Cycling and Walking Promotion Grants: 
APPLICATION FORM 

ABOUT YOUR GROUP/ORGANISATION

Q1	What is the name of the group / organisation?

Q2	For this application, who is the contact?

Q3	What is their position in the group / organisation?

Q4	What is their daytime telephone number, address and e-mail address?

Q5	If you are a voluntary group/Charity please answer the following questions:

5a) What are the names of the Chair, Secretary and Treasurer of the group?
Chair	
Secretary	
Treasurer	

5b)	What are the main aims of the group?

THE PROJECT

Q7	What is the name of the project you want us to fund?

Q8	Please give a description of the project  - include information such as  how the project will meet one or more of the aims of the grant, how will it work, who is the project aimed at and where will it be based

Q9	Where will the project be based?

Q10	Who will manage the project?

Q11	How many people will benefit and how will you measure this?

Q12	Are you working with any partners? If so please give details.

FUNDING

Q13	What are the project’s start and finish dates?
Start	
Finish	

Q14	If the project is ongoing, how will it be funded once the Cycling and Walking Promotion funding ends?

Q15	What are the full costs of the project?

Please attach a detailed breakdown of the costs, together with quotes, where appropriate.

Q16	How much funding are you seeking from the Cycling and Walking Promotion Grant?

Q17	What, if any, are your other sources of funding for this project?

MONITORING

Q18	How will you monitor the project?

Q19	How will you assess the outcome(s) or success of the project?

When completed, email this form with a copy of your constitution (or other appropriate governing document) and latest accounts to projectdevelopment@cambridge.gov.uk.

You can also post it to: Project Development team, Cambridge City Council, PO Box 700, Cambridge CB1 0JH.

 Any personal data provided on this form will be processed in compliance with the Data Protection Act 1998.  We will only share personal information with other public sector organizations if it is necessary for the prevention and detection of fraud. Further information relating to your rights under the Data Protection Act can be sent to you on request.