L) Consultation & Referees In determining your grant application it may be necessary to consult with others. Are there any Town or Flintshire County Councillors and / or Officers that are familiar with or involved with your organisation? (Please indicate whether familiar or involved) Name Familiar Involved in what capacity M) Declaration I confirm on behalf of the organisation that the information contained in this application is true and correct and has been approved by the management committee. I understand that any grant awarded by the Council will be subject to terms and conditions and will only be used for the purpose described in this application. Please Note: This section MUST be signed by both the Applicant AND a Member of the Management Committee. Applicants Name Position on management committee (if applicable): Signature: Date: …………………………………………….. Management Committee Members Name (PRINT): Position on Management Committee: Signature: Date: …………………………………………….. out this form. Sign it. Post it (with the necessary documents) to: Mr Alan Thorniley, Town Clerk Saltney Town Council 49 Meadowsway CH2 1HZ Data Protection Disclaimer Statement Any data supplied by you will be processed in accordance with Data Protection Act requirements and in supplying it you consent to the Council processing the data for the purpose for which it is supplied. All personal information provided will be treated in the strictest confidence and will only be used by the Council or disclosed to others for a purpose permitted by law.
L) Consultation & Referees In determining your grant application it may be necessary to consult with others. Are there any Town or Flintshire County Councillors and / or Officers that are familiar with or involved with your organisation? (Please indicate whether familiar or involved) Name Familiar Involved in what capacity M) Declaration I confirm on behalf of the organisation that the information contained in this application is true and correct and has been approved by the management committee. I understand that any grant awarded by the Council will be subject to terms and conditions and will only be used for the purpose described in this application. Please Note: This section MUST be signed by both the Applicant AND a Member of the Management Committee. Applicants Name Position on management committee (if applicable): Signature: …………………………………………….. Date: Management Committee Members Name (PRINT): Position on Management Committee: Signature: …………………………………………….. Date: out this form. Sign it. Post it (with the necessary documents) to: Mr Alan Thorniley, Town Clerk Saltney Town Council 49 Meadowsway CH2 1HZ Data Protection Disclaimer Statement Any data supplied by you will be processed in accordance with Data Protection Act requirements and in supplying it you consent to the Council processing the data for the purpose for which it is supplied. All personal information provided will be treated in the strictest confidence and will only be used by the Council or disclosed to others for a purpose permitted by law.
Applicationform%20201617.docx