Contact Information

Please enter your name, contact address, email address, phone number and your position in the group.
Please enter your name, contact address, email address, phone number and your position in the group.

Tell us about your group
Are you a registered charity? *
Is your group part of an umbrella organisation? *
If yes, is your group financially independent from any other organisations?

Tell us about the project / initiative you wish to support
If you are unsure of the exact number, please provide an estimation.
Please be aware that sponsorship cannot be awarded retrospectively and if successful, funding should be spent within 12 months of receiving the award.

Costs
Please list the item(s), quantity and amount applied for.
Is the total cost of the project greater than the amount applied for? *
Have you received any grants / donations from us in the last three years *

Your Bank / Building Society Account
Does your bank statement show substantial funds? * Substantial funds is more than the amount you are applying for
Does your group have any other bank accounts? *

Declarations
To the best of your knowledge, is a member of your group, or their close relation, a Vico Homes/Care Link  employee? *
We need the information we ask for on this form in order to assess your grant application. By submitting this application, you are consenting to us sharing appropriate information on this application with Vico Homes/Care Link employees. This information may be used for publicity purposes if the grant is awarded.
We have read and understood the terms and criteria of the Care Link Grassroots Sponsorship Campaign. We declare that all the information given by us is true and we understand that if any funds are not used for the purpose outlined in this application, then they are liable to be recovered by Vico Homes/ Care Link. We will keep full records of all receipts relating to expenditure and will provide to the Business Manager within six weeks of completing the work outlined in this application form. If the group is dissolved and equipment has been purchased with this grant, any such equipment remaining will be distributed within the community at the discretion of Vico Homes/Care Link.

Signature 1
Please enter first name and surname
Please enter the date as DD/MM/YYYY

Signature 2
Please enter first name and surname
Please enter the date as DD/MM/YYYY

And finally...
Have you answered all the questions? *
Have you enclosed a constitution or set of rules? *
Have you enclosed a quote for each item or service? *
Have you enclosed a copy of your latest bank statement? *
Has the document been signed by two members of the group?