Good Food Grants Programme 2016 - 2017

Application form

Section 1: Applicant Details

Contact Name
Name of Organisation
Address (including postcode)
Telephone number
E-mail Address
Website (if applicable)
Charity Reg Num (if applicable)

Briefly explain what your organisation/group does

Section 2 – Project details

  1. Please tick which type of project you are applying for.

X
1 / Community growing projects that want to do cooking, growing and healthy eating activities with vulnerable adults (Especially people with learning disabilities or those with experience of homelessness, mental health issues, abuse and addiction)
2 / Cooking and/or shared meals for people experiencing poverty
  1. Please tell us what you would like funding for. Please refer to the type of projects funded. Please distinguish between if this is for core or project costs.Maximum word limit 300 words.
  1. Who is going to manage this project? Who is going to maintain it? What relevant experience does the project leader/team have?Will you involve any volunteers? Have you involved any of the beneficiaries in the design of the project?
  1. Will any other groups/organisations be involved in the project? Please list any partners involved in your project (please do not list anyone in this section that you have not previously contacted)
  1. Who will benefit from your work? Who is the project for and how will they be better off because of it? How many people will benefit?Suggested word limit 200 words.
  1. Please explainthe need for this project. How have you identified this need? What evidence do you have? E.g. have the project beneficiaries (those who will benefit) been involved in planning the activity / project, have you done a survey? Suggested word limit 200 words.
  1. How will you continue this work after the funding from Good Food Grants is spent? Is this a one-off activity or a project with a set timeframe (e.g. a 10-week series of cookery classes), or is it an ongoing project? Suggested word limit 200 words.

Section 3 - Budget

  1. Budget: How much will this project / activity cost to run or what core costs will the funding pay for? Please give a breakdown of the costs and how much you would like from Good Food Grants. We will ask for proof of expenditure with your evaluation report so please keep receipts.

Item / Cost / Amount requested from Good food grants / Detail
e.g. Gardening equipment / £90.00 / £90.00 / Forks x 3, watering cans x 1, compost bin x 1, trowels x 6
Total cost / £ / £

2. If the full cost of the project is greater than the amount you are requesting from the Good Food Grants, please give details of ALL other sources of funding and their contribution, including whether or not the amount has been agreed.

NOTE: if you need advice or help with budget, monitoring & evaluation or any other aspect of your application please contact Helen Starr-Keddle on 01273 431718 or email .

Section 5 – Bank details

If your application is successful, we will arrange to make payment by cheque or by direct transfer into the project’s bank account.

Please specify how you would prefer to receive payment:

If by cheque, to whom should the cheque be issued? ______

If by bank transfer (BACS), please fill out the following:

Account name: ______

Sort code: ______

Account number: ______

These details will be kept secure and will not be shared with anyone outside of the grants assessment team.

Section 6 – Certification

I certify that all monies provided in relation to this application will be used for the purposes set out above. I agree that should the application be funded:

  • the project will completed by 25thApril 2017
  • we will submit an end of grant evaluation report on completion of the project on or before 31 May 2017.
  • to provide detailed evidence of actual expenditure in the end of grant report.
  • funding will not be released to successful applicants until the applicant has returned a signed grant agreement.

I certify that all the above is correct and complete to the best of my knowledge.

Name......

Position......

Date......

Forms should be returned before 2:00pm, Friday 18thMarch at 2pm 2016to:

Helen Starr-Keddle

Check list:

I have read the grant guidelines

All parts of the application form are fully completed

Certification (section 6, above) has been filled in

1