correct. I understand that you may ask for additional information at any stage of the application process. This must be the signature of the person named at the beginning of this form and not the same person who signs as second contact below. One of the signatories must also be one of your organisation’s bank account signatories.
Signed / Position in organisation
/ Date:
Signature of second contact
Signed
/ Position in organisation
/ Date:
Second signatory name
Second contact address
Email address and telephone number
Application checklist
Important. We can only process your application if: / All the questions are completed on the application form
The relevant people sign the form
All necessary documents are enclosed
The following documents are required: / Enclosed: / Previously submitted:
Constitution or set of rules
Equal Opportunities Policy
Annual Report
Most recent annual accounts (audited/certified)
Copies of quotations (where applicable)
Evidence of consultation carried out with local communities in regards to the project
Email/letter from TfB (where applicable)

If you do not have copies of the documents requested above please contact the Locality Manager for your area.

Telephone: 0845 3708090 and ask for Community Engagement and Development or email

Please post or email this application to:

Community Engagement and Development, 6th floor, County Hall, Aylesbury, Bucks HP20 1UZ

Email:

Local Priorities Transport Funding Form – 2017-18