Communities Mental Health and Wellbeing Fund for Adults - Grant Application Form

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Contact Details

Main Contact Person
These are the details that will be used for correspondence and reporting purposes.
Secondary contact person
These are the details that will be used for correspondence and reporting purposes if the main contact is unavailable.

About the organisation

DD/MM/YYYY
Please check the relevant box(es) and input the charity and company numbers where appropriate. All Scottish charity numbers start with SCO. Please enter your number without spaces i.e. SCO12345 not SCO 12345.
Staffing and volunteers
How many of each of the following are involved in the organisation?
(excluding management committee)

Financial Details

Your annual income must be no more than £1million. If you are part of a national organisation, this amount would refer to the income specifically for Dumfries and Galloway.
Do NOT provide the name of the Bank/Building Society.
(DO NOT enter spaces or dashes)

Your Project

(not before 12/01/2025)
Must be within 1 year of start date and not after 31/03/2026





Taking each of the priorities you have chosen above, please explain how your project will deliver these priorities.

Details of grant funding requested

If you are not applying for 100% of the total project cost, please tell us where else your project funding is coming from
Funder Amount secured / applied for?
£
£
£
Please provide a full breakdown of the grant request. Ensure the breakdown adds up to the amount you have requested, and not the total project cost. Please provide the calculations for each item in the table below. 
£

Supporting Documents & Confirmations

If you do not have the bank statement available electronically, please submit the application and email it as soon as possible to wellbeingfund@tsdg.org.uk

All your documents must be received within 5 days of submitting or by the application deadline, whichever is sooner.

Please note that your application may not be processed for assessment until all the required documents, listed above, have been received.

Declaration

I declare that the information contained in this application is correct, and that I am authorised to make the application on behalf of the named organisation and with whom it has been discussed. I understand that decisions made by the scoring panel are final.
By submitting your application, you agree to allow Third Sector Dumfries and Galloway to retain your personal data on its database to process your application. We will use the information you give us to help assess your application and administer any grant we award you. We may also publish this information on our website or use it to analyse our grant making for our own research or for others. We may give copies of this information to individuals and organisations we consult when assessing applications, when monitoring grants and evaluating our programmes. We may also use this information for training purposes. This is in line with our Privacy Notice which you can read at www.tsdg.org.uk