Application Form for
Biodiversity Project Grant Funding

2017

A Tower Habitats Initiative

Funding provided by:Tower Hill Trust

Part One – Check List

It is important that you read our Guidance Notes and work through this checklist before completing the rest of the form.The checklist has been designed to help you decide if our grant funding is right for your project, and helps us reduce the number of ineligible applications.

Is your group a: / Yes / No
Voluntary or community organisation? (including registered and unregistered charities)
School?
Residents Group?
Other? (if Other, please contact the office to check eligibility)

You must be able to answer Yes to all of the following to apply:

Does your group: (please tick which applies) / Yes / No
Have its own bank account, which requires two unrelated people to authorise cheques and make withdrawals? Including debit card or internet purchases and cash withdrawals This must be in the name of the organisation applying, unless you are a school.
Have at least three members on its governing body or board of directors?

Part Two – About your organisation

If there are any questions that you feel are not relevant to your project, please write “Not Relevant” in the appropriate box.

1. What is your organisation’s name and address?
2. What is the main email address for your organisation?
3. Does your organisation have a website?
4. What type of organisation are you? (please detail below)
Charity Number (if applicable)
Company Number (if applicable)
5. How many people are on your organisation’s governing body or board of directors?
6. Who is the senior contact for the organisation?
For voluntary/community organisations this must be your chair, secretary, treasurer. For companies this must be a director or the company secretary.
For schools this must be your head teacher.
Name & Address:
7. Details of Applicant*
Name:
Position in Organisation:
Contact Address:
Mobile:
Landline:
Contact e-mail:

*This must be someone from your organisation who can talk about your project and that we can easily contact during office hours.

Part three – About your project

1. What is the name of your project?
Give us a short title that we could use for publicity purposes. Try to make it unique to your project. You can write up to 70 characters with spaces (about 10 words)
2. What is the project that you want us to fund?
Describe your project. By ‘project’ we mean the activity or work you plan to carry out using our grant. Be specific about what you will do, how you will do it and what you would spend the grant on.
3. When will your project take place?
Your start date should be within 6 months from the date you submit the application. Your end date must not be more than 12 months after you submit your application.
Start Date / End Date
4. Where will your project take place?
Describe the location and area where your project will be carried out(for example “Northern most corner of school playing field. There are several trees in this area forming a small copse, and our pupils use the area to study wildlife. We intend to attach bird boxes to several of the trees, in order to provide nesting shelter for birds. Plan of site also attached”)
5. How does your project contribute to the objectives and targets in the Tower Hamlets Local Biodiversity Action Plan? Please give details such as the area (in m2) of any habitats to be created or enhanced, length in metres of linear features such as new hedges, and numbers of bird, bat or insect boxes.
6. How will you promote your project and ensure that where possible a wide-range of people are involved?
7. How much will your project cost in total?
£
8. How much are you applying for:
- from Tower Habitats? £
- from other organisations? £
Organisation / Amount
9. What is the breakdown of your total project costs?
Please list all costings, including overheads, materials and consumables that are required for your project (two examples have been given to assist you).
Include everything you will need for the project, even if you are not
asking us to fund it.
Quantity / Item / Individual Item Cost £ / Total Cost £ / Funded by?
5 / Bird Box / 10 / 50 / “Your organisation”
4 / Bird Box / 10 / 40 / Tower Habitats
1 / Box of wood screws / 2.50 / 2.50 / Tower Habitats
How have you worked out your costs?
Describe how you have reached the above figures for each item
10. Does your project involve work on land or a building that your organisation does not own?
You must own the freehold of the land or building, or a lease or license with the landlord, or have a written declaration from the owner that you have their consent to undertake the project. / Yes / No
11. Is planning permission needed for any part of your project?
Even if this is a part that will not be funded by our grant / Yes / No
12. Does your project involve hazardous tasks, or tasks that will be undertaken with children, young people under the age of 18 or vulnerable adults? *
As a minimum in ALL cases we expect you to: -- Carry out a risk assessment
- Secure extra insurance cover, if appropriate / Yes / No
13. Does your organisation have any of the following?
a) Public liability insurance
b) Relevant qualifications
c) Other insurance

* It is your responsibility to have appropriate safeguarding policies and procedures in place, which we may ask to inspect at any time.

Part five – Finishing your application

You MUST tick to show that you agree unconditionally to the following: / Yes
You have made sure that your governing body or board of directors know about this application and have agreed that you can send it to us.
You are able to comply with our terms and conditions if we offer you a grant, and you agree to repay all funding to us if you do not.
Signature: / Date:

Part six- Sending us your application

We prefer to receive applications by email but we will also accept them by post. When your application form is complete, send it by email to:

or by post to:

Elaine Crush

Grant Officer

Tower Hill Trust

Oxford House

Derbyshire Street

London E2 6HG

Please put “Tower Habitats” and the name of your organisation in the subject field of your emails.

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