Community Regeneration Fund - Expression of Interest Form

Organisation details

Name of organisation

Name of main contact

Organisation address

Telephone number

E-mail address

Type of organisation

Registered Charity

Constituted community group/organisation

Community Interest Company (CIC)

Community Benefit Society

Charitable Incorporated Organisation (CIO)

Limited Company (with charitable status)

Other…

Project information

In no more than 15 words please choose a title that best explains your project?

What do you want to do?

Where will your project take place? Please provide details about the specific location for your project.

How will your project involve and/or benefit the local community?

Why is your project needed?

Does anyone else need to be involved to help make your project happen?

Project Funding

What is the total cost of your project?

What other sources of funding are you exploring for your project?

Ward Councillor support – Has your project received support from your local Ward Councillor(s)?

Confirmation of this support must be included with the submission of your Expression of Interest.