Financial Support Request – Bradford on Avon Lions Club

This form is for individuals or groups who would like to request financial support
Please complete this form as fully as you can, then submit it using the button at the foot of the form
This data will be used to keep in touch with you as we go through the proposal process

The process: what happens next?
Your request will be assigned to our Community Service Committee. One of their members will get in touch to discuss it with you and advise you on the next step. You may be invited to attend a committee meeting to present your case.
Your Lions representative will be there to help you through the process, if needed.

Items marked * are mandatory…

Financial Support Request

Date *

Enter the date of submission:

Name *

Enter your name:

Address

Enter your contact address:

Telephone *

Enter preferred telephone number:

Email *

Enter your email address:

Lion Contact (if any)

If you have discussed your proposal with a Lion - please tell us who:

Details of Group (Community/Residents)

If you are involved in or representing a community group or group of residents in submitting this proposal, please give details:

Request Summary *

Please give a short summary of why you are asking for Lions’ funding:

How do you want the Lions Club to be involved? *

I would like the Lions Club to help me or the group I’m part of to do this

I would like money from the Lions Club to help me do this

Please select all that apply:

Proposal Benefits *

How do you think your proposal will benefit you or the Community?

Funding Required *

If you are asking for a specific sum of money, please confirm how much and what it will be spent on:

Previous Funding (if any)

Have you or your group previously received a grant or other monies from the Town Council, Area Board or other bodies? If yes, please give details: (Year, Amount Awarded, Outcomes)

Match Funding Grant Application?

Is this part of a match-funding grant application? If so, with whom and for how much?

In order that we can monitor the effectiveness of our support would you be prepared to write a short summary of how our donation has helped you or the organisation that you represent? *

Yes

Select Yes or No:

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(Page last updated on January 29, 2021)

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