GRANT APPLICATION FORM

GREAT TORRINGTON
TOWN & LANDS CHARITY 202801 INDIVIDUAL
25 South Street, Torrington, ANY TIME OF YEAR
North Devon, EX38 8AA
T: 01805 623517
E: admin@townlands.org.uk

TERMS AND CONDITIONS

The Trustees of the above Charity wish it to be known that they are willing to consider
financial help by way of a Grant to an individual living within the Great Torrington Parish
boundary.

The Trustees must draw your attention to the fact that grants are allocated according to the
funds available to the Trust at the time of consideration and are not guaranteed to be
awarded in part or in total each year.

The Trustees will only accept completed Grant Applications made on this original form.
However, if youPLEASE
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The Trustees may request to see latest Bank/Building Society statements or other accounts
information.

IMPORTANT NOTE: You will be informed as to whether your Grant Application has been
successful or not.

If your Grant Application is successful, then the Charity will request Bank details in order that
grant monies can be paid via electronic payment.

When grant monies are received, the Trustees require an acknowledgement via email/letter
in order to conform with the requirements of the Trustees Auditors.

Data Protection: The information that you give us on this form will not be used for any
purpose other than helping the Trustees and staff to consider and process your application.
The personal data supplied on this form together with other information will be held securely
in the Great Torrington Town & Lands Charity office. Some details will be checked with
relevant organisations since the Trustees reserves the right to investigate and verify what you
write in this form. No details will be disclosed for any inappropriate purpose. You may have
access to your personal information on request. Please be aware you are free to withdraw
your consent at any time by emailing steward@townlands.org.uk

GDPR: We have always been firmly committed to protecting your privacy and our Data
Protection & Privacy Policy complies with the General Data Protection Regulation.
CONTACT DETAILS: (current address) CONTACT DETAILS CONTINUED:

Name: Telephone No:

Address: Mobile:

Email:

1 FOR WHAT PURPOSE IS THE GRANT REQUIRED?

2 HOW LONG HAVE YOU LIVED/WORKED/BEEN EDUCATED IN THE TOWN?

3 HOW MUCH ARE YOU APPLYING FOR?

4 HAVE YOU PREVIOUSLY RECEIVED GRANT AID FROM THE TRUSTEES? YES/NO
IF SO, WHEN AND HOW MUCH?

5 WHAT WILL THE FUNDING PROVIDE?

6 WHAT WILL THE GRANT MONEY BE SPENT ON? (provide a breakdown)

7 HAVE YOU APPLIED ELSEWHERE FOR FUNDING?

DECLARATION

 You confirm that you will provide evidence of expenditure (if relevant/requested).
 You confirm that you will provide evidence of your identity.
 You confirm that you will provide evidence of your current address.

By signing below I confirm that the information provided above to be true and accurate.

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SIGNATURE DATE

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