Creative Rural Communities
Local Action Group (LAG)
Project Proposal Application Form
<Applicant to complete>
Section 1:
Project title:
Name of
business/organisation/network:
Name of lead contact:
Address for correspondence:
Postcode:
Telephone number:
Mobile number:
Email address:
Project address (if at a physical
location):
Project postcode:
(If farm) County Parish Holding
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Number:
(If farm) Farming Connect
Membership details:
Who owns the project
property/land?
If the property/land is leased, who is
the tenant?
How many years
remaining on
current lease?
Name and address of landlord (if
applicable):
Please demonstrate the ownership or land/property agreement for the project:
(You may be asked to supply supporting documents.)
Briefly describe the nature of your business/organisation/network in its current form:
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Section 2 - Project summary:
Is this project specific to the rural Vale of
Glamorgan?
Or, is this project part of Co-operation
project?
Please provide details about your project:
YES
NO
YES
NO
How does it meet the objectives outlined by the LAG?
What evidence do you have to demonstrate that this project is needed?
What support can you demonstrate from other stakeholders/organisations?
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Have you sought any advice/business advice, other than from CRC? If yes, please provide
details.
How will your project be managed?
Project start date:
Project finish date:
Evidence of match funding: Please provide in detail where your match funding is coming
from e.g. grant or cash match funding.
Section 3:
How will the project add value to the area, complimenting existing services/facilities in
the area?
What is your marketing plan for the project?
Please demonstrate how the project will address the following cross cutting themes:
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1. Equal Opportunities including Welsh language
2. Sustainable development
3. Poverty and Social Inclusion
How will the project be sustainable after the funding period?
Does the project require planning permission? Please provide date planning permission
obtained?
Project outputs:
Please estimate the following and provide details:
Adding
value to the
local
identity and
natural and
cultural
resources
Facilitating
precommercial
development,
business
partnerships
and short
supply chains
Exploring
new ways
of
providing
nonstatutory
services
Renewable
energy at
community
level
Number of
Operations
Number of
Businesses
Assisted
Number of
Communities
Assisted
Number of
jobs created
Number of
Farm
Holdings
assisted
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Exploitation
of digital
technology
Cooperation
Rationale –
Please
give details
What realistic and measurable milestones and targets can be put into place to measure
the impact of your project?
What do you hope to learn from this project that can be shared with others?
Which of the following do you plan to produce to capture the learning outcomes from the
project, and how do you propose to distribute it?
Project report
Presentation
Tool kit
Film
Blog
Other – Please explain
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Section 4:
Project costs:
Please provide a breakdown of the project costs by heading for the items or activity per
year.
Revenue costs:
Item or activity
2015
2016
Total project cost
Funds applied for.
maximum funds
available (up to 80 % of
total project cost)
Match funding
(at least 20% of total
project cost)
7
2017
Total
Section 5
The information which you provide to Creative Rural Communities will be held for the purpose of
monitoring and evaluating which is a requirement for the European Commission’s Rural
Development Programmes and the Common Monitoring and Evaluation Framework. To enable us
to meet our obligations we shall share your information with the Welsh Assembly Government.
For further information on how your information is used, how we maintain the security of your
information and your rights to access information we hold on you please contact: Victoria Trundle
at: The Annexe, Old Hall, Cowbridge, CF71 7AH. Direct line 01446 775118 or via
Vrtrundle@valeofglamorgan.gov.uk.
I consent to all of the above and declare that the information contained in this application form is
correct, and on behalf of ..............…………………………................... (name of organisation) apply for
funding of £ ………………… towards the cost of the project described in this application.
Signature: ………………………………................
Date: ………………………
Signature of ‘Authorised Individual’: ………………………………………………………….
Please return the signed and completed application along with supporting evidence to:
Creative Rural Communities, Old Hall, High St , Cowbridge, Vale of Glamorgan,
CF71 7AH
Please supply the following supporting evidence with the signed application form:
CRN Number
Farming Connect membership (if applicable)
Copies of quotations for project costs
(In line with tendering guidelines)
Evidence of match funding
Approved planning permission evidence
Evidence of your tenancy agreement (if applicable)
Written consent from all business partners (if applicable)
Written permission from landlord for proposed development/activity (if applicable)
Completed Credit Check Form
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Section 6
Prior to any grant funding being authorised it is necessary for Creative Rural Communities to
carry out financial checks on the applicant and/or organisation. The details provided below
are checked internally within the Vale of Glamorgan Council to ensure that there are no
outstanding debts to the council.
For private business applicants, there is an additional Experian check carried out on
individuals / businesses.
Section A
INDIVIDUAL DETAILS
(Please complete if you are applying from a private businesses only)
Title
Surname
First Name(s)
Date of
Birth
Home Address
including
postcode
Contact
Telephone
Home
Mobile
BUSINESS DETAILS
(Please complete if you are applying from a private businesses only)
Business
Name
Registered Number
Business Address
including Postcode
Please circle as
appropriate
Sole Trader
Partnership
List name of all Directors/Partners if applicable
(Please note that each person should also fill in
separate form with above details to ensure individual
details can be checked.
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Limited Company
Other
Please Circle as appropriate…
Are you in partnership with anyone, whether or not in connection with
this grant application?
Yes
No
Have you ever been adjudged bankrupt, entered into a voluntary
arrangement with your creditors (formally or informally) or been
involved in any failed business previously?
Yes
No
Have you ever been convicted of fraud or any other offence involving
dishonesty?
Yes
No
Are you sourcing any other public sector funding in relation to this
proposed project?
Yes
No
Do you currently have any outstanding debts with the Vale of Glamorgan
Council?
Yes
No
If you answered “Yes” to any of the above questions, please provide details. Processing of your application may be
delayed as a result of any discrepancies identified between the information provided on the application and any checks
undertaken by Vale of Glamorgan Council.
ORGANISATION/BUILDING DETAILS
(Please complete if you are applying from a third sector or public organisation.)
Organisation Name
Organisation Address
(including Postcode)
Customer Reference
Number (if applicable)
PRIMARY CONTACT DETAILS (This is merely for our information and will NOT be Debt Checked)
Contact
Telephone
Title
Home
Mobile
Surname
Forename(s)
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Please Circle as appropriate…
Has the Organisation ever been convicted of fraud or any other offence
involving dishonesty?
Yes
No
Is the Organisation sourcing any other public sector funding in relation to
this proposed project?
Yes
No
Does the Organisation currently have any outstanding debts with the Vale
of Glamorgan Council?
Yes
No
If you answered “Yes” to any of the previous questions, please provide details. Processing of your application may be
delayed as a result of any discrepancies identified between the information provided on the application and any checks
undertaken by Vale of Glamorgan Council.
Section B
The Council will check the applicant’s financial details – depending on whether the applicant is an individual/business or
community organisation. The application may be declined or delayed should any information be withheld by the
applicant.
I grant consent to The Vale of Glamorgan Council to access personal/organisation/facility information held by Council Tax
and/or any other Council department for the purpose of verifying the information included in this application.
In addition, I authorise The Vale of Glamorgan Council to make necessary enquiries with other sources, including credit
agencies, to verify any information needed to determine this application.
I declare that all of the information given on this form is, to the best of my knowledge, correct and I understand the
provision of a false declaration may result in action by The Vale of Glamorgan Council against the applicant for the
recovery of the grant made to the applicant plus costs, charges and related expenses
In compliance with the Data Protection Act 1998, Creative Rural Communities are, for the purpose of this application for
a Rural Development Plan Grant, granted consent to make enquiries regarding my personal indebtedness to the Vale of
Glamorgan. I understand this information will only be used within the context of this grant application.
Using Your Information - Information which you provide will be used:
 To process your application
 To make lending decisions
 For fraud prevention
 For audit and debt collection
 For statistical analysis
We may share your information with and obtain information about you from credit reference agencies or fraud
prevention agencies and other council departments. For further information on how your information is used, how we
maintain the security of your information and your rights to access information we hold on you please contact:
Victoria Trundle at: The Annexe, Old Hall, Cowbridge, CF71 7AH. Direct line 01446 775118 or via
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Vrtrundle@valeofglamorgan.gov.uk
Signed
Dated
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