EmailMe Form - Youth Bank Online Application Form

Youth Bank Online Application Form
Neath Port Talbot Youth Bank is run by young people who provide grants of £50 - £500 to fund young people’s activity ideas in their local community.

Do you have what we are looking for?

 Your activity will create/support opportunities for young people to volunteer.
 You must be aged between 14 and 25 (although your activities may benefit young people outside of this age range).
 You must be a group or individual living in Neath Port Talbot.
 Your activity must benefit your community.
 Your activity should provide new skills and/or experiences for young people.
 You must be willing to evidence your completed project (photographs and written details).

If you would like any help with your application, please feel free to contact:

Nigel Cram
Neath Port Talbot CVS
Ty Margaret Thorne
17 - 19 Alfred Street
Neath
SA11 1EF

01639 631387
NigelC@nptcvs.org.uk
www.nptcvs.com

Alternatively contact Wendy Harris at
Neath Port Talbot CVS on:

01639 631246
WendyH@nptcvs.org.uk

Section 1

About You

Title

Name

First

Last

Date of Birth

YYYY

You must be aged 14-25

Address

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Telephone Number

Mobile Number

Fax Number

Email Address

Supporting Adult

If you received help from an adult in completing this application, please put their details below.

Title

Name

First

Last

Address

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Telephone Number

Mobile Number

Fax Number

Email Address

Section 2

Project description

Are you applying as an individual or a group?

Individual

Group

Name of project

Are you supported by an organisation? If so who?

Where does your group meet?

What does your group do?

What is your grant application for? How does it involve young people?

How did you come up with this idea?

How many opportunities to volunteer will your project create?

How will the project create or support opportunities for young people to volunteer? How many opportunities to volunteer will it create or support?

Whom will your project benefit now and in the future?

How will your project benefit those listed above?

Where will your project take place?

How long will your project last?

Less than 1 month

Up to 6 months

6-12 months

Over 12 months

Section 3

Money

How much money do you need?

What is this money for? Please ensure you attach quotes below.

Quotes

Bank account details

Cheque to be made out to

Bank / building society name

Bank / building society address

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Sort code

Account number

Section 4

Have you applied to the grant panel before?

Yes

How did you find out about the grant panel?

Decleration

I believe that all the information in this application form is correct. I understand that by accepting a Youth Grant I agree to only use it for the project stated in this form.

Signature

Full name in Capitals e.g. JOE BLOGGS (the signature MUST be that of the young person NOT the supporting adult)

Date

YYYY

Other Supporting Information

Good Luck!

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