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Expression of Interest form

What we can fund: https://www.elmbridge.gov.uk/community-support/voluntary-sector-funding-and-support/community-grants-and-funding/what-we-can
Who can apply: https://www.elmbridge.gov.uk/community-support/voluntary-sector-funding-and-support/community-grants-and-funding/who-can-apply

Please confirm you have read, understood and comply with the eligibility criteria - see our information on 'What we can fund' and 'who can apply'

Name of organisation

Name of person completing this expression of interest

Contact email address

Contact phone number

Address

Project title and description

Project goals and outcomes

Amount of funding requested

Which fund would you most associate your project with? (we will review expressions of interest to match to funding streams and identify any potential to collaborate across funding streams). 

Please confirm you had read, understood and comply with the eligibility criteria - see our information on 'What we can fund' and 'Who can apply'

Which option best describes the status of your organisation?

If the organisation is a registered charity or CIC, what is its registered number?

Name of person completing this form

Project title

What is the location for your project and its intended reach?

What is the timescale for your project?

What are the aims and objectives for your project?

Please outline the community benefit of your project.

How will you evaluate your project and what does success look like?

For any capital expenditure, have you obtained more than two quotes to ensure competitive pricing?

Please provide evidence of the need for your project. For example, through local knowledge, supporting data and stakeholder consultation.

Please upload any supporting documents, for example consultation reports or stakeholder feedback.

Please provide evidence of local support for your project. For example from community groups, councillors and/or residents.

Please upload any supporting documents, like letters or emails of support.

Please detail below any organisations that you are collaborating with for this project.

What is the total cost of your project? (£)

How much funding are you requesting? (£)

Please provide a breakdown of the funds requested, e.g. staffing, equipment, volunteer costs.

What is the cost contribution being made by your organisation? (£)

Has any funding already been agreed for this project? If so, please detail how much and the source(s) of this funding.

Audited or draft accounts for the last full financial year

Evidence of bank account

Safeguarding policy

Equality policy

I certify the information provided on this form is correct to the best of my knowledge. I agree, if awarded a grant, to comply with the grant conditions and monitoring requirements. I understand that failure to do so may lead to some of the funding being returned. I understand that this funding is for expenditure during the 12 month period following award of the grant.

Under General Data Protection Regulation (GDPR), the council retains applications and all associated documents for a period of 7 years in the event of any enquiry. This application contains personal data and as part of the GDPR the council must inform you of this. The information in this application will be shared with the relevant grant managers within Elmbridge borough council and in the instances of the Community Wellbeing Grant and Partnership Fund only, these applications will be shared with fund partners for the purposes of scoring and awarding funds. Community Wellbeing Grant - Places Leisure. Partnership Fund, Walton Charity and Walsingham Care. For more information please visit https://elmbridge.gov.uk/sites/default/files/2024-04/Elmbridge%20Borough%20Council%20Data%20Protection%20Policy.pdf 

If you have submitted any via email in the last 12 months, please let us know which documents.

Use this form to tell us about your project idea.

Expression of Interest

Application form

Use this section to tell us about how your project links to the Council's Vision, where it will operate, timescales, aims and objectives, intended beneficiaries and evaluation method.

Project Plan

Use this section to tell us about the finances of your project.

Funding

Please note that your application will not be processed without submission of these documents. If you have sent the documents to us in relation to other funding bids within the last 12 months, you do not need to resubmit unless changes have been made to relevant documents.

Supporting documents

Declaration

Elmbridge Community Funding