APPLICATION FORM SUMMARY

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If you want to amend the information provided please click "Revise".

1 *Name of applying organisation
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2 Applying organisation's main address *Address1:   ?
  Address2    
  Town:    
  County:    
  *Postcode:    
3 Main contact title
(eg. Mr, Miss, Mrs etc) 		     ?
4 First name
      
5 Last name
      
6 Position
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7 Main contact and correspondence address *Address1:   ?
  (Complete only if different from address provided in Q2) Address2    
  Town:    
  County:    
  *Postcode:    
8 Main contact telephone number
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9 Alternative main contact telephone number
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10 Main contact email address
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11 Please describe the applying organisation
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12 Does the applying organisation have a bank account open in its own name
      
1 Project title
(maximum 100 characters) 		     ?
2 Project site address *Address1:   ?
  Address2    
  Town:    
  County:    
  *Postcode:    
3 Name of qualifying SITA UK waste processing location
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4 Distance between project site and qualifying SITA UK waste processing location
(Must be 3 miles or less) 		     ?
5 Assigned landfill site
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6a Please provide a brief description of the overall project being undertaken at the project site.
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6b Overall project costs
(Please read the help text (?) before proceeding) 		     ?
7a How much funding has already been secured towards the overall cost of the project
(Please do not include funds you have allocated for your CTP payment in this section) 		     ?
7b Please describe the source(s) of secured funds
(Please do not include funds you have allocated for your CTP payment in this section) 		      
8a Amount requested from SITA Trust
(Please see Help Text regarding VAT) 		     ?
8b Does the above amount include VAT
      
8c Is the applying organisation able to reclaim VAT
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8d Please describe or list how you specifically intend to use any funds awarded from SITA Trust
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9a How much funding remains to be secured in addition to the amount requested from SITA Trust
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9b If funds still need to be secured in order to complete the overall project please explain where you anticipate obtaining the necessary funds from
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10 Project start date
(Please select a month and year from the look up tables) 		     ?
11 Project end date
(Please select a month and year from the look up tables) 		     ?
12 What evidence do you have that local people support this project
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13a You have already stated that the facility is open to the public for a minimum of 104 days per year. Please give more detail in this section about opening hours
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13b Please give details about any membership scheme which is in place
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13c How do you advertise the availability of the facility
      
14a What is the current number of users of the facility
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14b What is the anticipated number of users of the facility after completion of the project
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14c What is the current annual footfall for the facility
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14d What is the anticipated annual footfall for the facility after completion of the project
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1 Who owns the project site
(Maximum 50 Characters) 		      
2 If you do not own the project site, there must be a current lease in place between the applicant organisation and the site owners that has at least 10 years to run. Please confirm the name of the lessee and how many years is left on the lease
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3 Has the project site(s) stated in your application previously received SITA Trust funding. If yes, please provide details.
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4 Name of the organisation that will run the facility being funded by SITA Trust
(Maximum of 50 characters) 		      
5 Is planning permission or any other form of consent required. If yes, please describe.
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6 What insurance policies does your organisation have for this project
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7 What environmental considerations will have been incorporated into the completed project
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8a Please provide the name of your local newspaper(s) for the area around the site(s) to be funded
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8b Do you consent to us notifying your local newspaper of any award
      
8c If the answer to question 8b is "No", please explain why
      
9 Please tell us who is the local Member of Parliament (MP) for the site where any funding provided by SITA Trust will be spent
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1 Will any income be generated as a result of SITA Trust funding. If yes, please describe.
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2 Have you identified a Contributing Third Party (CTP) provider. If yes, please provide details. If no, please insert "No" and any additional comments you think may be helpful.
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3a If your project involves the use of a supplier or contractor have you received 3 quotes
      
3b If the answer to question 3a is no, please explain why
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4a Is there any connection between the applying organisation and any supplier/contractor being employed to deliver any element of the project. If yes, please describe.
      
4b Is there any connection between the CTP provider and any supplier/contractor being employed to deliver any element of the project. If yes, please describe.
      
5 If the applying organisations latest set of accounts are available on line please provide the web address here
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H1 Describe the designation of the historic building/structure
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H2 Describe how the building/structure is of historical /architectural interest
      
H3 Why is the repair/restoration/improvement work you are proposing necessary
      
H4 If relevant, has the diocese granted a faculty
      
H4a If the answer to question H4 is no, please explain why
      
1 Please attach 2 photographs to support your application
(If your application is for internal works to a building please supply 1 photograph of the exterior and 1 of the interior of the building) 		       ?
Upload second photograph
        
2 Please attach your completed Project Budget. This is a SITA Trust document which all applicants must complete and attach. Please ensure you read the help text (?) to find out how to access the document.
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3 Please attach a maximum of 3 letters of support for your application
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Upload second letter of support
        
Upload third letter of support
        
4 Please attach your chosen quote(s) from suppliers or contractors
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Upload second quote
        
Upload third quote
        
5 If the applying organisations latest set of accounts is not available on-line please attach a copy
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6 Have you any other documents you wish to attach. If yes, please attach them here
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Upload second document
        
Upload third document
        
1 How will this project make the environment of the project site more pleasant/comfortable for the public; and/or how will it improve the aesthetic quality of the site
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2 Please describe how the work to be undertaken at the project site enhances and/or protects the built or natural environment
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3 Where applicable, will the project use any type of recycled materials
(Please answer Yes or No) 		      
4 Where applicable, please estimate the number of new or existing jobs as a result of the development of this project
      
5 Where applicable, please estimate the number of full-time jobs that will be created or maintained once the project has completed.
      
6 Where applicable, please estimate the number of part-time jobs (less than 18 hours per week) that will be created or maintained once the project has completed
      
7 Where applicable, please estimate the number of people who will obtain a training qualification or recognised skill, directly linked to the development of this project
      
8 Where applicable, please estimate the number of schools which currently visit the site
      
9 If you anticipate that the project will increase school visits once completed, please estimate by how many
      
10 What is the total value of LCF funding that will be used to make improvements or provide improved facilities for people with disabilities
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11 Will this project make changes which result in improved energy efficiency? If you are able to, please estimate the estimated total utility cost savings of the project per annum once the project is complete
      
12 What is the local authority area for the project site (County, Unitary, or London)
      
13 If you are improving areas of land (excluding land for building development), please estimate the number of hectares that will be worked on as part of this project
      
14 If applicable, please estimate the number of metres of footpath and / or bridle ways and / or cycle paths which will be provided
      
15 If you intend to plant trees as part of this project, please estimate how many will be planted
      
1 Do you intend to send supplementary information by post
      
2 If you are providing supporting information by post please provide details here
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3 Additional information or comments
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DECLARATION 

Please confirm on behalf of the applying organisation detailed in question 1, on the first page of this form, that you are duly authorised to submit this application and that, to the best of your knowledge and belief, all answers to the questions are true and accurate.

      
1 How did you hear about SITA Trust
      
2 If you emailed SITA Trust before completing the application form, did you have a timely, satisfactory response
      
3 If you spoke to someone at SITA Trust before completing the application form, how would you rate the quality of information you were given
      
4 How easy was it to complete the online application form
      
5 Are there any service improvements you would like to recommend
      
6 If you would like to make any other comments, please do so here
      
7 Please give an overall score for the service you received. 5 = very satisfactory, 4 = good, 3 = satisfactory, 2 = unsatisfactory, 1 = poor
      
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