Creme of Nature

Application Form

Please fill in the application form below to apply. Please be aware that fields marked with an asterisk (*) are required fields. Alternatively you can download a PDF here. Completed applications must be received no later than 31^st March 2012.

1. Your Group or Organisation's Contact Details*

Name of the Group/ Organisation applying for the award:
Group's Address:


Telephone:
Email:
Web Address:

2. Main Contact Person *

Name of Contact Person for Grant Application:
Position in Group:
Best times to contact:
Telephone:
Email:
Web Address:
Address of contact (if different from above):


Is your group a registered charity?	Yes No
Registered Charity Number:
When was your Group Formed?

3. Tell us about your Group or Organisation * (please tell us who you are, who is involved and where you are based)

4. Please tell us how your group/organisation will use the money *(Please note it is very important to include a breakdown on how you would use the award. The Judges have in past years rejected applications that sounded like a good idea but did not include an outline as to how the award would be used. Please also note that applications that focus on paying rents, salaries and expenses are usually rejected as the Judges favour applications that focus on capital projects so that there will be a lasting legacy.)

5. Tell us how the award will change your community in the short term

6. Tell us how the award will change your community in the long term *

7. Please indicate who is involved in your Group/ Project/ Activities *

8. Please confirm your annual turnover: *

Tick this box if you are happy that you and your organisation can be mentioned on the Creme of Nature Community Action Award Facebook page and on Twitter