Community Fund Form

The name on your bank account*

Bank account sort code*

Bank account number*

Bank account registered address (where bank account is registered to usually the home address of the applicant or treasurer, rather than the address of the bank or branch itself)*

Name of project seeking funding for*

Description of project seeking funds for: Why is your project needed and what difference will it make to your community? (please refer to criteria in guidelines). Please ensure you meet or exceed the minimum word count for this question.*

Total cost of project

Amount requested from community fund

Funding breakdown* Please refer to the example Community Fund Application here for an example of a funding breakdown

Date project will start*

Date project will end*

If this project costs more than the amount applied for, what funding/fundraising have you secured to date?*

Please tell us which criteria you think your activity will benefit tenants and residents living in your neighbourhood. Please tick as many as applicable. (Please refer to criteria in guidelines)*
Connect communities and increase community cohesionEmpower communities to influence decisions and contribute towards changeEncourage Equity, Diversity and InclusionVolunteeringWellbeing activities (including physical and mental health)Education and Training opportunitiesLearn through play, sport or other activitiesProvide access to, and use of digital technologyHelp people to feel safeImprove greenspaces, the environment and neighbourhoodAdvice, information and education around help managing debt and financesHelp and advice around food and/or fuel povertyImprove employabilityPrevent homelessnessFinancial inclusionSustain a tenancyOther benefits to wellbeing of tenants and residents in ForHousing neighbourhoods, not already listed

Please tick this box to confirm that you understand that audits are carried out at random and all receipts related to grant spend must be kept for at least 12 months in case they are requested.
I confirm

Your name*

Position in group/job title*

Date*