Funding application

Please complete the form below to apply for funding from the Halkirk District Benefit Fund. Your request will be considered at the next directors' meeting after receipt of your application.

If you would prefer to fill out a hard copy of the form then you can download the individual membership form from here, or the group membership form from here.

You should read our application guidelines and decision making process documents before you submit an application for funding.

What kind of funding are you looking for?

For an individual
For an organisation

Funding application (individual)

1234

Your details

We ask for your details to check you are a member of the fund and to ensure you are still residing in the fund area. We also need this information to allow us to contact you. Please ensure you give your current address, email address and a contact number you are happy to receive calls from the fund on. Please read the Application Guidance prior to filling in this form.

Name

Telephone

Address

Your request for funding

Request for funding

Please give information about the project you are requesting funding for. This information will help the board of directors understand what it is you are intending to do with your grant should your application be successful.

What activity or project do you require funding for?

What do you intend to achieve undertaking this activity or project?

When and where will this activity or project take place?

Costs

To help us understand the costs involved please provide a breakdown of all costs. If you travel to and from your activity using your own vehicle, please calculate mileage at the HMRC rate at time of applying. As a rule, the fund will not contribute to any items of equipment. Overnight accommodation and subsistence (up to £20.00 per day excluding alcohol) can be claimed if travelling away from home.

Item

Cost

Item

Cost

Item

Cost

Item

Cost

Total

Fund

Amount requested

Outcome / date expected

Fund

Amount requested

Outcome / date expected

Fund

Amount requested

Outcome / date expected

Please provide any additional information that you feel may help with your application.

Declarations

I declare the information contained in this application is correct to the best of my knowledge.

I understand the Fund will seek the return of any grant awarded if it is discovered the information given was incorrect or if the grant is not being used for the purpose stated above.I understand the Fund will seek the return of any grant awarded if it is discovered the information given was incorrect or if the grant is not being used for the purpose stated above.

I acknowledge all decisions are final, no correspondence will be entered in dispute of the final decision. Advice and feedback will be given on request.I acknowledge all decisions are final, no correspondence will be entered in dispute of the final decision. Advice and feedback will be given on request.

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Funding application (group)

1234

Your details

We ask for your details to check you are a member of the fund. We also need this information to allow us to contact you. Please ensure you give your groups current registered address, email, and a contact number you are happy to receive calls from the fund on. Please read the Application Guidance prior to filling in this form.

Name of group

Main contact

Telephone

Address

Background of organisation

Please provide the number of ...

Full time

Part time

Volunteers

Members

If you applied for funding before, please list applications dates and outcomes.

Fund

Amount requested

Outcome / date expected

Fund

Amount requested

Outcome / date expected

Fund

Amount requested

Outcome / date expected

Your request for funding

Please give as much information as possible about the project you are requesting funding for. This information will help the Board of Directors understand what it is you are intending to achieve with your grant should your application be successful.

What do you require funding for (please give details of your project)?

Which of the fund's seven aims does this application meet. Explain why you think it meets this aim (see guidance)

When and where will the project take place?

What consultation have you done to show this project is needed?

What are the benefits you hope to those involved and the wider community?

How will you demonstrate you have achieved these benefits

How will you promote this project?

Costs

To comply with our guidelines please list the details of your governing body requested. To help us understand your organisations financial position please provide your details of your financial information from your most recent accounts and a breakdown of all costs for the project.

Chairperson

Treasurer

Secretary

Total income

Total expenditure

Surplus / deficit

Ring-fenced reserves

Item

Total

Project total

Amount requested

For large grant applications the Board would expect match funding applications to be submitted to other funds within our area. This shows wider support for your project. Please let us know if you intend to or have applied to any other funds for assistance.

Fund

Amount

Outcome

Fund

Amount

Outcome

If not match funding has been applied for then please explain why.

Additional information

Please provide any additional information you feel may help with your application for funding.

By submitting this form to Halkirk District Benefit Fund I declare the information contained in this application is correct to the best of my knowledge. I understand the Fund will seek the return of any grant awarded if it is discovered the information given was incorrect or if the grant is not being used for the purpose stated above. I acknowledge all decisions are final, no correspondence will be entered in dispute of the final decision. Advice and feedback will be given on request.

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