Cary Cares Group/Organisations Grant Application Form

1) Name of your organisation

2) Contact details of the responsible person who should be contacted regarding this application

Contact name of the person handling the grant application

Role of the person handling the grant application

Address of Group/Organisation contact

Preferred Telephone Contact Number

Alternative Telephone Contact Number, if available

Email address, if available

3) Address where the organisation's activities take place

4) Which part of the community do you serve in Castle Cary/Ansford

5) How does your organisation/activity benefit the residents of Castle Cary/Ansford?

6) Present charges/subscription fees

7) Amount of grant requested from Cary Cares7

8) Details of the project and what the grant would be used for and the benefit to the community

9) If the project is ongoing, how do you plan for it to become financially sustainable into the future

10) Details of other grants awarded or applied for

11) Details of the total cost of the project or service

12) Bank details: these will be used to transfer grant monies electronically if your application is successful

Bank Account Name

Bank Sort Code

Bank Account No.

I/We declare that the information on this application is true and complete in every respect.

I/We understand that the information provided on this application form will be used by Cary Cares to judge whether or not to award a grant and that the information will be made available to the trustees of Cary Cares in order to make a decision. No personal identifier details will be made public.

Your grant application request has been sent to Cary Cares. We will reply as soon as we can.

Please ensure that all fields are completed and then try again.

Cary Cares

Tel: 01963 602013 Reg. Charity No. 1196363 Email: carycares1@gmail.com

A charity supporting our community in Castle Cary and Ansford.

Cary Cares Group/Organisations Grant Application Form