Solicitud de microsubvención del Ayuntamiento de Dover Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Section A: Date of ApplicationDate this application was written and signed.Application Date *Section B: Applicant DetailsEnter the name, DIRECCIÓN, and organisation applying for this funding.Organisation Name *Address or location of event project or organisation *Section C: Charity NumberEnter your charity number if applicable. Company number is not required.Charity Number (si es aplicable)Section D: Project DescriptionTell us about the project/event/activity which this funding will make possible (arriba a 500 words).Project Description *Section E: Budget ItemsList in detail what you will spend the money on. Please put cost against each item (arriba a 500 words). Give a total (hasta £ 500) for how much funding you are applying for. If the funding is only for part of an item then please state percentage funded e.g. 50% laptop or 35% of Hire of Hall. Items List Item (eg Hire of Hall / Laptop) *Cost * Add Remove Total Funding Requested (£) *Section F: Detalles del eventoEnter the date(s) when and where will the project or event be taking place or when will you spend the funding by. Please include postcodes if applicable.Event Date(s)Event Location and PostcodeSection G: Community BenefitHow will your event/project/activity benefit people who live or work in the TOWN OF DOVER?Community Benefit Description *Section H: BeneficiariesHow many residents of Dover will benefit from this grant funding and how will you count them?Estimated Number of Beneficiaries *How will you count/estimate beneficiaries? *Section I: Contact InformationName, Tel no & email address of the person who is completing this application.Contact Name *Telephone Number *Email Address *Section J: Bank DetailsDetails of the bank account into which the grant funding will be paid.Name on Account * Councillor Town Date(s) Sort Code *Account Number *Section K: Supporting CouncillorsPlease select two Dover Town Councillors who have agreed to support this application.Select Dover Town Councillor 1 *(select Councillor)Concejal Anuj BediConcejal Edward BiggsConsejero John BirdConsejero Pamela BrivioConsejero Andy CalderConcejal Peter CollinsConsejero Nigel CollorConcejal Gordon CowanConcejal Bekah DawesConsejero Susan JonesConsejera Janet KemberConsejero John LamoonConsejero Simon OdellConsejero Rebecca SawbridgeCouncillor Nicholas ShreadConcejal Paul VerrillCouncillor Graham WanstallCouncillor Gilda WanstallSelect Dover Town Councillor 2 *(select Councillor)Concejal Anuj BediConcejal Edward BiggsConsejero John BirdConsejero Pamela BrivioConsejero Andy CalderConcejal Peter CollinsConsejero Nigel CollorConcejal Gordon CowanConcejal Bekah DawesConsejero Susan JonesConsejera Janet KemberConsejero John LamoonConsejero Simon OdellConsejero Rebecca SawbridgeCouncillor Nicholas ShreadConcejal Paul VerrillCouncillor Graham WanstallCouncillor Gilda WanstallSection L: DeclarationPlease confirm the following before submission.Full Name of Person Making Declaration *I declare that:The information in this application is true in all sections of this form.I am authorised to apply for this grant funding on behalf of the organisation named on this form.To ensure there is no duplication of funding, the item(s) listed in Section E are not being supported by any other funding source.I will ensure Dover Town Council's contribution is publicised by the organisation.I understand that if the funding is not used on the agreed items/event/project, or receipts are not provided, or if the application is found to be fraudulent, then I and the trustees/directors/committee members will be liable to repay the funding to Dover Town Council.Confirmación *I confirm that I have read and agree to all the declaration statements aboveDeclaration Date *Applicant Signature * Clear Signature Councillor GuidanceI have read the 'Micro Grant Scheme: Guidance' DocumentThe document can be found online aquí.Dover Town Councillor 1 Signature Clear Signature Dover Town Councillor 2 Signature Clear Signature StatusNew ApplicationApprovedDeniedEnviar