Pride in Place Impact Fund Type of nomination Individual Community group Organisation Contact name Organisation name (if applicable) Address Postcode Lookup Email address Contact number Fund objective Community spaces Public spaces High street revitalisation What do you wish to nominate to improve? (What do you require) Where is this located? Who will this benefit once completed? Do you have community support? Yes No If Yes, outline who you have spoken with i.e. Local councillor, community group, other residents. Will your nomination require on-going maintenance? Yes No If yes – how will you do this? e.g. volunteer group/residents association will maintain the item/site If possible, Upload a picture of the area and a description of what you would like to see – postcode/full address Drop files here or click to upload. Choose a file… To note Where the proposed activity is located on council-owned land, or where the applicant organisation/individual does not have the capacity to project manage the work, the council will retain the allocated funding for the project. In these cases, the work will be delivered by the council’s in-house teams to ensure compliance with statutory requirements, quality standards, and timely completion. The council will liaise with the individual or group and keep them informed of timescales and progress. Bearing in mind the above. Are you nominating on behalf of an organisation that intend to receive the grant award direct and manage the activity in-house? Yes No Type of organisation Charitable Trust Community Interest Company Voluntary Sector Other If other Charity / Organisation Number if applicable What previous experience does the organisation have of delivering this type of project activity? What systems does your organisation have in place to ensure only eligible costs will be claimed as part of the grant process? Please confirm that you have read and will comply with all aspects of the Fund branding and publicity requirements. Required I agree to the procurement and publicity policies and have read and understood. Estimated cost for proposal Enter numerical figures only Grant Requested Enter numerical figures only Other match funding if applicable Provide copy of latest organisation accounts Drop files here or click to upload. Choose a file…