Paper Application Form

Paper Application Form

We prefer to receive applications for Community Dividend online, but we also accept forms by post or by hand in store. Just hand your completed form in to your local Central England Co-operative store. 

Should you prefer to complete a paper form you can do so by downloading the application form here.

Print off and complete this form in block capitals. Please do not send any other documents with your application. If we need more information we will ask you for it during our assessment.

If you do not have access to a printer and prefer to complete the paper version, please ask a colleague in store for a Community Dividend application form. 

Send your completed application form to:

Customer and Marketing
Central England Co-operative
Central House  
Hermes Road
Lichfield
WS13 6RH 

If you have any queries about your application, contact us using the envelope icon in the top right hand corner of your screen. 

Competition for these awards is extremely high and there is a limited fund available.

Please do not be too disappointed if your application is unsuccessful, but be assured that it will have received our full and proper consideration. For advice and guidance on the do's and don'ts when completing your application, visit here

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About our Community Grants

Through our Community Dividend scheme we seek to make a difference to the lives of people in our local community.

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Is my Project Eligible for Funding?

We will invest between £100 and £5,000 into a project we feel will really benefit the local people in your community.

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All Set? Apply for Funding Today.

Tell us about your project and how you would like us to share that passion you have for really making a difference.

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