1.Your Name (you must be 18 years old or above to submit this application):

2.Name of Charity/Group/Organisation:

3.Your position within the Charity/Group/Organisation:

4.Charity/Group/Organisation email address:

5.Confirm email address:

6.Contact number (daytime):

7.Charity/Group/Organisation address:

Address line 1:

Address line 2:

Town/City:

Postcode:

8.Charity/Group/Organisation website URL:

9.Charity/Group/Organisation X (formally Twitter) name (if applicable):

10.Are you a charity/not-for-profit organisation/community organisation or similar:

Yes

No

11.If yes, please give details of your registered charity name and number:

12.Are you part of, or affiliated to, a larger organisation?

Yes

No

13.If yes, please give details:

14.Is the funding requested part of a larger project you are undertaking?

Yes

No

15.If yes, please give details:

16.What amount are you requesting? (Maximum grant available for any one project is £2,000):

17.What is the minimum amount required for the project to succeed?

18.If you are successful, please give the full organisation’s bank details of where the payment via bank transfer should be made:

Account name:

Sort code:

Account number:

19.State briefly how the money will be spent:

20.What is the timescale for delivery of the project?

21.Please give details of your organisation's financial status at this time:

22.Do you have any regular form of funding?

Yes

No

23.If yes, please give details:

24.Have you applied for funding from South East Water in previous years?

Yes

No

25.If yes, please give details:

26.How do you propose to recognise the support of South East Water for your scheme? For example would you want to use our logo in your literature?

27.Please provide details of your project. This should be no longer 500 words. This is your chance to promote your project to the Community Chest Fund Panel:

28.How did you hear about the Community Chest Fund?

South East Water’s website

South East Water’s X (formally Twitter)

South East Water’s Facebook

South East Water’s Instagram

South East Water’s LinkedIn

Newspaper

Word of mouth

Previous applicant

Another X (formally Twitter) account

Facebook

Instagram

LinkedIn

Other (please specify)

29.By submitting this application form you declare that: (i) all information provided is accurate and complete to the best of your knowledge at the time of submission; and (ii) all funds awarded under the Community Chest Fund grant will be used solely for the project you have described in your application detailed above.

You acknowledge that the Application Process and Rules and the Award of Grant Terms and Conditions available here govern the application process for, and award of grants under, the Community Chest Fund. By submitting this application form you agree to be bound by the same.

I agree