Community Chest Fund Application

Lead Contact Details

Mrs

Miss

First Name

Surname

Contact Number

Email address

Address

Postcode

About you or the Group

Name of Project or Group

Area the Group or Project covers

Please tick all that apply to your group

Community Group

Voluntary Group

Not for Profit

Registered Charity

How long has the Group/Project been running for?

Project Details

Please give details of what you are applying for and why (please provide as much detail as possible)

What evidence do you have that this project is needed

Please detail who will benefit from the project including STAR Housing customers

How does the project meet the Greener, Safer, Cleaner or United categories?

If you represent a group

Does your group have a constitution?

Yes

Does your group have Public Liability Insurance?

Yes

Does your group have a group bank account with 2 or more signatories?

Yes

Details of how much you think the project will cost

Description and cost

Total Project cost

Amount requested from STAR Housing

Do you have other sources of funding for this Project?

Yes

If answered yes, please give details

Ongoing costs

Will there be on going costs?

Yes

If answered yes, please give details about how costs of maintenance and repairs will be met

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