BRETBY PARISH COUNCIL

Grant Application Form

Please complete all information and send to Clerk: clerk@bretbyparishcouncil.org

Name of organisation/group
Where is organisation/group based
Is your organisation/group a registered charity – if yes please give number
Contact details: Name and position in organisationAddressTelephone number/email address
How big is your organisation/group
How many of your organisation/group are resident in BretbY
Brief description of organisation/group and how it benefits the parish of Bretby
How is the award to be used? Please provide details with costs, and including how it benefits residents of Bretby. Please continue on a separate sheet if necessary.
Amount of grant requested from Bretby Parish Council	£
Sources of other funding for this project – please specify level of funding being provided by others for your project
Where will you be advertising any support given, should you receive it?

Declaration

The information given in this application is to the best of my knowledge true and accurate.

Any grant awarded will be used for the purpose specified in the application and is subject to the conditions set out in Bretby Parish Council’s Grant Awarding Policy and by which we agree to abide.

Signature on behalf of organisation or group
Date
Name (please print) Position held within organisation or group