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Amount Awarded
This is an admin field only, please leave blank
Applying for the COG Grant
Clifford residents under 25 years old, their parent/carer or organisation on their behalf can apply for a Clifford Opportunities Grant (COG). You can apply for up to £250 per claim to support involvement in education, learning or sports activities. You can make more than one claim (each claim must be for separate items). The deadline for each claim is no more than 2 months after the date of expenditure. Grants are awarded subject to meeting the Trust’s policy criteria.
I am applying as…
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an individual*
a parent/carer
an organisation
* You need to be 16 years or older to complete this form for yourself
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Applicant Details
Please note - The Applicant is the young person under 25 year old.
Applicant status
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Pre-School
Primary
Secondary
Higher Education
Your name
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First
Last
Completed by the parent/guardian on behalf the applicant or by the applicant 16 years or older.
Sort applying your
Applicant's name (NB must be under 25)
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First
Last
Your relationship with applicant (if you are applying on their behalf)
Organisation name (if appropriate, otherwise leave blank)
Total number of members in the organisation
Your position (if appropriate, otherwise leave blank)
Applicant's Date of Birth (applicants must be under 25 years old)
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Number of members resident in Clifford under 25 years old
Address
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Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Telephone (Landline or mobile)
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Email address
*
Does this Email address belong to the...
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Applicant
Carer
Organisation
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Purpose of Application
Tell us as much as you can about the details of your claim. If it is not listed, please select and specify the most appropriate ‘other’. Please tick all that apply
Lessons
Music lessons
Swimming lessons
Tuition lessons
Sport lessons
Other lessons (please specify)
Other lessons (please specify)
Activities
Membership fees
Group activity
Educational excursion
Residential excursion
Other activity (please specify)
Other activity (please specify)
Equipment
Clothing/footwear
Books
Computer
IT device
Other equipment (please specify)
Other equipment (please specify)
Courses
College Attendance
University Attendance
Apprenticeship Attendance
Other Training Attendance
Other (please specify)
Other fees (please specify)
Organisations Only
Lessons
Activities
Equipment
Fees
Other (please specify)
Other (please specify)
Please provide FULL INFORMATION to support your application (e.g. COLLEGE/UNIVERSITY - Course Enrolment Confirmation, course title and start dates. BOOKS - cost, title, author. TRAVEL - ticket cost, destination, duration, reason for travel. EQUIPMENT - cost, type and purpose. LESSONS - costs, location, duration, certificates. MEMBERSHIPS - duration, costs, certificates. GENERAL - Invoices, letters from school or organisations. PLEASE NOTE we CANNOT except receipts only in this section. Confirmation of activity, written or otherwise MUST be provided. Your application may be rejected if relevant information is not provided.
Click or drag files to this area to upload.
You can upload up to 10 files.
Written information can be submitted as a Word doc or in the text box below. Organisations, where appropriate, should provide specifications and costings for your project, copies of plans and your previous year’s accounts.
Supporting Information (if not included above)
Please include any details here that will support your application that are not included above.
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Evidence of Expenditure
Your application will be rejected if proof of payment doesn't have a date on it! You MUST claim within 2 months of the date of expenditure. ESSENTIAL. We must have printed evidence, with details of what has been purchased and when it was paid for (i.e. DATED). There must be at least one attachment for your application to be assessed. Any claim made after two months of the purchase/ invoice date will be rejected.
*
Click or drag files to this area to upload.
You can upload up to 10 files.
Screenshots of bank statements and receipts must show to whom the payment was paid AND WHEN I.E DATED. Please ensure all receipts are dated within two months of your claim before submitting. See below for accepted proof of payments.
I have attached the following:
Receipts (dated and itemised)
Online payment confirmation
Highlighted entry - bank statement
Highlighted entry - credit card statement
Please tick all that apply
Please tell us the total cost of your expenditure (£).
*
If your application is successful, please supply the Account Name, Account Number and Sort Code of the bank account to receive the award.
Bank Account Name
*
Whether your application is successful or not, upon completion, we will systematically remove your bank details from our records.
Bank Account Details
*
Whether your application is successful or not, upon completion, we will systematically remove your bank details from our records.
Sort Code
*
Whether your application is successful or not, upon completion, we will systematically remove your bank details from our records.
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Certify your application
I certify that the above facts are true to the best of my knowledge. I understand that this and any future application will be rejected in the event that the above facts are found to be falsified.
*
I certify
We reserve the right to reject this application without notification or further correspondence.
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