1Page 1 2Summary Progress Eligibility questions Eligibility You must confirm that all of these statements are true in order to be eligible for this funding. Your 2024 energy bill (gas and/or electric) has risen by 50% or more since 2021 Your energy bill (gas and/or electric) is in the name of your organisation Your 'community hub' is based in Liverpool (i.e. a building or space that provides activities or services to the local community) You are a small or medium third sector organisation (i.e. with an income of less than £1m) Your organisation is a non-profit Your organisation has an up-to-date governing document Your organisation has an active business bank account in the name of the organisation (This is where the grant funds will be paid) You must be able to confirm that all of the above statements are true in order to be eligible for this funding. Please do not continue with this application, as it cannot be submitted if you do not meet the criteria. Application questions Organisation name Organisation address Postcode Find Address Loading addresses... Select Address -- Please select -- Address line 1 Address line 2 (optional) City Postcode Clear postcode/address Use the Lookup Postcode button to find the address.If you cannot find the address, please enter it manually Contact number Contact email address Companies House number (if applicable) (optional) Charities Commission number (if applicable) (optional) Please estimate the average number of residents who are likely to attend the services for the period 01/11/2024 – 31/03/2025. With regards to the residents who attend your 'community hub', please confirm what ward(s) your community hub services This may be across multiple wards - select all that apply. All wards Aigburth Allerton Anfield Arundel Belle Vale Broadgreen Brownlow Hill Calderstones Canning Childwall Church City Centre North City Centre South Clubmoor East Clubmoor West County Croxteth Croxteth Country Park Dingle Edge Hill Everton East Everton North Everton West Fazakerley East Fazakerley North Fazakerley West Festival Gardens Garston Gateacre Grassendale & Cressington Greenbank Park Kensington & Fairfield Kirkdale East Kirkdale West Knotty Ash & Dovecot Park Mossley Hill Much Woolton & Hunts Cross Norris Green Old Swan East Old Swan West Orrell Park Penny Lane Princes Park Sandfield Park Sefton Park Smithdown Speke Springwood St Michaels Stoneycroft Toxteth Tuebrook Breckside Park Tuebrook Larkhill Vauxhall Walton Waterfront North Waterfront South Wavertree Garden Suburb Wavertree Village West Derby Deysbroook West Derby Leyfield West Derby Muirhead Woolton Village Yew Tree Please attach a copy of your organisation's bank statement to enable us to verify the account name, sort code and account number for the grant payment. Declaration Declaration On behalf of the organisation, I confirm that the information contained in this application is true and that I have been authorised to submit it by the governing body. I declare that if the application is successful, I will abide by the terms and conditions of this funding. I understand your obligation under the Data Protection Act 2018 and the Freedom of Information Act 2000. Name Position in organisation No information is required, please proceed to the next page. Before you submit this form please review your answers below. If you need to change anything, use the 'previous' button on the bottom left to go back to a section. Then submit the form by selecting the 'Submit button' at the bottom of this page Loading form summary...