FUNDING APPLICATION FORM

ABOUT YOUR ORGANISATION

Geographical area your work is focused on*

Which of the following best describes your organisation?*

What are the main activities of your organisation?
How many people use your organisation?

Does your organisation have a constitution?*
YesNo

How many people are on the management committee?

How many full-time paid staff do you have?

How many part-time staff do you have?

How many volunteers and informal helpers?
(Other than management committee)

CONTINUE TO STEP 3

ABOUT YOUR PROJECT

Describe the project you are requesting funding for*
(Please state whether this application is for a stand alone project of for part of a wider project)

Does the project you are applying for have a clear start and end date?
If so, please provide this:

Do you have any partners/community groups involved and, if so, what will they do?

CONTINUE TO STEP 4

COMMUNITY BENEFIT

Why is this project needed?
Have you any evidence of this through consultation?*
(Please include details of any research you have carried out - e.g., surveys, questionnaire and please attach to application)

What tangible outcomes will your project achieve?*
How do you plan to monitor them?

What are your project’s milestones and timescales?*

CONTINUE TO STEP 5

THE COST OF YOUR PROJECT

Are you registered for VAT?*
YesNo

Please upload a document detailing the following:

1. Breakdown of costs

2. What funding you have already secured for your project

3. What funding are you applying for

4. If you have applied for funding from anywhere else and been refused

5. Summary of funding

6. Bank account details:

   • Who should cheques be made payable to?

   • Bank/Building society name

   • Bank/Building society address

   • Sort Code

   • Account Number

Select file:
(Max file size: 8MB)
Please upload PDF or DOC file types only

What steps will you take to overcome any shortfall above?*

CONTINUE TO STEP 6

DECLARATION

1. I am authorised to make the application on behalf of the above organisation

2. I certify that the information in this application is correct

3. If the information in the application changes in any way, I will inform LACPL

4. I understand that the information given in this form will be made available upon request to members of the public and/or organisation

5. I agree to participate in monitoring, auditing and reporting feedback related to these funds

6. I agree to acknowledge any funding received from LACPL and I agree to participate in promotion and PR related activities

7. I understand that successful applications are likely to be subject to various conditions and/or certain requirements

8. I acknowledge that all applications will need to be considered against the LACF policies made available on the website.

9. I certify that in the case of an individual, the applicant has no relationship with GLP Europe. In the case of an entity, the applicant has no direct or indirect relationship with any customer, contractor or investor associated with GLP Europe

First Contact

Name*

Position Held*

By ticking this box, you agree to the above declaration and acts as a digital signature and confirmation of your agreement

Please remember, if you have not answered all the relevant questions, your application may not be able to be processed in time to be considered in the nearest grants round.