Local Organisations are entitled to apply for financial assistance from the Community Council once a year where applications will be considered in the November Meeting.
To be considered for a grant, please complete the details below together with he attached Privacy Notice in accordance with the General Data Protection Regulations.
Please note the application must be accompanied by the latest audited financial statement or an up to date bank statement. Applications can not be considered without the information.
Name & Address of Organisation: …………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………..………………………………….
Brief Outline of Activities: …………………………………………………………………………………………………………………..………………….
………………………………………………………………………………………………………………………………………………………..……………………….
Any Specific Purpose for Funding (continue on a separate page if necessary): ………………………………………..…………...
…………………………………………………………………………………………………………………………………………………………………………..…….
Approximate Annual Outlay: ………………………………………………………………………………………………………………………………….
Details and costs of the three main outgoings over the past year.
1. ………………………………………………………………………………………………………………………………………………
2. ……………………………………………………………………………………………………………………………………………….
3. ……………………………………………………………………………………………………………………………………………….
Completed forms must be returned to the Clerk Mrs S A Hughes, 3 Old
Chester Road, Ewloe, Deeside, Flintshire, CH5 3RU or via email to clerk@penyfforddcouncil.org no later than: Friday 6th
November 2020
Before submitting your application, please ensure you have
fully completed and enclosed the following:
Application
Form ¨ Privacy
Notice ¨
Bank Statement ¨ or/latest Audited Financial
Statement ¨
Penyffordd Community Council is the Data Controller under the new data
protection law and will use the information you provide on this form in order
to contact you about your grant application.
The legal basis for processing this data is your consent to do so. You
can withdraw your consent at any time by notifying us. Our contact details to
do so, or for any other queries, are Mrs S Hughes - Clerk, 3 Old Chester Road,
Ewloe, Deeside, Flintshire, CH5 3RU Tel:
01244 537032 Email: clerk@penyfforddcouncil.org
We will keep your data for six years if your grant application is
successful and for six months if your application is turned down plus the
current financial year, which runs from 1st April to 31st
March.
Your information will not be shared further.
Individuals have
a number of rights under data protection law, including the right to request
their information. You also have a right to make a complaint about our handling
of your personal data to the Information Commissioner’s Office. ICO website (https://ico.org.uk/)
Information you provide will only be used for the stated purpose.
Further information about the processing of your data can be found on our website (www.penyfforddcouncil.org)
You can contact
the community council’s Data Protection Officer, Paul Russell (Microshade VSM): 2 Church Road,
Knighton, Powys LD7 1EB. Tel: 07772 657446. Email: paul@microshadevsm.co.uk
Please provide a
name address, email and telephone number so that we can send information
relating to your grant application.
NAME:
ADDRESS:
EMAIL:
TELEPHONE:
Your declaration:
I understand the
following:
You will use the
information I have provided to provide me with information regarding my grant application.
If you need any
further information, please contact the Clerk, Mrs S Hughes - Clerk, 3 Old Chester Road, Ewloe, Deeside, Flintshire,
CH5 3RU Tel: 01244 537032 Email: clerk@penyfforddcouncil.org
DATE:
If you agree to
being contacted in the future on other matters, please tick the relevant box:
Post ¨ Email ¨ Phone ¨ SMS ¨