Good Food Grants Programme 2017 – 2018
Application form
Section 1: Applicant Details
Contact Name
Name of
Organisation
Address (including
postcode)
Telephone number
E-mail Address
Website (if
applicable)
Charity Reg Num (if
applicable)
Briefly explain what your organisation/group does
List who will manage, oversee and maintain this project. What partners do you have?
Section 2 – Project details
1. Please tick which type of project you are applying for.
X
1
2
Community growing projects that want to run cooking, growing and healthy
eating activities with vulnerable adults
Cooking and/or shared meals for people experiencing poverty
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2. Please tell us what you would like funding for. Please refer to the type of projects
funded. Please distinguish between if this is for core or project costs. Maximum word limit
300 words.
3. Who will benefit from your work? Who is the project for and how will they be better off
because of it? How many people will benefit? Suggested word limit 200 words.
4. Please explain the need for this project. How have you identified this need? What
evidence do you have? E.g. Suggested word limit 200 words.
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Section 3 - Budget
1. Budget: How much will this project / activity cost to run or what core costs will the
funding pay for? Please give a breakdown of the costs and how much you would like
from Good Food Grants. We will ask for proof of expenditure with your evaluation report
so please keep receipts.
Item
Cost
e.g. Gardening
equipment
£90.00
Amount
requested from
Good food grants
£90.00
Total cost
£
£
Detail
Forks x 3, watering
cans x 1, compost bin
x 1, trowels x 6
2. If the full cost of the project is greater than the amount you are requesting from the Good
Food Grants, please give details of ALL other sources of funding and their contribution,
including whether or not the amount has been agreed.
NOTE: if you need advice or help with budget, monitoring & evaluation or any other aspect of
your application please contact Helen Starr-Keddle on 01273 431718 or email
[email protected].
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Section 5 – Bank details
If your application is successful, we will arrange to make payment by cheque or by direct transfer
into the project’s bank account.
Please specify how you would prefer to receive payment:
If by cheque, to whom should the cheque be issued? ________________________________
If by bank transfer (BACS), please fill out the following:
Account name: _________________________________________
Sort code: _____________________________________________
Account number: ________________________________________
These details will be kept secure and will not be shared with anyone outside of the grants
assessment team.
Section 6 – Certification
I certify that all monies provided in relation to this application will be used for the purposes set
out above. I agree that should the application be funded:





the project will completed by 25th April 2018
we will submit an end of grant evaluation report on completion of the project on or
before 31 May 2018.
We will provide up-to-date monitoring information in Sept 17 (only if a community
garden working with vulnerable adults)
to provide detailed evidence of actual expenditure in the end of grant report.
funding will not be released to successful applicants until the applicant has returned a
signed grant agreement.
I certify that all the above is correct and complete to the best of my knowledge.
Name
...................................................................................
Position
...................................................................................
Date
...................................................................................
Forms should be returned before 2:00pm, Friday 10th March at 2pm 2017 to:
Helen Starr-Keddle [email protected]
Check list:
 I have read the grant guidelines
 All parts of the application form are fully completed
 Certification (section 6, above) has been filled in
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