Surrey Heath Borough Council Community Grant Application Form

Project Details
Please read the councils strategic aims so you can complete the next question.
Please describe the project you are seeking funding for in as much detail as possible. Please ensure that you detail the specific impact on Surrey Heath residents and how the project will help the council achieve its strategic aims particularly around 'Healthier and More Inclusive Communities' by supporting those in greatest need. In the case of an application for running costs please ensure that you also provide a clear business case with the application which outlines the specific need for funding and plans for ongoing sustainability of the project or organisation. *
Project Start Date*

DayMonthYear
Completion Date*

DayMonthYear
Who will benefit from the project, the wider community or a small section?*
Over what period will the community benefit from the completion of the project?*

up to 12 months1 to 2 years2 to 3 yearsover 3 years
Is it necessary to be a member of your organisation to participate in its activities?*

YesNo
Does your project support specific areas/residents of Surrey Heath or the whole borough?*
Please state how your application recognises the diverse needs of your existing and possible future members.*

Project Site
What is the location of the project? *
If your project is a building project please describe your current facilities, how many people use your facilities, if numbers of users will increase once the project is completed' and the activities/services currently offered at the site*
What is the tenure of the property? (If leased, please give details. If monies are to be repaid, please give details.) *
What is the current condition of the property and are any other works being carried out?*
Permission may be required under building regulations and relevant planning acts. Please give details of the authorisation obtained.*
Where permission is required and has not been obtained, the application will not progress. Approval of the grant does not signify approval under any other council requirements such as planning permission.
Please attach two quotes for the work to be carried out

Cancelof
If required attach architect’s plans or sketches and details of planning or building regulation consent

Cancelof

Please give a breakdown of costs *

Is your organisation contributing any of its own finances to the project?*

YesNo
Please explain why*
Have you applied for funding from any other source?*

YesNo
Please give details and whether successful or not*
What additional fund-raising have you undertaken? *
Do your present funds contain any provision for future commitments?*
Please provide details of any other regular revenue or capital payments to your organisation?*
Will any additional income be generated on completion of the project?*
Does your organisation have money set aside for the future sustainability of the project or maintenance of any equipment? Please explain how these areas will be catered for.*

Risk
If your application is unsuccessful how will your organisation fund the project?*
What is the risk to your organisation if the project doesn’t happen?*
How will you mitigate/reduce the risk? *
Grants are available for amounts up to a maximum £15,000. The Council will pay up to 75% of a project that does not exceed £2,000 in total and will pay up to 50% of project costs for projects which cost more than £2,001. If your project is not awarded the amount requested how will your organisation fund the rest of its cost?*

Other Relevant Information
Are your organisation/services targeted at a specific age group (for example children or older people?*
Please state the age group your services are primarily aimed at? *
Are the services provided by your organisation aimed primarily at supporting people who were assigned female or male at birth?*
Which Sex?*
Are the services provided by your organisation aimed primarily at supporting people who identify as LGBTQIA+? *
How will your project support and recognise those from protected characteristic groups (e.g Race, Disability, Sex, Gender Reassignment, Pregnancy & Maternity, Age, Religion & Belief, Marriage & Civil Partnership)*
Council's Achieving Equity Strategy
Please see the Council's Achieving Equity Strategy and add any information below to describe how your project or organisation supports the objectives outlined in the strategy*
How will you measure the success of the project?*
How did you become aware of this fund? *

Declaration
I certify that the information provided on this form is correct to the best of my knowledge. I agree that if the Council award a Community Fund grant to my organisation, I will comply with the grant conditions attached to the payment.
I understand that the information I have provided on this form, including any personal information, will be processed and used by Surrey Heath Borough Council for the purpose of managing Community Fund Grant applications, this includes reporting to Council Committee which are public documents.

Surrey Heath Borough Council will only process and share personal data where there is a lawful basis and only the minimal data will be used. More information about how the Council processes and shares your data can be found Here
Please click here to agree to the declaration above*

Declaration
Name*

First NameLast Name
Date*

DayMonthYear
Position*
Should be Empty:

Application for a Community Fund Grant