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Community Bursary 2017
Application Form
The information on this form will help us process your application. If you need advice or assistance in
completing the form, please telephone the CALA Homes (East) Marketing team on 01324 600 000 and
they will be happy to help.
All information will be treated in the strictest confidence and used for these purposes only.
Form should be posted or emailed to the following address by 19 MAY 2017
CALA East Community Bursary
CALA Marketing (East)
Cairnlee House
Callendar Business Park
Falkirk
FK1 1XE
[email protected]
Please write clearly in black ink or type.
Group Details
Group Name:
Where is your group or charity based?
How often does your group meet?
How many people are involved?
How did the group start?
What benefit/impact does it have in the community?
What are the future plans for the group?
If successful, what would the funding be spent on?
Contact details
Contact name
Address
Telephone No.
Email
Confirm email
Charity Registration No. (If Applicable)
Funding required to complete our project (figure should be up to and no more than £2500)
Are you happy to participate in publicity?
If not can you explain why not?
Where did you hear about the Community Bursary?
I confirm that the above is a legitimate request for funding, and that any funds granted will be spent as
described above. I understand that CALA Homes (East) reserves the right to ask for proof of
purchase(s) to ensure that funds have been spent appropriately, or to have the funds returned should
information provided be incorrect.
Your name
Date