Community Kick-Start FundApplication Form

0117 928 1539www.bristolageingbetter.org.uk

Use this form to tell us about you and the project you would like us to fund. Please read the information leaflet before completing.

About you

Name of organisation or group:

Are you a: Registered Charity Community Organisation

Group of older people Other, please state:

Please tell us in one sentence what your group does:

Main contact for this application

Title: Forenames (in full)

Surname:

Phone number:

Email (if available):

How much funding are you requesting for your project ? (Max. £2,000)Please provide up to 3 quotes to support your application.

BAB can fund services (for activities that will be delivered within 12 months of the funding being approved) and goods (for example Equipment to start a new activity group).

Part 1 of 2

0117 928 1539www.bristolageingbetter.org.uk

About your project

Part 2 of 2

What do you want to do with the funding and what makes this a new activity? (Max. 200 words)

The BAB funding is available to reduce isolation and loneliness among older people across Bristol.

Please use this space to tell us:

• what difference you think this project will make to older people; and• who you think will benefit from the project (including estimated number of older people

and postcode area)

(Max. 200 words)

Thank you for completing this form. Please return it with up to 3 quotes to bab@ageukbristol.org.uk. Alternatively you can post the form to:

BAB, c/o Age UK Bristol, Canningford House, 38 Victoria Street, Bristol BS1 6BY