Safer North West Partnership

Grant Scheme

2014/2015

Application for PROJECT FUNDING

1.  Applicant Details

Name of Organisation:
Contact Name:
Telephone Number:
Email Address:
Contact Address:
Post Code:
Project Name:

2.  Which priorities of the Safer North West Partnership does your project support? Please tick as appropriate:

Tackling acquisitive crime (i.e. theft including burglary) Tackling violent crime and abuse

3.  Is this a new project or initiative for your group? Yes No

4.  Please give a brief outline of your proposed project (200 Words Maximum)

5.  Scope of Project

What geographical area is covered by your project?
What is the age range of the young people who will be delivering the project?
How many young people will be involved in delivering the project?
Who else will be involved in delivering your project? (please give numbers)
Approximately how many people will your project engage in addition to those delivering it?

6.  Please explain why you feel your project is needed?

7.  What impact will your project have in the community?

8.  What are the anticipated outcomes? Please explain. How will you measure them?

9.  Please confirm that you agree to take part in any media events to promote this scheme?

Yes No

10.  Please confirm that your project will be completed within six months of receipt of funding?

Yes No

11.  How much funding are you applying for (maximum £1,000)? Please give an approximate breakdown.

Item / Description / Cost
Total Funding requested: / £

12.  Will you be using or applying for funding from other sources to support your project? If so, please provide details.

13.  Additional Information

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Please provide any additional information to support your application

Closing date for all applications is Monday 8 September 2014 at 5pm

Please send your completed application:

By email to:

If you have any queries please contact us on tel: 01530 454490

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