North York Moors National Park Authority
APPLICATION FORM (2017/18)
You must read the ‘Guidance for Applicants’ before completing this form.
Date:Contact name:
Organisation/business(es):
Address:
Tel no:
Email:
Website:
Project title:
Project location:
What is your formal status?
Sole trader/ partnership / Limited company / Voluntary group/not for profit organisation/registered charity / Collaborative group (specify below)
Other (specify) ....……………………...... / ...... ……………………..
Are you VAT registered? If yes, please provide VAT number
Please provide a brief description of your project. This should include its main aims, who you want to attract, where you want the visitors to come to, when in the year you want to attract them, what you will offer to encourage them to visit and describe briefly what marketing activity you plan to do to attract them.
Please make it clear which elements of the project you are asking to be grant aided.
Please outline how your project will increase awareness of the North York Moors National Park and/or the wider North York Moors area
If the applicant is based outside the National Park, also include details of how the project will have clear links to the North York Moors
Please outline how your project will utilise the area’s local distinctiveness for the benefit of visitors (access a free Local Distinctiveness Toolkit here www.northyorkmoors.org.uk/looking-after/our-projects/north-york-moors-tourism-network)
Please outline how your project will ensure that any increase in visitors to the area is sustainable i.e. does it conserve and enhance the natural beauty, wildlife, cultural or built heritage, will your activity have any impact on your local community (see Guidance for Applicants)
Project finances
YOU MUST COMPLETE THIS SECTION: Please refer to guidance notes.
Has your business received public funding for any other work in the past three years?If Yes, provide details of amount of grant received (or expected to if yet to claim) and from whom. / Yes / No
£
Please list the expenditure for the project in the Budget Tables below (you MUST provide quotes, see Guidance for Applicants). Add extra lines in the table where needed.
If your project will be completed within the current financial year i.e. final claim submitted by 10 March 2018), you need only complete the first budget table.
Please include details of other sources of funding in the first table and provide a copy of grant offers if applicable.
A Business Plan must also be provided with your application form if you are seeking a grant of more than £10,000.
Volunteer time. Please specify which standard rate:£50/day (£7/hr) for general volunteers/unskilled
£150/day (£20/hr) for specialist/technical volunteers / Other sources of funding
* Please specify status of funding
c = confirmed, p = pending, y =yet to apply
EXAMPLE:
Cost breakdown / £ / Income / £ / %
Professional PR services / £1000 / Private sector contribution (c)* / £500 / 33%
Venue hire / £250 / NYMNPA contribution / £750 / 50%
Volunteer time 5 days @ £50/day (in kind) / £250 / In kind contribution (c) / £250 / 17%
Total project cost / £1500 / Total income / £1500 / 100%
Budget table – ALL applicants must complete this table, including details of your matchfunding
Cost breakdown / Total cost (£) / Income* Please specify status of funding as outlined above / £ / %
Total project cost / Total income
Budget table - please complete ONLY if your project spans more than one financial year
Cost breakdown / Year one (£)
(2017/18) / Year two (£) (2018/19) / Total costs (£)
Total project cost
How much funding are you applying for from this Grant?
Se Guidance for Applicants regarding maximum grants and intervention rates. / £ / % of total costs
Do these costs include VAT? / Yes / No
Can you reclaim the VAT? / Yes / No
Explain how this award will enhance the planned project e.g. please indicate what the effect would be if you are not offered the grant.
Please provide a cash flow forecast beginning with the month when you plan to start working on the project.
Please note that grants can ONLY be claimed once the work has been invoiced and paid.
State if you will need to make interim claims.
What will happen to the project at the end of this funding? Is it likely to continue? How will it be maintained? Who will run it, what will be the ongoing running costs and how will you fund them?
Please detail what permissions are needed and provide copies if applicable. Please note it is your responsibility to get these permissions.
Project completion date (must be before 10 March 2018 for one-year projects and 10 March 2019 for two-year projects)
Project outputs
Outputs
How will you measure the success of your project and over what timescales?
This question MUST be answered with measurable targets as these will be used in the funding agreement.
Please include 3 - 4 targets with timescales e.g.
· To support X local food and drink suppliers;
· To launch X number of products;
· To have X local stockists by end of Year 1;
· To increase visitor numbers by X%.
· To create X jobs
· To create X new tourism facilities
The level of grant awarded will determine the number of targets required, with higher grants requiring more targets. Please contact the tourism team for guidance, if required.
Declaration
I declare that I have been authorised by the above organisation to complete this application form and that the information provided is correct to the best of my knowledge, and that if any of the information changes I will inform the North York Moors National Park Authority immediately.
Signature Name Date
Please return this application form and supporting information to Kate Covell-Bullock
By email:
By post: Park Services, North York Moors National Park Authority
The Old Vicarage, Bondgate, Helmsley, York YO62 5BP
Please include photographs, maps, a copy of your constitution (aims and membership) for voluntary groups/charities etc., or any other documentation, which you feel would help support your application.
Any data you provide on this Form will be held by the North York Moors National Park Authority under the Data Protection Act 1998, and will be used only for the administration and management of NPA grants.