COMMUNITY INITIATIVES APPLICATION FORM Please complete & return to: : Elaine Marsden, RoW Area Application Coordinator, c/o St Werburgh’s Community Hub, Boswell Avenue, Warrington WA4 6DQ Tel: 01925/264625 email: YOUR ORGANISATION Name of Type of Resident/Community Assoc. Your Group’s Protect the most vulnerable Organisation main focus Community Organisation Grow a strong economy (please mark (please mark with Youth/children Build strong, active & resilient with an an communities ‘X’) ‘X’) Parish Council Create a place to be proud of ( in partnership with a Community Organisation) Have you previously applied for funding Yes No (please mark with an ‘X’) If yes, have any of your group’s details changed Yes No (please mark with an ‘X’) Please enter new details in the section for your Group” below “Contacts Contacts for your Please enter below details of two people in your group/organisation who will be responsible for any funding and who are closely involved in your project Name Name Position Position Address Address Postcode Postcode Tel No (day) Tel No (day) Mobile No Mobile No Email Email Bank account details for your group Name of Account Name & Address of Bank Sort Code Account Number Members of the Group & People the Group work with What does your group do? How many people attend your group regularly? How often do you meet? YOUR PROJECT Project Name
COMMUNITY INITIATIVES APPLICATION FORM Please complete & return to: : Elaine Marsden, RoW Area Application Coordinator, c/o St Werburgh’s Community Hub, Boswell Avenue, Warrington WA4 6DQ Tel: 01925/264625 email: YOUR ORGANISATION Name of Type of Organisation (please mark with an ‘X’) Resident/Community Assoc. Your Group’s main focus (please mark with an ‘X’) Protect the most vulnerable Community Organisation Grow a strong economy Youth/children Build strong, active & resilient communities Parish Council ( in partnership with a Community Organisation) Create a place to be proud of Have you previously applied for funding (please mark with an ‘X’) Yes No If yes, have any of your group’s details changed (please mark with an ‘X’) Please enter new details in the section “Contacts for your Group” below Yes No Contacts for your Please enter below details of two people in your group/organisation who will be responsible for any funding and who are closely involved in your project Name Name Position Position Address Address Postcode Postcode Tel No (day) Tel No (day) Mobile No Mobile No Email Email Bank account details for your group Name of Account Name & Address of Bank Sort Code Account Number Members of the Group & People the Group work with What does your group do? How many people attend your group regularly? How often do you meet? YOUR PROJECT Project Name
cif_application_form_row.docx