/ Application form for
GREEN GRANT

***please make sure you have read our guidance notes on the Green Grant before completing this application***

  1. Contact details

*Name of group/ organisation:
Address of group/organisation including postcode:
Type of group/organisation /  Resident Association
 Community group
 Charity (n.b must have income of less than £75,000)
Registered Charity number………………………………………………..
 Other (please state):………………………………………….
What does your group / organisation do?
Your name and position within the group/organisation:
Your address
including postcode:
(if different from above)
Contact phone no.
Email:
**Supporting applicant name & position in group:
Supporting applicant addressincluding postcode:
Phone number:
Email:

*If applying as an individual or group of individuals you can just put your own details here

**A second member of your group, or if applying as an individual details of an organisation that can vouch for you and your project.

  1. Project Proposal

Suggested site: / Please include the nearest address to the site if the site doesn’t have its own. Please include a photo of the site along with this application if possible.
Why does the siteneed improving?
What are the improvements you hope to carry out?
How will this benefit people living, working or playing in the William Morris Ward?
Who will help carry out the project?
Do you have the support/permission of the landowner already? / Yes/No / not needed
Have you asked people near to the site what they think? / Yes/No / Roughly how many? / What % is in favour?
How do you intend to maintain the improvements in the long term?
What are the main risks associated with the project and how will they be managed?
  1. Project Budget

Please list below what the costs are to carry out this project. Remember the Green Grant limit is £1000 but you don’t have to apply for the full amount if it will costs less!
When looking at applications our panel will appreciate accurate and detailed costings.
Items needed / Cost
e.g, materials, equipment, training, printing posters, volunteer refreshments…… / Please list as accurately as possible, if you know the exact cost for the item already, then even better!
Total requested fromGreen Grant / £
If the total project actually costs over £1000, please let us know how you are going to fund the rest, e.g, your group’s own funds, donations, match funding, etc.
  1. Checklist

If your application is successful, we will ask for supporting documentation before being able to release the funds. Please take a look at the below checklist. Don’t hesitate to contact us if you have any questions about this.
Constitution/ Terms of Reference or Statement describing your group / Yes No
Organisation
bank account and last 12 months of accounts / Yes No
(If circled‘No’it may be possible for us to pay into an individual’s bank account with supporting I.D documents)
Public Liability Insurance
(may or may not be required depending on your event) / Yes No
  1. Declaration

This application is submitted on behalf of the group or organisation named in section 1, who I am duly authorised to represent. The information given is correct to the best of my knowledge. I have read the Guidance Notes and I understand that if the information I have given is found to be incorrect, my application may be rendered invalid and the grant may have to be returned. I am over the age of 18.
Signed:
Date:
Print name:
Position held in group/organisation
Data Protection Statement
Any information you provide on this form will be held by William Morris Big Local in accordance with the Data Protection Act 1998

Email your completed application to

or post it to;

William Morris Big Local,

William Morris Community Centre

6-8 Greenleaf Road

Walthamstow

E17 6QQ

If you would like support, information or have questions about your application please contactGabriel Edwards on 07947 766 251or via email

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