Cornwell Memorial Fund Grant Application Form

Thank you for applying to the Scout Grants Committee. Please read all instructions carefully. This application form is for grants relating to a young person in receipt of a Cornwell Scout Badge/Meritorious Conduct Award/Gallantry Award to undertake an activity of their choice with their fellow group members. Before completing this form please remember: - This form must be completed by a Scouts volunteer (parents of Scouts cannot apply) - The application must be made within six month of the date of the Award being made to the young person.

Scouts volunteer details

Name*

Membership number*

Volunteer role*

Please include the role most specific to this application.

Contact number*

Email address*

Award recipient details

Name*

Group/District/County/Area/Region*

Please tell us which group/district/county/area or region this application is for, e.g. 2nd Chingford or Hitchin District

Award received*

Select

Award date*

As detailed on certificate.

Presentation date of award*

Grant usage*

Please detail the activity to be undertaken, when it will occur, who will attend and how many will benifit from the activity.

Financial information

Activity cost*

Please include the total cost of the activity as a £value only.

Grant requested*

Please detail the total grant request as a £value only (up to £300).

Charity bank details

Please include the bank details for the group or district below in order for The Scouts to process the grant. The SGC cannot pay grants into personal accounts.

Banking provider*

e.g. Halifax, Barclays

Bank account name*

Please include what name the bank account is registered to, e.g. 'Gotham District Scout Council' or '23rd Gotham Scout Group'

Account number*

Please enter the 8 digit bank account number without spaces

Sort code*

Please enter the 6 digit sort code without spaces

Scout Grants Committee Disclaimer*

If this application for funding is successful, I/we agree: - to inform the Scout Grants Committee immediately if there are any changes to the details provided on this form - to only use the grant for the purpose applied for on this form - to refund the grant, or any part of it, which remains unused, or if it used for a different purpose to which it was agreed - to submit a report on the grant within 6 months of the event or purchase Click the tickbox below to confirm you have read and understood this notice.

Data Protection*

As part of this form The Scout Grants Committee collects personal data about you and individuals applying for grants (including young people) this detail is required so that we can contact you regarding your grant application, and to record our grant giving activity. This form also collects sensitive (special category) data about grant applicants, this detail is required so that we can ascertain if individuals applying for a grant are eligible for funding. The sensitive (special category) data we collect as part of this form may be shared with members of the Scout Grants Committee for the purpose of decision making on grant applications. The Scout Grants Committee takes your personal data privacy seriously. The data you provide to us is securely stored in our electronic grant records. We will keep the data we capture from this form for 7 years in line with financial records keeping legislation. Applications forms will be deleted from our electronic form within 12 months of the financial year end. For further detail on our Data Protection and retention periods please visit our Data Protection Policy on the Scouts website. Click the tickbox below to confirm you have read and understood this notice.

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