Coronavirus Grant Forms

How To Apply

Small Grants (less than £500)

Your First Name

Your Last Name

Name of Organisation/Project

Address Of Organisation

Town/City of Organisation

Post Code of Organisation

Your Phone Number

Your Email

Charity or CIC Registration Number (if applicable)

Signature for Organisation

I confirm that these funds will be spent only on work/items/activity eligible for COVID-19 funding as set out in the priorities for the fund.

Description of the project, item or activity for which the funding will be used

Please include how the project or activity will meet the aims of this funding

Project/Item/Activity Start Date

Total Cost of Project/Item/Activity

Amount of Covid-19 TC Grant funding requested

Bank Details of your Organisation

If there is a difference between the total cost of project/item/activity and the amount of COVID-19 Grant funding requested, please specify how the gap will be filled, indicating any match funding

I have provided a scanned copy of the organisation’s most recent bank statement

Consent

I have read and agree to the terms and conditions.

Your Signature

Dated

If you require any further information about how to apply please contact accounts@burnham-highbridge-tc.gov.uk and mark your email ‘CV19 GRANT’ in the subject line, or call 01278 788088.

Burnham-on-Sea & Highbridge Town Council

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