Download the resource request form - Newcastle City Council

make your marka creative community programmefor Benwell and ScotswoodResource request formw: www.makeyourmarknewcastle.co.uke: makeyourmark@newcastle.gov.uk

make your marka creative community programmeResource request formPlease use the how to apply guide to help you fill in this form. If you have any other questions orwould like to talk about your idea in more detail, please contact Kirsty Williams on 0191 277 1807or email makeyourmark@newcastle.gov.ukTo help avoid delays in processing your application make sure that you answer all the questionsthat apply to you. Also make sure that you include all the documents listed in the checklist whenyou return your application form.Please allow a minimum of eight weeks for a decision on your application.Please write clearly in black ink. Keep a copy for your records.When complete, please send your application form to:Kirsty WilliamsWest Newcastle Regeneration CentreOld LibraryScotswoodNewcastle upon TyneNE15 6AUTelephone: 0191 277 1807Fax: 0191 277 1808Email: makeyourmark@newcastle.gov.uk

make your mark resource request formSection A: Organisational details1a. Group or organisation contact detailsName:Address:Phone number:Main contact for this application:Position in organisation:Email:1b. Your contact details (if you are applying for the group in question 1.If not please go to question 2)Name:Address:Your organisation:Phone number:Email:Reason for representing group/ individual:2. Please give details of your management committee:Name of chairperson:Name of secretary:Name of treasurer:

3: Does your group have a bank account?YesNoSection B: Project Details1. Project title:2. How did the idea for your project/ activity come about?3. Briefly describe the project/ activity you are seeking funding for.4. When, where and how often will the project/ activity take place?When:Where:How often:

5a. Who will benefit most from your project/ activity?5b. Approximately how many people will benefit?6. Which of the following themes does your project/ activity fit into and how?Celebrating the past:Enjoying the present:Embracing the future:7a. How will you make sure that people from all sections of the communityare involved in your project?7b. How will you ensure your project promotes positive relations between allsections of the community?

8. Please identify the projects/ activity’s strengths, weaknesses, opportunitiesand threats.Strengths:Weaknesses:Opportunities:Threats:9. How will your project/ activity help communities to understand and copewith changes taking place in the area?10. How will you make sure people remember your project/ activity?11. How will you know if the project is a success?

Section C: Project Finance1. Please list what you will spend the funding from make your mark on:Item/activityCostTotal request £2. Are you asking make your mark to fund the total cost of this project?YesNo3. If ‘no’ please tell us how you are raising the rest of the money:Source of funding Amount Item/ activity Received or date due4. Please state what match funding you have towards your project/activity5. When does your project start and end?Start:End:

6. When would you like to receive the funding by?Date:7. If you are applying to fund a public event, tick which category best describesyour event:A: Small indoor event.B: Running a trip, which involves transporting people away from their localarea.C: Outdoor event held on Council land, private land or the public highway.8. To comply with our monitoring records, please confirm you will keep recordsof your project (including receipts and numbers of people taking part)and that you will provide these to Kirsty Williams.YesNoSection D: Declaration1. On behalf of the organisation, I confirm that the information containedin this application for grant aid is true and correct and has been approvedby the management committee.Name:Position in the organisation:Signature: Date:If you need this form in another formator language please phone 0191 277 1807or email makeyourmark@newcastle.gov.uk