APPLICATION FORM SUMMARY

Please take this opportunity to review your form before it is submitted. If you are happy with the contents and wish to submit this to SUEZ Communities Trust please click "Submit".

If you want to amend the information provided please click "Amend".

1 *Name of applying organisation
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2 Applying organisation's main address *Address1:   ?
  Address2    
  Town:    
  County:    
  *Postcode:    
3 Main contact title
(eg. Mr, Miss, Mrs etc)
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4 First name
      
5 Last name
      
6 Position
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7 Main contact and correspondence address *Address1:   ?
  (Complete only if different from address provided in Q2) Address2    
  Town:    
  County:    
  *Postcode:    
8 Main contact telephone number
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9 Alternative main contact telephone number
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10 *Main contact email address
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11 Please describe the applying organisation
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12 If the applying organisation has a website please provide the URL/web address
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13 If the applying organisation is active on social media (i.e. facebook or twitter) please provide the relevant account names
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14 Does the applying organisation have a bank account open in its own name
(Please answer Yes or No)
      
15 If the applying organisation is an Environmental Body registered with ENTRUST please enter your registration number here
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1 Project title
(maximum 100 characters)
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2 To which fund are you applying
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3 Which LCF object is your application for
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4 Project site address *Address1:   ?
  Address2    
  Town:    
  County:    
  *Postcode:    
5 Name of qualifying SUEZ Recycling and Recovery UK waste processing location
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6 Distance between project site and qualifying SUEZ Recycling and Recovery UK waste processing location
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7 Assigned landfill site
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8a Please provide a brief description of the overall project being undertaken at the project site.
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8b Overall project costs
(Please read the help text (?) before proceeding)
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9a How much funding has already been secured towards the overall cost of the project
(Please do not include funds you have allocated for your CTP payment in this section)
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9b Please describe the source of secured funds
(Please do not include funds you have allocated for your CTP payment in this section)
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10a Amount requested from SUEZ Communities Trust
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10b Please provide a description of how you specifically intend to use any funds awarded from SUEZ Communities Trust
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10c Does the amount include VAT
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10d Is the applying organisation able to reclaim VAT
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11a How much funding remains to be secured in addition to the amount requested from SUEZ Communities Trust
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11b If funds still need to be secured in order to complete the overall project please explain where you anticipate obtaining the necessary funds from
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12 Project start date
(Please select a month and year from the look up tables)
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13 Project end date
(Please select a month and year from the look up tables)
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14 What insurance policies does your organisation have for this project
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15a Who owns the project site
(Maximum 50 Characters)
      
15b If you do not own the project site, there must be a current lease in place between the applicant organisation and the site owners that has at least 5 years to run. Please confirm the name of the lessee
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15c Please give the date your lease commenced
      
15d Please give the date your lease will end
      
15e What is the length of your lease
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16 Name of the organisation that will run the project site being funded by SUEZ Communities Trust
(Maximum of 50 characters)
      
17 Has the project site stated in your application previously received SUEZ Communities Trust funding. If yes, please provide details.
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18 Is planning permission or any other form of consent required. If yes, please describe.
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19 Please provide the name of your local newspaper(s) for the area around the site to be funded
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20 Please tell us who is the local Member of Parliament (MP) for the site where any funding provided by SUEZ Communities Trust will be spent
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1 What evidence do you have that local people support this project
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USERS AND OPENING HOURS

We are trying to build up a picture of your amenity, who currently uses it, when it is available to the general public and who stands to benefit from any improvements made to it. The project should benefit a wide range of users of all ages and abilities

      
2a What is the current number of users of the amenity or historic building
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2b What is the anticipated number of users of the amenity or historic building after completion of the project
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2c What is the current annual footfall for the amenity or historic building
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2d What is the anticipated annual footfall for the amenity or historic building after completion of the project
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Please give more detail in this section about any membership scheme you have in place, opening hours and how the amenity is advertised and promoted locally.
      
3a Please give details about any membership scheme which is in place
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3b How do you advertise the availability of the amenity or historic building
      
3c To give us a better picture of how your amenity or historic building is used please can you provide us with information about opening hours and regular current users of the amenity on a typical week.
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MONDAY
      
TUESDAY
      
WEDNESDAY
      
THURSDAY
      
FRIDAY
      
SATURDAY
      
SUNDAY
      
Please detail any ad hoc, irregular or one off events or meetings that take place in your facility including frequency (e.g. once a month, yearly, one-off).
      
Please give details of any potential groups who have specified an interest in using the facility after work has been completed including if possible details of when they will use the facility.
      
APPLICATIONS FOR HISTORIC BUILDINGS

It is only necessary to complete the following 5 questions if your application is for an historic building, structure or site.

     
H1 Describe the designation of the historic building/structure
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H2 Describe how the building/structure is of historical /architectural interest
      
H3 Why is the repair/restoration/improvement work you are proposing necessary
      
H4 If relevant, has the diocese granted a faculty
      
H4a If the answer to question H4 is no, please explain why
      
1 Which habitat or species is the focus of your application
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2 Please describe the proposed practical conservation work and explain how this will benefit the focus habitat or species
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3 Please detail the contributions that the project will make to relevant conservation plans or strategies
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4 If any of the proposed work is taking place as part of the requirements of a statutory notice, order or agreement; under the terms of a planning permission or consent please provide details here
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5 How will the project outcomes be monitored and recorded
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1 Will any income be generated as a result of SUEZ Communities Trust funding. If yes, please describe.
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2 Have you identified a Contributing Third Party (CTP) provider? If yes, please provide details. If no, please insert "No" and any additional comments you think may be helpful.
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3a If your project requires the use of a supplier or contractor have you obtained 3 quotes
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3b If the answer to question 3a is no, please explain why
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4a Is there any connection between the applying organisation and any supplier/contractor being employed to deliver any element of the project. If yes, please describe.
(Maximum 100 characters)
      
4b Is there any connection between the CTP provider and any supplier/contractor being employed to deliver any element of the project. If yes, please describe.
(Maximum 100 characters)
      
5a If the applying organisations latest set of accounts are available on line please provide the web address here
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5b Has there been any material change to the applying organisations financial position since the accounts submitted with this application were published. If yes, please describe
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6 Describe how the project will be sustained after the support from SUEZ Communities Trust has ended
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1 Two photographs to support your application
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Attach second photograph
        
2 A completed Project Budget. This is a SUEZ Communities Trust document which all applicants must complete and attach. Please ensure you read the help text (?) to find out how to access the document.
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3 A maximum of 3 letters of support
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Attach second letter of support
        
Attach third letter of support
        
4 Please attach quotes from suppliers or contractors
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Attach second quote
        
Attach third quote
        
5 If the applying organisation's latest set of accounts are not available on-line please attach a copy
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6 You can also attach any other documents you think would support your application on this page of the form.
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Attach second document
        
Attach third document
        
1 How will this project make the environment of the project site more pleasant/comfortable for the public; and/or how will it improve the aesthetic quality of the site
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2 Please describe how the work to be undertaken at the project site enhances and/or protects the built or natural environment
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3 Number of volunteers expected to help in the delivery of this LCF project
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4 Number of youth volunteers expected to help in the delivery of this LCF project
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5 Number of youth volunteering days created by this project
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1 Do you intend to send supplementary information by post
      
2 If you are providing supporting information by post please provide details here
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3 Please provide details of any other documents attached in Question 6 of the "Attachments" page
      
4 Additional information or comments
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1 How did you hear about SUEZ Communities Trust
      
2 If you emailed SUEZ Communities Trust before completing the application form, did you have a timely, satisfactory response
      
3 If you spoke to someone at SUEZ Communities Trust before completing the application form, how would you rate the quality of information you were given
      
4 How easy was it to complete the online application form
      
5 Are there any service improvements you would like to recommend
      
6 If you would like to make any other comments, please do so here
      
7 Please give an overall score for the service you received. 5 = very satisfactory, 4 = good, 3 = satisfactory, 2 = unsatisfactory, 1 = poor
      
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