Core-Funding-Grant-Application-FILLABLE

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CHARD TOWN COUNCIL
Core Funding Grant Application Form
(for up to £1,000)
Before completing this application form, please read the attached guidelines to ensure you are eligible
for grant funding under the Council’s grant scheme. Please complete in full and provide ALL
supporting documentation. Further information can be submitted on additional sheets, if necessary,
clearly referring to the question being answered.

Your Organisation and Applicant’s details
Name of Organisation

Name of Contact

Position within
Organisation
Address of Organisation

Contact telephone
number
Email address

Type of organisation (e.g.
charity, company, club,
etc.)

Registration Number

How long has your
organisation been
established in this form?
Adopted by Full Council 13 Nov 23

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If your organisation has a Constitution, agreed set of Rules or Memorandum
and Articles of Association (companies), please enclose a copy with this
application form

Please explain how your organisation contributes to one or more key priorities
of Chard Town Council, which currently are:
1. To enable residents to enjoy high quality social, recreational and cultural facilities within the
town and seek the continuing improvement and development of these facilities in accordance
with the desires expressed by the residents.

2. To encourage and promotes the economic and commercial vitality of Chard in a way that
encourages sustainable employments opportunities, housing and business facilities

3. To reserve the unique identity of Chard and promote its heritage and its environment

4. To help create a socially inclusive and caring community, which embraces all its residents
equally, seeking to develop their well-being, knowledge, understanding and mutual cooperation.

5. To encourage the positive development of young people and provide high quality social,
recreational, health and well-being opportunities for them.
Adopted by Full Council 13 Nov 23

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Your Financial Details and Funding Request
What is your
organisation’s total
funding requirement for
the next 12 months?

What sources of funds will
be used to cover that
funding requirement?

What amount of core
funding grant are you
requesting?
How specifically will this
amount be utilised as part
of your business plan?

Payment to your organisation
If your application is successful, we will need the Organisation’s bank details to pay the
monies.
Bank Name and address

Adopted by Full Council 13 Nov 23

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Name of Organisation per
bank statement
Sort Code
Account Number
Please list all the people
who are authorised to
sign cheques or make
payments from this
account

Adopted by Full Council 13 Nov 23

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Declaration
We hold the following insurance and policies (please tick as appropriate) which can be provided
to the Council, if requested:
Public Liability Insurance
Employers Liability Insurance
Data Protection
Equal Opportunities
Safeguarding
Disclosure and Barring
Health and Safety

Yes
Yes
Yes
Yes
Yes
Yes
Yes

No
No
No
No
No
No
No

N/A

If this application for a core funding grant is successful, we guarantee that the money will be used
solely for the purpose outlined in this application form.
We understand that:
 The Council has the right to require payment of any or all of the entire grant that is not
used for the purpose for which it was granted.
 The funding is only for one year and that we are required to submit reporting in line with
the Service Level Agreement or a monitoring form as specified in the grant acceptance
letter.
 If the completed reporting is not provided, the Council may request the funding is returned
and your organisation is unlikely to be provided with funding in future.
 Details of the award may be given to the media, included in the Council’s press releases
or published on its website. The Council’s support to your organisation should be included
in any publicity material your organisation issues.
 Failure to complete any sections of the application in full or provide the required
documentation will result in the application being returned to you.
We confirm that:
 We are happy for the Town Council to retain this application form and the personal data
contained within it in order to process the grant application. In understand that the data
will be held securely and not passed onto any third parties. I am aware that the Town
Council’s Privacy Notice and policies are available to view on its website.
To be signed by two officers of the organisation in accordance with its constitution (e.g. trustees,
directors, etc.):
Signature:

Name and Position within
the organisation:
Date:
Signature:

Name and Position within
the organisation:
Date:
Adopted by Full Council 13 Nov 23

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Checklist
Your completed and signed document needs to be accompanied with the following:
A copy of your organisation’s last year’s annual accounts, including
a detailed income and expenditure statement and balance sheet. If
not audited, these should be independently reviewed and verified. If
that is not possible then they should be validated by 2 relevant
officers of the organisation (for example the Treasurer and the Chair
or the Directors).
A copy of all of your organisation’s bank statements for the last 6
months
A copy of the organisation’s Constitution, Rules or Memorandum
and Articles of Association
Projected income & expenditure for the next 12 months.
A copy of your safeguarding policy/statement

Please send your completed form and supporting documentation to:
Town Clerk, Chard Town Council, The Guildhall, Fore Street, Chard, Somerset TA20
1PP. Or if you would prefer to submit this via email with PDF attachments to:
tim.bickham@chard.gov.uk

Adopted by Full Council 13 Nov 23

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