Scrappies Grant Application Form

Lead Contact Details

Name *

Email Address *

Phone *

Job Title0 / 100

Organisation Information

Please complete this section if you are part of a named organisation (e.g. Registered Charity, CIC or Voluntary Group).

Name of Organisation0 / 100

Address of Organisation

Legal StatusWhat is the legal status of your organisation (e.g. Registered Charity, CIC or Voluntary Group)?0 / 100

Website

Social Media Links

Eligibility Check

Non-Profit? *YesNo

Shropshire/Telford & Wrekin based? *YesNo

Project Overview

Project Title0 / 100

Project SummarySubmit a concise overview (200 words) describing the who, what, where and when of the project.

Statement of NeedExplain the problem or opportunity that this project will address

Project Delivery Plan

ActivitiesSubmit a description (250 words) of the specific actions or services that will be delivered.

Proposed Start Date

Proposed End Date:

PartnershipsAre any other organisations or community groups involved?YesNo

Financial Information

Funding Amount RequestedMaximum amount £5000 / 100

Budget BreakdownPlease justify each cost

Match FundingPlease give details of any other funding already secured or being sought for then same project.

Impact and Sustainability

ImpactPlease explain briefly what the participants will learn and take away from this project.

SustainabilityPlease explain briefly how the project will continue or how its benefits will last after the funding ends.

Supporting DocumentsPlease upload the following documents

Upload DBS file(s)DBS information for adults in charge

Upload safety informationYour child or vulnerable adult safety policy and procedures

Upload other file(s)Upload any other relevant documents (e.g. mission statement) if they exist.

Confirmation and DeclarationIf your application is successful, you will be required to sign the following declaration in person.