MIDDLE RASEN PARISH COUNCIL

GRANT AID APPLICATION FORM

Name of Organisation
Name of Project
Address of Organisation
Name Address Tel. No and e-mail address of authorised contact .
Status of Organisation	Registered charity Non charitable voluntary group Other
Project aim
For what is the grant requested?
Number of people likely to benefit. / What proportion of these are Middle Rasen residents?
Proposed start date
Please itemise all costs and provide copies of appropriate supporting paperwork. For grant applications over £1000 evidence is required that at least three estimates have been obtained. \ A copy of your last audited end of year accounts will also be required
For office use only:
Grant approved: Power/duty to provide: Date: