Mardyke Trust, Ockendon, North Stifford, Stifford Clays, Thurrock, Essex. Mardyke Trust.org.uk

Application Form

1. Name of applicant/organisation
2. Address of applicant/organisation

3. Contact name:
4. Telephone number of contact: daytime:
Evening if different:
5. E-mail address:
6. Address of contact if different to organisation (for correspondence):
About the Project
7. Location of the Project (include post code)

8. Brief summary of the project
9. When do you hope to start the project?
10. When do you hope to complete the project?
Costs

11. What is the total cost of the project? £
12. Please provide a breakdown of the costs:

13. Have you obtained at least three quotations for the work?

If so, please attach copies of the quotations
14. If not, please indicate if you have ensured value for money in another way, or if you are still seeking estimates:
15. Please list the amounts of money you are seeking from different organisations: £
From Veolia Mardyke Trust
From your organisation’s own monies
From others (please list with amounts, and
if confirmed or seeking):

Consultation and permission
16. Who owns the site for the project?
17. If your organisation is not the freeholder of the site, please confirm the owner has agreed to the project:
(Please enclose evidence to confirm this)
How many years are left for your lease to run?
18. Does the project require planning permission?
If so, has this been obtained?
If not, when are you hoping to apply for planning permission?

19. Have local residents/other groups been consulted on the project? Please give details of the consultation so far, and of any proposed:
Benefits
20. Will your organisation receive any extra income as a result of the project?
21. If so, how much (to the nearest £100) income per year?
22. Where applicable, will you be using any type of recycled material in the project?
23. Where applicable, has energy efficiency or water saving been considered, and in what way?
e.g. double glazing, insulation, efficient heating systems, water saving devices
24. Who will benefit from the project?
25. How many people do you expect to visit/use the site after the project is completed, per year:
26. If your organisation is a club/society, please indicate how many members you have:
Adults
Juniors
27. In addition to members, how many other people regularly use the facility:
Adults
Juniors
28. Will your facility be open to the general public to use, at any time of year?
29. If not, please detail who will be able to use the facility:
(eg opening times, membership requirements, whether any resident can join/use the facility, charges, etc)

30. Please detail availability to the facility by the general public in any one week:
(e.g for a village hall, detail when the hall is available, and a timetable showing current users; for a sports club, show when the facility is regularly used, and whether other organisations use the facility)
31. Please indicate how you will advertise the availability of the facility
32. Where applicable, please confirm you have attached copies of:
a. Public access statement or lettings policy
b. Your annual accounts
c. Records of income derived from the facility, if not separately shown in the accounts.
d. Your constitution
33. Youth Volunteering
Please explain if your project will involve, or create any places for, youth volunteers. If so please give numbers of places created.
Signed

Date

Please return this application and additional papers to the secretary, at the address shown at the top of the application form
Please feel free to discuss any aspect of the application form first with the secretary, who will be pleased to help. Don’t worry if you can’t complete all the questions at this stage: it is best to discuss your project with the secretary at the beginning, so that he can advise whether it is the kind of project that the Trust can help.
Please remember that the Trust usually only funds projects close to the landfill site in South Ockendon – in practice this includes South Ockendon, North Stifford, Stifford Clays, Grays and Blackshots north of Lodge Lane, Aveley, Kenningtons, and Purfleet west of the railway line, and Orsett and Bulphan. If your project is outside these areas, please discuss it first with the secretary; you will need to demonstrate how your project will significantly benefit residents from those areas, or why it should be seen as a special case. Where necessary the Trust will take into account the difficulty of raising funds from alternative sources.
Please remember that the Trust can only support projects that comply with the requirements of the Landfill Communities Fund (formerly the Landfill Tax Credit Scheme). The secretary can advise on these requirements.
If you would like to fill in this form on your computer please let the secretary know and he will be happy to e-mail the form to you.
The Veolia Mardyke Trust receives funds from the Veolia ES landfill site at South Ockendon under the Landfill Tax Credits Scheme, together with substantial voluntary donations from Veolia ES (UK) Ltd. itself. However the Veolia Mardyke Trust is a completely independent registered charity, and all decisions are taken by a board of voluntary trustees.
The Veolia Mardyke Trust is committed to trying to benefit the environment and communities in it’s target area in Thurrock, and welcomes applications from groups in and serving these communities.

Application Form 1. Name of applicant/organisation 2. Address of applicant/organisation 3. Contact name: 4. Telephone number of contact: daytime: Evening if different: 5. E-mail address: 6. Address of contact if different to organisation (for correspondence): About the Project 7. Location of the Project (include post code) 8. Brief summary of the project 9. When do you hope to start the project? 10. When do you hope to complete the project? Costs 11. What is the total cost of the project? £ 12. Please provide a breakdown of the costs: 13. Have you obtained at least three quotations for the work? If so, please attach copies of the quotations 14. If not, please indicate if you have ensured value for money in another way, or if you are still seeking estimates: 15. Please list the amounts of money you are seeking from different organisations: £ From Veolia Mardyke Trust From your organisation’s own monies From others (please list with amounts, and if confirmed or seeking): Consultation and permission 16. Who owns the site for the project? 17. If your organisation is not the freeholder of the site, please confirm the owner has agreed to the project: (Please enclose evidence to confirm this) How many years are left for your lease to run? 18. Does the project require planning permission? If so, has this been obtained? If not, when are you hoping to apply for planning permission? 19. Have local residents/other groups been consulted on the project? Please give details of the consultation so far, and of any proposed: Benefits 20. Will your organisation receive any extra income as a result of the project? 21. If so, how much (to the nearest £100) income per year? 22. Where applicable, will you be using any type of recycled material in the project? 23. Where applicable, has energy efficiency or water saving been considered, and in what way? e.g. double glazing, insulation, efficient heating systems, water saving devices 24. Who will benefit from the project? 25. How many people do you expect to visit/use the site after the project is completed, per year: 26. If your organisation is a club/society, please indicate how many members you have: Adults Juniors 27. In addition to members, how many other people regularly use the facility: Adults Juniors 28. Will your facility be open to the general public to use, at any time of year? 29. If not, please detail who will be able to use the facility: (eg opening times, membership requirements, whether any resident can join/use the facility, charges, etc) 30. Please detail availability to the facility by the general public in any one week: (e.g for a village hall, detail when the hall is available, and a timetable showing current users; for a sports club, show when the facility is regularly used, and whether other organisations use the facility) 31. Please indicate how you will advertise the availability of the facility 32. Where applicable, please confirm you have attached copies of: a. Public access statement or lettings policy b. Your annual accounts c. Records of income derived from the facility, if not separately shown in the accounts. d. Your constitution 33. Youth Volunteering Please explain if your project will involve, or create any places for, youth volunteers. If so please give numbers of places created. Signed Date Please return this application and additional papers to the secretary, at the address shown at the top of the application form Please feel free to discuss any aspect of the application form first with the secretary, who will be pleased to help. Don’t worry if you can’t complete all the questions at this stage: it is best to discuss your project with the secretary at the beginning, so that he can advise whether it is the kind of project that the Trust can help. Please remember that the Trust usually only funds projects close to the landfill site in South Ockendon – in practice this includes South Ockendon, North Stifford, Stifford Clays, Grays and Blackshots north of Lodge Lane, Aveley, Kenningtons, and Purfleet west of the railway line, and Orsett and Bulphan. If your project is outside these areas, please discuss it first with the secretary; you will need to demonstrate how your project will significantly benefit residents from those areas, or why it should be seen as a special case. Where necessary the Trust will take into account the difficulty of raising funds from alternative sources. Please remember that the Trust can only support projects that comply with the requirements of the Landfill Communities Fund (formerly the Landfill Tax Credit Scheme). The secretary can advise on these requirements. If you would like to fill in this form on your computer please let the secretary know and he will be happy to e-mail the form to you. The Veolia Mardyke Trust receives funds from the Veolia ES landfill site at South Ockendon under the Landfill Tax Credits Scheme, together with substantial voluntary donations from Veolia ES (UK) Ltd. itself. However the Veolia Mardyke Trust is a completely independent registered charity, and all decisions are taken by a board of voluntary trustees. The Veolia Mardyke Trust is committed to trying to benefit the environment and communities in it’s target area in Thurrock, and welcomes applications from groups in and serving these communities.