Application for Rent Subsidy

(Please note: an * indicates a required field.)

This application will assess your group's eligibility and the level of subsidy you can claim. The process is in three stages (stages 1 and 2 can be submitted together).

STAGE 1 - Pre-conditions

This consists of a number of basic questions. If you cannot answer 'yes' to all of the questions, (thereby fulfilling all the pre-conditions requirements) your organisation is not eligible for funding and must not progress to stage 2 of this questionnaire.

STAGE 2 - Detailed Assessment

The answer you provide in this section will be scored in order to determine the level of rent subsidy your organisation will receive, so please provide as much detail as possible.

STAGE 3 - Assessment

Return your application to us with stages 1 and 2 completed and the copies of the documents/evidence required (see checklist in section 17 of this document).

Please complete as much as possible.

If you have any questions, please contact the Economy and Regeneration Service on 01626-215481.

STAGE 1 - PRE-CONDITIONS

1. What is your group's name and address?

This fund can be assessed by voluntary and community groups providing a service in the Teignbridge area, Statutory agencies (including Parish Councils) are not eligible.

Group Name * Required

Group Post Code * Look up address Required Valid Postcode Required Valid Postcode Required

2. Location of the property for which you are requesting a subsidy?

Subsidy Location Post Code * Look up address Required Valid Postcode Required Valid Postcode Required

3. Who is the main point of contact for this application?

Title --Select-- Mr Mrs Ms Miss Dr Rev Other

First Name * Required

Last Name * Required

Contact Telephone * Required Invalid Telephone / Mobile Number

Fax
Website

Post Code * Look up address Required Valid Postcode Required Valid Postcode Required

Position in group
How and when is it best to contact you?

4. Policies and Procedures

Do you have a constitution, or other governing documents / policies?

Yes

No

Do you have equal opportunities policy?

Yes

No

Do you have appropriate liability insurance, suited to the scope of your activities?

Yes

No

Are your Committee members / trustees actively involved in the work of your group?

Yes

No

PLEASE NOTE - IF YOU HAVE NOT ANSWERED 'YES' TO ALL OF THE

ABOVE QUESTIONS, YOU ARE NOT ELIGIBLE TO PROGRESS TO STAGE 2

STAGE 2 - DETAILED ASSESSMENT

5. What are the main activities of your group?

6. What will the building/facility be used for?

7. How does your group meet Teignbridge Distrct Council's corporate priorities?

All applications will be considered in line with the following priorities. Groups applying should show clearly how they meet at least one of these. If your project fails to meet any of these priorities, a subsidy will not be awarded. Details of the priorities can be viewed at http://www.teignbridge.gov.uk/index.aspx?articleid=14547

A quality environment

Stronger, safer and healthier communities

Economic prosperity

8. How many Teignbridge residents are served by your organisation?

Resident Numbers

0-50

51-100

101+

9. Is your organisation and its activities open to all?

 

Yes

No

10. If your organisation did not provide the services that it currently does, would Teignbridge District Council have to provide them instead?

 

Yes

No

11. Is your organisation financially self-sustaining without external funding support? (Do your normal activites cover the core costs?)

 

Yes

No

12. For how many hours would the facility be used each week?

Hours per week

0-7

8-14

15-21

22+

13. Does your organisation operate a bar?

 

Yes

No

14. Please tell us more about your group?

Do you have a budget or financial details, which detail your income and expenditure?

Yes

No

Does the authorisation of cheques require two signatories?

Yes

No

Are any profits generated reinvested in your group?

Yes

No

If your group works with children and/or vulnerable adults, does it have a child protection / safeguarding vulnerable people policy?

Yes

No

15. Has your membership increased or reduced over the last 3 years?

 

Increased

Decreased

16. When would you like your subsidy to start?

Start Date:

17. CHECKLIST

Additional documentation to be sent to Teignbridge District Council:

The last 3 years of inspected accounts (If your group has been operating for less than 3 years, please provide the inspected accounts you have available)

Constitution / terms of reference / governance documentation

Insurance documentation

Equal opportunities policy / statement

Child Protection and/or Safeguarding Vulnerable People Policy (if applicable)

PLEASE RETURN THE ADDITIONAL DOCUMENTATION TO:

Business Improvement and Development Team
Teignbridge District Council
Forde House
Brunel Road
Newton Abbot
Devon
TQ12 4XX

E-mail: communityfunding@teignbridge.gov.uk

I declare that the information given on this form is correct and complete and I authorise the Local Authority to verify the information given if they wish. I understand that to give false information may result in prosecution.

Please tick this box to confirm that you understand these conditions