Apply for the Essex School Active Travel Grant

1. School Details

School Name

School Address (including postcode)

Full Name of Contact Person

Role

Contact Phone Number

Email

Approximate number of students enrolled

Type of School

School Website

Social Media Handles (Website, Facebook, Twitter, Instagram)

What stage of the Modeshift STARS National Travel Plan Accreditation is your school currently at?

2. Activating your Active Travel Plan

What do you plan to do?

• What your school currently does regarding active travel • What your main successes and barriers are as a school regarding active travel • How your idea will overcome challenges or build on existing success • How many people your idea will engage and who will you target • Explain why funding is required • What the impact will be of implementing your idea

Please provide a total proposed investment and budget breakdown

Please provide timescales and key dates for implementing your idea (start date & key dates)

What will the long-term impact of this investment be for your school and community?

3. Declaration and Signatures

Full Name*

Position in School*

Date*

Signature*

Please confirm that you are happy for us to share details submitted in this form with our partners The London Marathon Charitable Trust.*

I confirm