Click here to download the Supplementary Information Form
Click here to download the Application Guidelines
APPLICATION FORM for TEA Funding
Applicant:
Organisation:
Address:
Contact name:
Phone: Fax:
E-mail:
Type of Organisation:
Are you VAT registered?
Project site address and postcode:
Project:
Please give a description of your project, indicating the type of project and the number and range of beneficiaries (continue on a separate sheet if necessary).
Category:
Which category does your project fall into? If you think it qualifies in more than one category, circle all relevant categories.
A B D DA E
Has this project already received ENTRUST approval? Y/N
If Yes, please enclose a copy of the project approval letter.
Have you sent this project to any other Environmental Bodies or Landfill Operators? If so, please give details.
Public Amenity and Community projects (Cat D & E): Please complete the access statement on the supplementary information sheet.
Benefit:
Describe how your project will benefit the environment and/or the community.
Ownership:
Public Amenity and Community projects (Cat D & E): Please describe who owns the building to be improved/provided and your relationship to them (e.g. leasee, owner, other). Please indicate rent or other regular payment for the building and state payment schedule (monthly, quarterly, p.a.)
Project cost:
Give a detailed breakdown of your project costs (attach a sheet if necessary). Please note that all work contracted must go through an open tender process, and records of this must be made available, i.e. tender summary and contractors quotes.
Total:
Capital cost (one-off):
Revenue cost (on-going):
How much are you seeking from Landfill Tax Credits?
Please state amount and source(s) of funds already secured:
Please state other funding bodies applied to and amount requested:
10% Contribution:
The contribution will need to cover the total project cost being sought from landfill tax, which may include ENTRUST and TDEA administration fees.
Do you have a source to provide the 10% contribution?
Please give the name and address of your contributor:
Project Programme:
Who will manage the project?
Please specify project start and completion dates:
What are your project targets?
How can you show these targets have been achieved?
What outcomes do you expect?
How will the project be maintained once it is completed?
Please present proposed grants draw down schedule:
How many full time jobs will be created or maintained that are directly linked to the delivery of the project?
How many part time jobs will be created or maintained that are directly linked to the delivery of the project?
How many training opportunities, directly linked to the delivery of the project, will be created or maintained?
How many volunteers are expected to help in the delivery of the project?
How many people do you anticipate will use or visit the project per annum?
How many school visits are anticipated to use or visit the project per annum?
Does the project make improvements or provide improved facilities for people with disabilities?
Please also identify any of the following (where relevant):
Where applicable, the number of possible different uses the site can be put to once the provision; maintenance or improvement has taken place.
Which local authority area will the project take place in?
What is the name of the organisation or local authority who actually owns or operates the general public amenity?
Expected number of Hectares worked upon through the delivery of the project:
Estimate the number of metres of footpath, bridle ways, and/or cycle paths provided or worked upon:
The number of trees planted:
Will any recycled materials or secondary aggregates be used in the project?
Has energy efficiency been considered? How?
Publicity:
How do you intend to promote your project?
Profit:
Will any profit be made from this project?
If so, when and how will it be used?
How did you hear about TEA?
Declaration:
I declare that the above information provided by me is accurate at the time of writing. I agree to inform TEA of any variation to the project from the above description.
Applicants signature:
Print Name:
Date:
Return to: SWEET-UK, Victoria House, 51 Victoria Street, Bristol, BS1 6AD
For all projects:
Please confirm the address and postcode of the project site and state the O/S grid reference. If possible, attach a simple map that indicates how the public have access to the site.
Please include work specification and quotes and/or summary of tender process.
Building and refurbishment projects: Please attach copies of site plans, planning consents and/or building warrants, or state what stage the planning process has reached.
Biodiversity enhancement or conservation projects should attach a separate sheet detailing the conservation measures you will put into practice at each specific site and how these measures complement Local Biodiversity Action Plans.
For projects of historic and architectural interest: Brief details of the historic and architectural interest of the site will be required. Evidence of Listing is required for those buildings that are not places of worship.
For all Public Amenity applicants and Places of Worship: please answer the following questions using headed stationery if possible, otherwise, use this form and complete the declaration at the bottom.
1. Please describe how your project open to the public.
2. When is the facility open or available for letting to the public?
3. If the facility is locked for security purposes, how can the public get for access?
4. Who will use the facility or amenity? List user groups.
5. How will the facility be advertised?
6. Are there any restrictions on use?
7. If there is a charge for use, please detail the tariff of charges.
8. How will any income be used?
Please note that if the equipment, land or building purchased, improved or restored using landfill tax credits is sold, or ownership is otherwise transferred during a seven-year period after work is completed, a percentage of any benefit realised by that sale or transfer must be repaid to the Landfill Tax Credit Scheme. The repayment schedule will be one seventh of the amount contributed per annum, cumulative, on a decreasing basis. Any project receiving funding under the Scheme agrees this condition in the funding agreement.
Please confirm that the facility will not be operated for profit:
Proposing Organisation:
Contact Name and Address:
Signed on behalf of the proposing organisation: