Members' Community Grant Application Form

Members Community Grant application form

All fields marked with an Asterix (*) must be completed.

Project name(*)

Please let us know your project name.

Name of organisation

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First name(*)

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Surname(*)

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House/flat number and street(*)

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Town(*)

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County(*)

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Postcode(*)

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Your telephone number and mobile number(*)

Please enter a valid postcode

Your email(*)

Please let us know your email address.

Name of councillor or councillors awarding the grant (*)

Please enter name of councillor awarding grant

Amount to be awarded(*)

Amount to be awarded. Enter value

Please describe in detail the activity to be funded, giving as much information as possible.

Please let us know about your group

What are the specific benefits (outcomes) to the local community from this project or activity? Please also outline how you will measure its success. (for example To get new people involved in future community activities and for residents to mix who would not normally)(*)

Tel us why you require the grant

For additional information and support please contact Erewash Borough Council’s Community Engagement Officer, email colin.handley@erewash.gov.uk or telephone 0115 907 2244 extension 3575. If you would like hard copies or alternative versions such as large print, audio or different languages, we will do our best to accommodate your request.

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Data Protection: This form is not secure. Please don't include any confidential or sensitive information on it. Erewash Borough Council (EBC) collects personal information when you contact us for services we provide. We use this information to provide the services requested. We may need to share your information with other organisations or EBC departments to ensure service delivery. This is made clear in our privacy notice. We will not share your information with any other third parties, unless required to do so by law. For more information on how we protect & use your data, visit www.erewash.gov.uk/privacy.

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