COMMUNITY FUND GRANT APPLICATION FORM Introducing your organisation Name of Organisation:     Charity No.: Address where activities take place:     Postcode: Email:     Contact phone no: Name of Contact:     Position held: Correspondence address (if different): Postcode: Date started: Number of committee members: Area served: Number of paid staff: Name of secretary: Number of volunteers: Name of treasurer: Number of members: Bank name: Bank branch: Cheques payable to:     Please tell us briefly what your group does and who benefits. Do all the beneficiaries reside in Harpenden?: Describing your project (please explain why you are applying for a grant): Detailing your request Please tell us exactly what you want to do with the grant, eg list of items and their costs - for specific purchases, copy of quotations or estimates - for a capital projects and budget for the period that the grant is to cover Date expenditure is due: Grant requested: Please tell us about your fundraising plans. Please let us know about any money raised from other sources or contributed from your own funds Any applications you have submitted to other bodies, and the outcome: Where do you anticipate the rest of the money is likely to come from, if you have not applied for the total cost of the project? What do you propose to do if all your anticipated costs are not covered? Date project or work is due to start: Total cost:         or                 or         return to Home page