BRIDLINGTON TOWN COUNCIL

“Grant Application Form”

Date: ….…………………………….

Name of Organisation:

Address of Organisation:

Contact Name/Position:

Contact Telephone Number(s):

Aims and Objectives (Mission Statement) of the Organisation and details of how your Organisation benefits the local community.

Is the Organisation a registered charity or intending to apply for charitable status?

Charity Registration Number:

Please give details of your membership and the geographical area the Organisation covers/draws its membership from.

Is membership restricted in anyway?

Amount of grant applied for:

Have you, or do you intend to apply for grant support from any other source? Please list.

How would the grant be used? Please give details of a specific project/event.

Will there be an opportunity for media coverage (press release/photo call)?

If a grant were forthcoming, would the Organisation be prepared to perform/contribute at/to a Bridlington Town Council organised function? Suggestions please…

Background information about the Organisation

(Please supply any leaflets/brochures/etc)

Please enclose a copy of your most up to date balance sheet and current bank statement(s).

Your time and effort in completing this form will assist the Council to consider your application on its merits.

Please return this form to: Clerk to the Council

Bridlington Town Council

62 Quay Road

Bridlington

East Yorkshire

YO16 4HX