Coronavirus Crisis Fund £1000 grant application form

In order to be successful with your bid, you must adhere to the following conditions. Please tick all of the boxes below to reveal the online application form.

Is the grant amount you’re applying for over £500?
Does your project benefit one of more of the area believe housing operate in?

Project name

Organisation name

Organisation address

Website/social media addresses

Please provide two named contacts for your project

Contact One:

Name

Telephone

Email address

Contact Two:

Name

Telephone

Email address

Please select your type of organisation:

Please tell us about your project

Project start date

Project end date

What geographical area does the project cover? Please refer to guidelines here to identify areas where believe housing operates:

Where are projects taking place?

Where the activities will take place (name of building)

Please tell us times and dates activities will take place (if multiple activities taking please include all details)

If you are using match funding please let us know where it is coming from, the value and whether the funding is confirmed

If your project involves partnership working, please provide details of the organisations you will be working with and their role. (150 words)

Please tell us a bit more about your project in no more than 500 words, including:

Details of what you would like to achieve
How it will benefit believe housing's tenants, neighbourhoods and communities
How many people will benefit.

Please select which areas your project will address, if any:

Bringing the community togetherImproving health, confidence and wellbeingIncreasing family incomeTackling worklessness and low levels of skills and qualification attainmentReduce, Re-use, Recycle

Funding requested

Please complete the table below with details of the 'item' or 'activity' your project requires, its actual cost and the amount requested as a believe housing community grant:

Item or activity	Total cost (£)	Amount requested from believe housing (£)	Match funding (if applicable) (£)











Totals (£):

Declaration

By submitting this application you are confirming that:

I have read and understood the guidance notes
The information provided is to the best of my knowledge, true and accurate
If my application is successful, the grant awarded will only be used for the purposes stated in this form
I agree to keep a record of all financial transactions relating to the grant awarded and will forward receipts/invoices as required
I agree to complete the believe housing community grant evaluation form following the project.

Groups with successful grant applications will be required to consent to any publicity and marketing that believe housing may require. This may include, but is not limited to, press and online activities of both funds being awarded and the outcomes of approved projects. Should you carry out future promotion of the outcomes of your grant application, you must reference believe housing (using relevant brand guidelines and logo(s) where required), with approval via the group’s Funding Officer.

Check this box to agree to the above terms

Name

Date

Coronavirus Crisis Fund £1000 grant application form

Please provide two named contacts for your project

Contact One:

Contact Two:

Please select your type of organisation:

Please tell us about your project

Where are projects taking place?

Please tell us a bit more about your project in no more than 500 words, including:

Please select which areas your project will address, if any:

Funding requested

Declaration

coronavirus crisis fund £1000 grant

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