The Prince's Countryside Fund - Grant Application

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Eligibility Quiz

Please Note: If you are unable to check any of the required boxes below, your project will not be eligible to apply for funding from The Prince’s Countryside Fund.

Please do not attach any information other than what has been requested, as it won't be considered.

We are unable to return applications or documents so please make sure you have kept a copy.

1. Will your project deliver a direct benefit to a rural village or hamlet in the UK?

Yes

2. Please confirm you have read and understood the document ‘How to Write a Strong Application’

Yes

3. Are you seeking funding towards a political campaign?

4. Are you seeking funding towards the promotion of religion?

5. Are you seeking funding towards buildings or land?

6. Does your organisation have an annual turnover of less than £500,000?

Yes

Grant id

Contact id

Account id

charity 1 contact id

charity 2 contact id

Account file uploaded?

YesNo

Section 1. Applicant Details

1.1 Name of Applicant Organisation

1.2 Organisation Address *

Address Line 1

Address Line 2

City/Town

County

Postcode

1.3 Organisation Legal Structure

1.4 Please select where registered:

Charity Commission Reference

Company Number

Charity Commission for NI Number

OSCR Number

1.5 Organisation Website

1.6 Applicant Contact details

Applicant First Name

Applicant Last Name

1.7 Role in Organisation

1.8 Email Address

1.9 Phone Number

Please type your phone number without spaces

1.10 Correspondence Address (if different to organisation address)

Address Line 1

Address Line 2

City/Town

County

Postcode

1.11 What is the purpose of the Organisation and what are the main activities? (up to 100 words)

1.12 When was the Organisation set up?

Section 2. Project Overview

2.1 Project Name (up to 10 words)

2.2 Total Cost of Project

2.3 How much are you requesting from The Prince’s Countryside Fund?

2.4 Where will your project be delivered? (Please state location and county)

2.5 What is the population size of the rural community where this project will be delivered?

2.6 Project Start Date

2.7 Project End Date (we will be looking for projects that will be completed by 31st July 2022)

2.8 A very brief overview of your project (up to 300 characters). You should start with "This project will..."

2.9 Tell us about your project in more detail, including how it is relevant to the aims of this fund and what the funding is needed for, specifically. (up to 3000 characters)

2.10 Describe the need for your project and explain what research has been undertaken to support this (up to 3000 characters)

2.11 Who will be the main beneficiaries of your project?

Section 3. Project Finances

3.1 Please provide a detailed Financial Plan, showing a breakdown of the cost of the project and how it will be funded (enter one item per line below) Please clearly state which elements of your project would be funded by The Prince’s Countryside Fund.

Item	Cost	Funded By?	Date Cost Incurred
e.g. Planning Fees	£ £450	e.g. Applicant

3.2 How have you ensured that the costs shown in your application are value for money and the most appropriate use of resources?

3.3 How have you ensured the project is sustainable in the future?

3.4 Please attach a copy of your organisation’s latest accounts.

3.4 Upload a copy of your organisations latest accounts:

Change to another file?

3.5 Are any other local organisations offering the same or similar services or products?

Section 4. Project Milestones, Outputs and Outcomes

In this section, you will need to show the project milestones, outputs and outcomes.

Milestones: Key events or significant steps in your project.

Outputs: What will your project produce, e.g. 25 local residents will be helped with their shopping.

Outcomes: The benefits that your project is designed to deliver, e.g. residents are able to prepare their own, healthy meals as they now have access to fresh food.

4.1 Project Milestones relevant to PCF funding (enter one Milestone per line below)

Event

e.g. Shop fitted

Date

This only needs to be an approximate date

4.2 Project Outputs relevant to PCF funding (enter one output per line below)

Output

eg: Output- Number of emergency welfare packs distributed.

Number

eg: 50

4.3 Project Outcomes relevant to PCF funding (enter one outcome per line below)

Outcome

Section 5. Project Risks

5.1 Explain how you have considered the environmental impacts associated with this project.

5.2 How will you ensure the project is delivered successfully?

5.3 Complete this table by listing the main risks to success of the project and any steps you have identified to manage or mitigate them. (enter one Risk per line below)

Risk description	Probability of risk occurring	Impact of risk	Action to manage or mitigate risk or impact

Section 6. Declaration

1. I confirm that the information provided in this application is true and accurate to the best of my knowledge, and that the governing body of the applicant organisation (trustees, board of directors, management committee or other) has authorised this application and the proposed project/activity described in it, which is within the objects set out in the governing document.

I agree

2. I confirm that I have read the Terms and Conditions as well as the Privacy & Cookies Statement and that I consent to my personal data being used for the purpose of processing and managing the small grant application.

I agree

3. PWCF Privacy Policy: https://www.pwcf.org.uk/privacy-and-cookies-statement

I have read and agreed to the PWCF Privacy Policy

I agree

4. Where did you find out about The Prince's Countryside Fund?

Please provide two signatories

Signatory First Name:

Signatory Last Name:

Title:

Date:

Signatory First Name:

Signatory Last Name:

Title:

Date:

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The Prince's Countryside Fund - Grant Application - Spring 2021

Please provide two signatories