Community Grant Application Form Question Title * 1. Name of group/project Question Title * 2. Date of application Question Title * 3. Name on bank account Question Title * 4. Are you a Community group Residents association Other Question Title * 5. Contact Details of applicant Name Organisation Address Address 2 City/Town Postal Code Country Email Address Phone Number Question Title * 6. Position in group Question Title * 7. Funding application details Amount applied for : £ Total cost of project: £ Question Title * 8. Have you applied for a Community Grant before ? Yes No Question Title * 9. Date of last application Question Title * 10. Was the last application successful ? Yes No Question Title * 11. Have you applied for funding from another source for this project ? Yes No If yes, who was this with Question Title * 12. Please give details of the project and how the funding will be used. Please include the dates, times and location of the events Question Title * 13. How are Chorus Homes residents involved in the group/project? Question Title * 14. Please give three ways in which the community will benefit from the event(s)/project 1. 2. 3 Question Title * 15. If your application is successful, how will Chorus homes be recognised (e.g logo on posters/leaflet, stalls at events etc)? Done