Greener Spaces, Fairer Places Application Form Guidelines and Conditions of Award * Please tick this box to confirm that you have read the guidelines and that you accept the Conditions of Award, in the event of an award being made. Have you had a grant from FiCS before? * Please select Yes, a grant during 2020/2021 Yes, a grant prior to 2020 No, we have never had a grant award from FiCS If so, please remind us briefly what for. (30 words max). 1. Name of organisation * Please give the name of the faith group or related community organisation, as registered with OSCR. 2. Description of organisation * If you are not a local faith group (eg a church, mosque, synagogue, gurdwara etc) rooted in a particular community, please explain briefly how the organisation relates to Scotland's faith group network. 3a. OSCR charity number * Please give your OSCR charity number 3b. Organisation's annual income * Please state your annual income in your most recent year end accounts. £ 3c. Staffing * Please give the number of paid staff employed by your group. (If none, please type '0'). 3d. If your organisation has a website, please state the address http:// 3e. If your organisation is on Twitter, please give username @ 3f. If your organisation has a Facebook page, please gives details: 4. Your name * First Name Last Name 5. Contact telephone number * Please give us the best number to you reach you on. 6. Email * 7. Address * Address 1 Address 2 City State/Province Zip/Postal Code Country 8. Where? * Please name the local area where this grant will be used - be as specific as possible - give the name of the community and/or the streets, post code etc. 9. How much are you applying for? * £ 10a. Which theme are you applying under? * - Please select - Community mobilising Use of community land Respecting the environment Local action on fuel consumption 10b. What, when, who and how ? (300 words max) * What is the grant for, when will the event/activity take place, who will do the work and how will it make a difference locally towards climate justice? Please be as specific as you can. 11. Connecting with others (100 words max). Are you working with others in your community on this? If so, please describe briefly. 12. Keeping everyone safe (100 words max). * With ongoing concerns around COVID levels, please describe any good practice you are following to keep everyone safe. 13a. Please answer this question if your organisation already has some experience in acting on climate justice which could assist others. If so, please describe briefly who can offer up to 4 hours of mentoring and what their experience is. (An additional top-up grant will be available in recognition of any time given.) 13b. Please answer this question if you would like your group to benefit from mentoring support from another group with experience in acting on climate justice. If so, please describe what kind of support would be helpful. 14. Name of bank * 15. Name of account * Please note that the account must be in the name of the charity. If a grant is awarded, you will be asked to send us a recent copy of your bank statement. 16. Bank sort code * 17. Bank account number * 18. Referee - SOMEONE OUTWITH YOUR GROUP * If possible, please give name and phone number of another local person - who is not part of your organisation - who could provide a quick telephone reference. DECLARATION * By clicking this box I agree that the information given is correct, that I am authorised to submit this application on behalf of the organisation, that any grant awarded will be spent on the stated purpose, that I will keep any receipts for audit purposes and that I will report back on the use of the grant when possible. I also understand that Faith in Community Scotland is unable to give individual feedback in the event of the application not being approved. I agree Thank you for submitting your application and for your local actions for climate justice. We will process this as quickly as possible and let you know the outcome as soon as we can. Generally speaking we aim to respond to applications within one week. Please understand that we will be unable to give individual feedback on the outcome of applications which we have been unable to support.