Grant Scheme application form

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  • Section 1: Organisation Contact Details
  • Contact Address
  • Section 2: About your project
  • Which category are you applying for?
  • Which district(s) / borough(s) will your project take place in?
  • Section 3: Benefits and Needs
  • Which key area(s) does your project aim to support?
  • Section 4: Beneficiaries
  • Please specify the age range(s) of your target audience.
  • Please specify which priority group(s) your project will focus on.
  • Section 5: Sustainability and Partnerships
  • Section 6: Costs
  • Section 7: Declaration
  • •To the best of your knowledge all the information provided in this application form is correct. Staffordshire County Council may request further information, including additional financial records, and/or ask to arrange a visit to your project.
    •You have all the correct polices and procedures in place including a safeguarding policy.
    •If awarded, you agree to the Terms and Conditions of the grant in that you will spend the grant as detailed in the application or as agreed.
    •If you are unable to spend the grant, or you fail to submit monitoring information at the end of the project, Staffordshire County Council may recall the grant.
    •If your application is successful, you will include the Staffordshire County Council logo on all its publicity related to the project and state that this project has been funded by Staffordshire County Council.

  • Signature of Project Lead:
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