EXAMPLE COMPLETED FORM

Transcription

1 GRANT APPLICATION FORM (up to 10,000) Blackpool Coastal Housing Tenants Project Fund Before applying please ensure that you satisfy the eligibility criteria as stated in the funding guidance Section 1: About your Organisation/Group 1. What is your organisation/group s name? (This must be the same as the one on your group s governing documents) BCH Youth Group EXAMPLE COMPLETED FORM 2. What year did your organisation start/ form? Please give details of group s full address including postcode: Address: Coastal House Town: Blackpool Postcode: FY1 1DG 4. Please provide details of the main contact: Title: Mr Forename: John Surname: Smith Role in the organisation: project lead Address (if different from the above): as above Postcode: Telephone: Mobile: john.smith@youthgroup.co.uk 5. What type of organisation/group are you? Registered Charity Voluntary or Community Organisation Public Service Local Councillor Other (please state) No No Yes No (a) Please provide your Charity registration number/s ( if applicable) 6. Does your organisation/group have a bank account? Yes Page 1

2 (a) How many signatories are needed for the account? 2 Section 2: About your project 7. What is the name of your project? Mobile youth provision club4me 8. Project Start Date: 10 th Jan Project End Date: 11 th July Please tell us about your project? What does it aim to achieve and who benefits? BCH Youth Club is looking at trying to engage young people across Blackpool by holding various group activities (indoor and outdoor) over a 6-7 month period with the club4me campervan 11. What activities do you want us to fund? We are looking at holding Dance, Music, Art & Craft, Archery, Football, Rounders, Graffiti Art, Face painting and other outdoor activities depending on the weather. 12. Why do you feel your project is needed and have you carried out any consultation with the people who will benefit from the project? (provide evidence) We feel that there is a distinct lack of engagement with the youth community across Blackpool and we feel that by holding the group activities we could offer them an outlet to express themselves. We carried out a question and answer session with year olds at our head office (Coastal House), and at local schools where we have our largest volume of housing stock and the results were overwhelmingly positive for wanting these activities. Out of 400 people questioned, 346 said they would attend, 42 said they already attend personal groups and the rest were undecided. Page 2

3 13. Please outline the support you have for this project from BCH staff and other community members? We have been working closely with the ASB team at BCH. They have advised that there has been an 11% increase in ASB involving youths in the past 12 months. Ben Jones, the Community Beat Manager on Grange Park said in my experience working on the estate, over half of the incidents I deal with involve youths in the age bracket. Section 3: Which BCH Tenants/Leaseholders will benefit from your project? 14. Which area of Blackpool will the project benefit? Bispham, Grange Park, South Shore, Central 15. How many BCH Tenants/Leaseholders will benefit from your project? We aim to engage with at least young people during our 6 month project 16. Please indicate who the beneficiaries of your project will be (you may select more than one) Children (0-12yrs) x Ex offenders or prisoners Young people (13-18yrs) x Homeless Young adults (19-25 yrs) LGBT Community Adults (26+) Unemployed/ not in education Senior Citizens Alcohol/drug additions People with Mental health difficulties Disadvantaged/Low income People with Learning difficulties Travelling communities People with Physical disabilities People with Weight/Obesity issues People with General health issues Black & Minority Ethnic groups Refugees/ Asylum seekers Other (please state): Carers Lone/ Teenage parents Families Page 3

4 17. Does your project focus on any specific ethnic group? Yes No If yes please state: White: British Irish Eastern European Travellers Mixed: Other white Black / Caribbean / white Black African / white Asian / white Other: Asian Indian Pakistani Bangladeshi Other Black Caribbean African Other Chinese or other Chinese Other Section 4: How does your project meet the objectives of the fund? 18. Please explain how your project meets the objectives of the Fund: (a) Life Skills (i.e. better access to training and development): We feel this would create an opportunity for young people to engage and work with adults on various activities which we hope would allow for a greater understanding of what each demographic is trying to achieve (b) Health & Wellbeing (community/leisure activities e.g. bingo sessions, sports etc): People who get involved with our activities can potentially improve their health, whilst also making new friends and partaking in activities/ sports that they may not have previously experienced Page 4

5 (c) Stronger Communities (communities working together to tackle issues in their community such as Anti-Social Behaviour through community events etc): We have seen a willingness of parents to get involved to participate and volunteer to take up training to try and ensure these activities are delivered. We hope support to these people might see the regeneration to the community spirit that seems to have gone in certain communities (d) Improving our Neighbourhood Environments (improving our environments such as community gardens etc) We hope that by young people getting involved with our project, this will in turn empower them to get involved in further community events (linking back to the community spirit). We have already been involved in various Section 5: How will you monitor the project? 19. How will you monitor your project? We record everyone who attends, their post code and age and this allows us to create reports to see where areas are being well attended and what communities might benefit from more session 20. How will you ensure the sustainability of your project after the project end date? (If applicable) We intend to continue running a programme of activities once this initial project has finished and also hope that as a result of the involvement from parents and senior youth members that they will be inclined to develop more community groups/ events Section 6: Project Costs 21. What is the total cost of your project? 5,000 Page 5

6 22. Have your received any other funding in the last 12 months? (please tell us the date, how much, what for and who from) 2000 from the Big Lottery Fund in September How much are you applying to the Tenants Project Fund for? If you have a shortfall, how will it be met? As above, we received 2000 from the Big Lottery Fund 25. Please provide a full breakdown of your project costs Activity/Item/Service Club4me sessions x 52 (every Friday night and sat 50 per session) Total Cost Amount requested Description / Breakdown of Cost cost will be to pay for snacks and refreshments for attendees, cost of minor supplies (arts and crafts etc), general running costs of camper van (averaged over 52 sessions) Publicity of events funding to create and distribute Sports and activity equipment (large items) posters and leaflets for the duration of the project archery set/ football nets, rounders set, Nintendo Wii etc Project management Project leaders salary contribution to support the co-ordination of club4me TOTAL Section 7: Your Policies and Procedures 26. Has your organisation got all the policies and procedures it needs? Your organisation s policies and procedures must be relevant, accurate and up to date especially Safeguarding policies where the project you are asking us to fund includes children and vulnerable adults. By signing this agreement you confirm that the relevant policies and procedures are in place and Page 6

7 that you may be asked to provide further information. Signed Position in Organisation John Smith Project lead Section 8: Declaration Declaration: I/we understand that Blackpool Coastal Housing reserves the right to recall all or part of the grant if the group fails to meet one or more of these conditions and that significant breaches may result in criminal proceedings. Please note that only completed applications will be processed. When submitting your application, groups and organisations need to ensure they have submitted the following documents: - Constitution - Accounts - Bank Statements covering the last 6 months (up to the present month) - Safeguarding Policy (where applicable) If the above documents are not received your application cannot be considered Main contact: * Signature : John Smith * Full name: John Smith * Position in group: Project Lead * Date: 26/11/14 Witnessed by (2nd group contact) * Signature: Sarah Jones * Full name: Sarah Jones * Position in group: Assistant Project lead * Date: 26/11/14 Thank you for completing this form. Now return it, along with any supporting documentation needed (details given in the fund guidance) to: Phil Duhig Grants and Communications Officer Page 7

8 Coastal House Blackpool Coastal Housing Abingdon Street Blackpool FY1 1DG Electronic forms can be returned to Page 8