Application Form

Please complete the application form below at your convenience. You can save your progress and come back to it later if necessary.

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Step 1 of 5

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Section A – Contact details

Name of organisation*

Organisation’s full postal address

Street Address Address Line 2 Town/Village Post Code

Website (full URL)

Facebook (full URL)

Twitter (full URL)

Name of contact*

Position in organisation*

Email*

Phone*

Section B – About your organisation/group

When was your organisation/group formed?

What is the purpose of your organisation/group?

If you have a mission statement (or similar) please provide it here.

Is your organisation VAT registered?

Yes

Section C – About your project

Name of project

Where is this project located (including postcode/grid reference)

Please refer to the eligibility criteria to make sure that your project is within the supported area.

Please provide a general overview of the purpose of this project

What are the anticipated start and completion dates for this project?

Please refer to the guidance notes for assistance.

Start date

Completion date

Do you need any permissions or consents before this project can go ahead?

Yes

Please refer to the guidance notes for assistance.

Please provide details

Please describe the social, economic and environmental benefits that this project will provide to residents within the MCBF area (see map below), including the level of community support that you have for this project and how many MCBF area residents you anticipate will benefit from it.

Please refer to the guidance notes for assistance.

MCBF Area Map

What plans do you have in place to maintain this project following completion?

Please refer to the guidance notes for assistance.

Section D – Funding for this project

Amount of grant sought from MCBF:

Please enter a number from 100 to 70000.

What is the total anticipated cost of this project?

Please refer to the guidance notes for assistance. Please provide a breakdown of costs and VAT and copy quotes (1 quote if seeking less than £1,000; 2 quotes if seeking between £1,000 and £5,000; 3 quotes if seeking over £5,000)

Quote 1

Quote 1 Breakdown of costs, VAT etc

Upload Quote 1

Accepted file types: pdf, docx, doc, xlsx, xls, jpg, jpeg, png, Max. file size: 12 MB.

Quote 2

Quote 2 Breakdown of costs, VAT etc

Upload Quote 2

Accepted file types: pdf, docx, doc, xlsx, xls, jpg, jpeg, png, Max. file size: 12 MB.

Quote 3

Quote 3 Breakdown of costs, VAT etc

Upload Quote 3

Accepted file types: pdf, docx, doc, xlsx, xls, jpg, jpeg, png, Max. file size: 12 MB.

How much funding does your organisation currently have available to spend?

If your application is successful, we may ask for confirmation of this amount.

How much funding will your organisation provide towards the total cost of this project?

Please refer to the guidance notes as match-funding may be required.

Have you already secured funding for this project from other sources?

Please refer to the guidance notes for assistance.

Yes

What other sources have already agreed to provide funding for this project?

Are any conditions attached to that secured funding from other sources?

Yes

What are those conditions?

Do you await the outcome of any other applications for funding for this project from other sources?

Yes

What other sources of funding have you applied to?

What controls will you have in place to control spending on this project?

The MCBF Panel will require Open Book accounting and will have the right to request copies of all records and bank statements.

If there is a funding shortfall, how do you propose to address this?

Please refer to the guidance notes for assistance.

Section E – Declarations

I confirm that I am authorised to make this application on behalf of the applicant organisation.

I confirm that, to the best of my knowledge and belief, all of the answers provided in this application are true and accurate.

I confirm that the organisation making this application:

has a written constitution, set of rules or governing document

Yes

Please provide a copy with your application

Accepted file types: pdf, docx, doc, xlsx, xls, jpg, jpeg, png, Max. file size: 128 MB.

Has a bank or building society account with a minimum of two signatories

Yes

Signed

Date

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Alternatively if you prefer, please download the application to print off and complete by hand. Remember to include all the relevant documents requested when you post it to us.

Application Form PDF Download