Funding Acceptance Form

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Funding Acceptance Form

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PLEASE COMPLETE ALL SECTIONS OF THIS FORM

Please note in order to submit this form you will be required to upload a recent bank statement within the accounts section below.

All financial information submitted via this form will be deleted 30 days after payments are released.

Organisation Name:(Required)

Organisation Address:(Required)

Contact Name:(Required)

Position in Organisation:(Required)
i.e. Chairperson, Treasurer, Safeguarding Lead.....

Contact Email Address:

Contact Phone Number:(Required)

Project Name:(Required)

Please confirm the funding amount as stated on your funding award email:(Required)

Anticipated project commencement date:(Required)

Anticipated project completion date (or date by which the funding will be spent):(Required)

Please provide the bank / building society details for the account you would like Active Kent & Medway (Kent County Council) to transfer the funds. Please note funds will be transferred to the club or organisation who submitted the application, not to an individuals account.

Bank / Building Society Account Name:(Required)

Bank / Building Society Sort Code:(Required)

Bank / Building Society Account Number:(Required)

Roll Number (Building Societies Only):

Please submit a recent bank statement showing the club/organisation name, address and bank details (dated from within the last three months):(Required)
Please note we do not require a list of transactions.
Max. file size: 5 MB.

Declaration:(Required)
Please tick the checkboxes below to confirm you accept the funding award and have read and agree to the grants Conditions of Funding.
I/We accept the funding offer for the project(s) specified above and agree to fulfil the conditions of the grant and I confirm that, to the best of my knowledge, the information in this form is true and correct and that I have the authority to submit the form on behalf of the organisation named.
I/We confirm that we have read and agree to the grants Conditions of Funding.

At Active Kent & Medway, we’re committed to protecting and respecting your privacy and personal data. You can access our privacy notice on our website using the following address https://activekent.org/about-us/privacy-policy/small-grant-privacy-notice/