FHDC Member Ward Budget Grant Application

FHDC Member Ward Budget Grant Application

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Qualifying criteria

Tick all the boxes below to confirm that you meet the qualifying criteria before making your application

I have read and understood the 'Member Ward Budget Grant Scheme Terms and Conditions'

I confirm the bank account is in the name of the group or organisation applying and the bank account has two unrelated authorised signatories

I confirm that the project has not yet begun and/or the requested items have not yet been purchased

Applicant details

Full name

Email

Contact number

Recordtype

Queue Record ID

Which of the following criteria will your project meet? (Please select all that apply)

Support community projects (including art, youth and sports projects)Improve health and wellbeingAddress community safety issuesImprove community services or facilities in a local areaPromote better community relations and cohesionMaintain local open spaces and leisure facilitiesImprove the local environment or appearance of an areaProvide support to a particular group in line with the council's public sector equality dutiesNone of the above

As your project does not met any of the criteria, you do not qualify to apply for a ward grant.

True

Organisation details

Organisation name

Your position in the organisation

Organisation address (including postcode)

Organisation type - please see section 7 (Eligible Applicants) in the Member Ward Budget Grant Scheme terms and conditions

Company/charity number

Project overview

Project name

Short description of what the grant will be spent on (maximum 30 words)

Project start date

If there is no project start date enter today's date

Project end date

If there is no project end date enter today's date

Project details

Project description (maximum 200 words)

Describe your project

Evidence of community need/support (maximum 200 words)

Provide the justification for your project

Location

Where is the project to take place?

Legacy and beneficiaries (maximum 200 words)

Who are the beneficiaries and what is the lasting legacy of the project?

Funding request

Breakdown of project cost

Item

Cost

£

Evidence for the above cost (acceptable evidence) For staff costs, please upload a breakdown of hourly/daily costs and number of staff.

Add another item (2)

Yes

Breakdown of project cost (2)

Item

Cost

£

Evidence for the above cost (acceptable evidence) For staff costs, please upload a breakdown of hourly/daily costs and number of staff.

Add another item (3)

Yes

Breakdown of project cost (3)

Item

Cost

£

Evidence for the above cost (acceptable evidence) For staff costs, please upload a breakdown of hourly/daily costs and number of staff.

Add another item (4)

Yes

Breakdown of project cost (4)

Item

Cost

£

Evidence for the above cost (acceptable evidence) For staff costs, please upload a breakdown of hourly/daily costs and number of staff.

Add another item (5)

Yes

Breakdown of project cost (5)

Item

Cost

£

Evidence for the above cost (acceptable evidence) For staff costs, please upload a breakdown of hourly/daily costs and number of staff.

Total cost of project

£

Please give details and amounts of any funding received from Folkestone & Hythe District Council for any project in the last three years (including member ward grants)

Please give details of any other funding you have or are applying for in relation to this project.

Any applicant who has had a criminal conviction in the last five years or is under investigation for any misdemeanour must declare this and this may, at the exclusive discretion of the Council, disqualify them from funding. If this applies please ensure that you declare this information below iincluding a descriptive list of such convictions and/or misdemeanours for the Council to consider.

Have you anything to declare (criminal conviction and misdemeanours)?

YesNo

Evidence of items declared

Member funding grant application

Select the Member from the list you are requesting the Ward Grant from and repeat this option if you are requesting the grant from multiple Members

Please select the Member from the list

Member email

Amount of grant requested from Member (minimum £100)

£

Bank details for Ward Grant payment

Name of bank	Account name
Sort code	Account number

Declaration

By submitting this form, you agree to the following:

Myself and the organisation I represent will comply with the requirements in this application and the Folkestone & Hythe District Council Member Ward Budget Grant Scheme Terms and Conditions. This includes maintaining records on how the grant was spent (i.e. invoices and receipts) which must be made available to the Council upon request.

I confirm that the funding will be spent as detailed in this application or returned to Folkestone & Hythe District Council.

I confirm that I am entitled to apply on behalf of the organisation specified above. Folkestone & Hythe District Council reserves the right to request the return of the grant if these terms and conditions are breached.

I have obtained all the necessary planning, licensing, permissions, insurance and other consents as may be required for the project and that these are in place or will be in place prior to the commencement of the project.

If my application is successful, I will send a completed 'project update form' to the Ward Member awarding the grant as soon as your project is completed or within six months of receiving the grant.

I confirm that I have read and agree to the above declaration and that I will comply in every respect with the Member Ward Budget Grant Scheme Terms and Conditions

Name

Date

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