Section 137 Grant Application - Tidworth Town Council

Section 137 Grant Application Form

Name

Message

Name of contact

Position within Organisation

Contact address for correspondence (if different from above)

Brief description of what the grant will be used for. (please attach any available information including brief & plans)

If the application is for an event or series of events that are likely to be income generation, please detail estimated income figures and include a detailed budget for the event.

Please tell us about the purpose and aims of your organisation below. (Please also attach a copy of your constitution if you have one)

Does your organisation have an Equal Opportunities Statement?

Yes (Please attach a copy) No (Please indicate whether you are taking steps to introduce a statement and, if, not please state reasons why)

Other organisations you are applying to, or have already recieved grants from, for 2024. Please list Name of Organisation, Amount recieved in 2023, Amount applied for 2024, likely date for decision.

Please give an indication of the current balance in hand of your organisation.

Are these funds are earmarked for any other projects/items? It is very important tthat this section is fully completed. Please do not put 'refer to accounts or balance sheet' but state what your balance is and what it is earmarked for.

Income

Expenditure

Surplus/Deficit

Year end

Account Name

Sort Code

Account Number

I can confirm that if this application is successful it will benefit more than one person in Tidworth or Perham Down

Yes

If an award in granted our organisation agrees to provide feedback within 3 months of payment and will endevour to attend a Town Council Meeting within 12 months of the grant being awarded. We understand that y not providing feedback the Town Council may not consider future applications.

Yes

Signed

On behalf of

Date