* 1. Type of grant being applied for?

* 2. Representative details

* 3. Club Mark
Has your club achieved Club Mark?

* 4. Reason for requesting grant (including dates, venues for specific events and as much supporting information as possible)

* 5. Grant Request Detail

* 6. Financial details (please send a copy of your most recent club accounts, if relevant)

* 7. Name of Funding recipient:

* 8. Declaration
(If funding is for an organisation please provide a summary of your organisation accounts.)

I confirm that to the best of my knowledge all information given on the application form is true and accurate. I understand that if successful, information about my application for funding may be used for publicity reasons. If successful I agree to prepare a written statement (standard form) on the benefit this award has brought me/the club and the sport. Please note any individual or club in debt to Freedom Leisure will not be considered for a sporting grant.

* 9. Declaration

Thank you for applying for a Worcester Sporting Grant form Active Communities Worcester.

To Support your application, we require you to supply us with a reference. 

The referee must be independent, i.e. it cannot be a family member.  For representative applications it should be the Coach, for organisations the referee should be a board member or the NGB.

Next Steps:

1 - Click submit
2 - Send this link (https://www.surveymonkey.co.uk/r/QHCVJL2) to your referee for them to complete you reference. Alternatively, advise them to visit:
www.freedom-leisure.co.uk/sportdevworcester/sportworcester and ask them to click 'Referees Statement' 

Once this has been received we will review your application and you will be contacted if successful.

Should you have any questions, please feel free to contact Mark Hitchman on 01905 457189 or email activecommworcs@freedom-leisure.co.uk@freedom-leisure.co.uk