Small Grant Application Form

Please complete the on-line form below and submit to us for review.

Alternatively, download, print and complete a paper version of this form using the download link here:

DOWNLOAD FORM HERE

Date of Application

Organisation Details

Name and Address of Organisation *Please fill the required field.

Organisation Telephone Number

Organisation Email Address

Your Details

Your Contact Name

Your Telephone Number

Your Email Address

Bank Details for Grant Payment

Bank Name

Account Name

Sort Code

Account Number

Pre-Qualification

Please check the one that matches your status below

I am representing a charity or not for profit organisation operating primarily within Malmesbury?

I am representing a county wide project which can prove benefits for and accessibility to Malmesbury residents?

I am a member of Warden and Freemen raising funds for the above organisations?

Project Details

Please state in your own words what you require funding for and the difference you think it will make to the people of Malmesbury? *Please fill the required field.

Potential number of people who will benefit from your project.

What is the total cost of your project

What is the start date of your project

How much funding are you seeking from Warden and Freemen

Have you secured already or are you planning to secure any other funding – please give details below.

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By submitting this application you are agreeing that your information will be shared by our Office Manager and the Capital Burgesses for the purpose of deciding any grant offer. Warden and Freemen publish any successful grant offers through their website and in any other publicity materials as they see fit. Successful applications will be stored for a period of 9 years. Unsuccessful applications will be destroyed following the grant decision.

WARDEN AND FREEMEN OF MALMESBURY

Small Grant Application Form

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WARDEN AND FREEMEN OF MALMESBURY