/ LEIGH NEIGHBOURS PARTNERSHIP BOARD

Resident’s Fund – Grant Application Form

Name of lead person:
Contact address:
Contact phone number:
Email address:
Are you applying on behalf of a group or organisation?
What are they called?
Please tell us about your idea
Does your idea have a name:
Describe your idea:
Where will your project happen:
How you know that there is a need for your idea:
What will happen once your grant has been spent
Please use additional sheets and attach them if you need more space.
Community Plan Themes.
Our Community Plan has a number of themes. Please tick () which of our themes your idea or project meets (it can be more than one)
 / Community Facilities…Support which helps introduce or improve a community facility open to local residents.
 / Community Spirit…Events and activities which bring people together, help improve community relationships and develop community spirit, especially if the people taking part are of different ages or from different backgrounds.
 / Crime and Community Safety…activity which helps to make the local area safer.
 / Education, employment and training…activity which helps local people acquire qualifications, training or to get a job.
 / Environment…events and activities which help protect or improve the local environment.
 / Health…activities which help improve the health of local people.
 / Housing…activity which help improve the condition of local housing
 / Leisure…Activities or events which encourage local people to take part in leisure activities together
 / Traffic and transport…activity which helps make the local area safer for cyclists, pedestrians and others on foot.
How will you measure the impact of your project?
Please tell us how you will measure the impact of your project.
How will you know whether your project has been successful?
What’s the timescale for your idea?...When will you start and how long will it take?
How will people benefit from your idea?
Have you considered the things that might go wrong with your project? (‘Risks’).
Please tell us what the risks are and how you will address them.
Who is working on your idea with you?...neighbours, other organisations, council services
Please list.
Project Costs:
Please tell us what the total cost of your idea is and how much you’re asking for from us(Maximum funding available is £500). Include a breakdown of the costs with some evidence of your costings.

To be completed at the end of your project

Was your project a success?
If ‘Yes’, why?
If ‘No’, why not.
If you were going to repeat your project, what would you do differently?

Who can we fund?

We can support: individuals who live in the project area, voluntary and community organisations, community councils, social enterprises and private companies (provided our grants do not contribute to the profits they distribute). If you represent a funded service – a school, council service or department, the Police, the library service or similar – we will not provide any funding that simply replaces statutory funding to meet a statutory obligation. Any funding we provide should be additional to public funding.

We can pay by cheque or BACS. Tell us who we should make the cheque payable to, or provide a bank account number, reference and sort code in the boxes below
Cheque payee:
Account Name:
Account Number:
Account Sort Code:

By submitting this form you are agreeing to the following:

  • That all of the funds that you receive will be used exclusively for the idea or project that you’ve proposed.
  • That all invoices and receipts will be made available for inspection within 30 days of the end of the project
  • That any project funding not used will be returned to the Leigh Neighbours Partnership Board no later than 30 days after the completion of the idea or project.
  • That you or your organisation have suitable and appropriate insurance cover for your project and indemnify the Leigh Neighbours Project and the Leigh Neighbours Partnership Board of any liability.
  • That photographs of you and your idea can be used in Leigh Neighbours publicity

Signed:______Date:______

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Please return the completed form to:

Stephen Ruffley
Leigh Neighbours Project, C/O Leigh CAB, 6 The Avenue. Leigh. WN7 1EB.

Data Protection

The Residents Fund is really important to us and we like to tell people about how it is making a difference to our local area. We publicise events and activities through the press, on our website, through Twitter and Facebook.

Please tick this box if you would like us to check with you before we publicise your event, activity or project.□

Version Six – August 2014.Page 1