1 Start 2 Page 2 3 Page 3 4 Complete Eligibility In order for your application to be eligible you must meet all of the following criteria. * If you cannot tick all of these boxes we will be unable to move forward with your application. We will accept this form electronically (and the enclosures detailed in section 6 by secure email or post). I am applying on behalf of a non-profit group/organisation My group has a bank account in its own name My group has a constitutional document This application will benefit people from East Dunbartonshire. I can supply all of the necessary enclosures Copies of correspondence about any licences / consents granted which may be relevant to the application (only if applicable). Do you currently receive any other funding from East Dunbartonshire Council? * Please selectYesNo Please provide details * Contact Information Group Name * Contact person and role in group. The first name should be the person that is submitting this application on behalf of your group. The second name should be the Chair, Vice-Chair, Treasurer or Secretary of your group. We will contact this person if you are unavailable. Please explain your roles in the group (e.g. chair person, secretary, etc.) Title * Please selectMrMsMrsMxMissDr First Name * Last Name * Position * Address The address given will be used for correspondence regarding this application. Signatory 1 Name * Position * Address line 1 * Address line 2 Address line 3 Town * Postcode * Signatory 2 Name * Postion * Address line 1 * Address line 2 Address line 3 Town Postcode * Contact Details Please give the preferred day time phone number(s) and email address to reach you with questions about your application. Phone * Mobile Email * Phone * Mobile Email * Next Page > Start Page 2 Page 3 Complete Next Page >