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Shropshire Community Resilience Fund: COVID-19


Organisation and Grant Information












For example, have you had to close and lost income? Have you had increased costs because you needed to buy new equipment? Have you needed to deliver your existing services in a different way/to different people?
Please provide supporting evidence of the impact – eg: cashflow statement, cancellation letters, invoices, anything else that explains your situation

To upload more than 1 file select 'Upload another document'

£


Please be specific and give accurate costs

£
£
£

£
Please include the value of all cash, deposit accounts, any shares etc even if they are earmarked for a major capital project




Shropshire Community Resilience Fund: COVID-19


Contact Information

Main Contact Personal Details







Secondary Contact Personal Details







Shropshire Community Resilience Fund

Declaration


Please read this section carefully.  We are unable to accept an application if this section has not been completed.  It will give details of how we will use the information you have provided in this form, and how we will store it.


  1. By signing you agree that you are making an application for funding and that the information that you have provided is correct to the best of your knowledge.

  2. You accept that if any information changes prior to an award being made you will need to notify Community Resource at the earliest opportunity.

  3. You understand that any grant awarded will only be made payable to the organisation which will benefit from the grant. 

  4. You understand that Community Resource will record the information contained on this application form so that we can make an informed decision of whether we can offer you support.

  5. You understand that if you are successful in receiving an award, Community Resource will retain the information on this application form for 7 years.  If you are not successful, the information will be retained for 2 years.

  6. You understand that if more information is needed, Community Resource will contact you using the details you provided on the application and you consent to this contact.

  7. You understand to ensure that the grant is used only for the purposes stated in the application and to return any surplus grant funding which is not used for the project applied for.

  8. You understand that Community Resource may use information and images from the application form and follow up impact report for publicity purposes.

  9. You understand that the decision of the grant making panel is final.

Organisation Chair or Secretary

If you are not able to upload a signature or require assistance you can contact enquiries@shropshire-rcc.org.uk. You can also submit the form without uploading but we will require you to send us a copy of the relevant signatures before progressing the application.
Committee Member

If you are not able to upload a signature or require assistance you can contact enquiries@shropshire-rcc.org.uk. You can also submit the form without uploading but we will require you to send us a copy of the relevant signatures before progressing the application.
If this grant application is successful, who should it be paid to?



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