Local Improvement Funding Form

Name of applicant/group*

Is your application for activity in:*
Salford (Cadishead/Irlam)Salford (Eccles)Salford (Little Hutton/Walkden)Salford (Swinton/Clifton)StockbridgeFitton Hill

Address line 1

Postcode

Lead contact name

Lead contact phone number*

Lead contact email address*

What type of organisation are you (social group, school, charity, business or individual)?*

Does your group have a constitution?
YesNo

Name of person/organisation the account is in*

Bank account sort code*

Bank account number*

Bank account registered address (where bank account is registered to):*

Project details

What is the name of your project?*

What would you like to do?*

Have you involved the local community in any consultation?
If so please explain how below:

How do you know there is a need for this project?

How will the local community benefit from your project?

Will your project benefit ForHousing tenants?
YesNo

Please explain your answer

Total cost of project

Total amount requested from Local Area Improvement Fund

Please outline the costs of the project below.
Please keep to round numbers e.g. to the nearest £5.

If your project costs more than the amount you are applying for, please tell us how you plan to obtain this.

Would you like ForHousing to help you secure additional funding?*
YesNo

Date project will start*

Date project will end*

Do you need ForHousings support with the project in any way?*
YesNo

If yes, what help would you like?

Do you know who the land-owner is?
YesNo

If yes, please provide their contact details below if you have them:

Your name*

Position in group/job title*