Community Safety Grant Funding. Application Form

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Community Safety Grant Funding Application Form Applications will be considered from community groups and agencies to tackle the causes of anti-social behaviour or domestic abuse, or to provide diversionary activities to stop people committing anti-social behaviour or domestic abuse. Each group or agency can apply for one grant per annum; the maximum grant awarded is 2,500. Radian does not guarantee to approve the full or part amount requested. Each application will be judged on its merit and benefits to the community. Graffiti wall funded by a grant Community event Radian residents who attend the Community Safety Continuous Improvement Group make a decision on whether the grant is awarded. We would prefer if you could attend the group in case there are any questions relating to your application. The meetings are held every 3 months. When making a decision about the awarding of the grant, the following will be considered: Evidence of current incidents of anti-social behavior or reports of domestic abuse The benefit to our residents or members of their household The proposed impact once the grant is rewarded. Please return the completed form to: Community Safety Manager, Radian, Drum Court, The Spain, Petersfield GU32 3NG, together with 2 quotes (if applicable). If you have any queries please contact the Community Safety Manager on 0300 123 1567 or email: radiandirect@radian.co.uk

Community Safety Information Sheet please refer to this when completing each section of the application form. 1. Contact details of your organisation. 2. Tell us about your project/event. Please include, where possible: What your project/event is Where will your project/event take place How often will it happen Who will benefit How will Radian residents benefit How will you encourage involvement and make sure that it is equal and fair access to all 3. What are the benefits of the project/event to Radian residents and the general community? What are your aims of your project / event? Positive benefits now & longer term How will it improve the community? 5. How will you monitor the project/event and the funds? How will you tell if the project/event is working as intended How will you monitor the success of the project / event? How will you monitor the spending of the grant? 6. Existing funding and request This should demonstrate that your project is financially viable and sustainable. 7. Questions about your organisation Please ensure that you have an official group/organisation bank account as we do not pay individuals.

Please complete in black ink or type. 1. Your organisation: Name of Organisation: Address: Post Code: Telephone: e-mail address: Contact name: Title: Position in organisation: Contact telephone number: Please refer to the Community Safety Grant Funding information sheet. This information is available in other languages and formats upon request, such as large print, Braille and audio cassette.

2. Tell us about the project or event: 3. How will this funding positively benefit Radian residents now or in the future?

4. How will your project/event benefit the general community? 5. How will you monitor the project/event and funds? 6. Existing funding and requests How much are you asking for? What is the total cost of the project/event? Where else have you applied for funds and how much? How much has already been secured? If there is still a financial shortfall, how will you meet the outstanding costs of this project? If you have previously received a Community Safety Grant from us, how much was it for and how was it used?

7. Questions about your organisation: Does your organisation have a managing committee? If yes, how many people are on your committee? Does your organisation have a constitution or governing document? Does your organisation have a bank account? Does your organisation have annual accounts? Does your organisation have a written Equal Opportunities Policy? How many are female and how many are male within your organisation? How many are from black or minority ethnic communities? How many have a disability? F M Does the venue comply with the Disability Discrimination Act 1995 in terms of access and equality? (www.direct.gov.uk) Does your organisation have a written Child Protection Policy? Have all members of your staff been CRB checked? Have all of your volunteers been CRB checked? Have all of your trustees been CRB checked? Does your organisation have a written Health & Safety Policy? If you organisation is a registered charity, please state number. Should your application be successful, please advise who the cheque should be made payable to (this must be a recognised organisation / group bank account):

DECLARATION The funding is for a not-for-profit community safety project/event The funding will serve Radian residents and benefit the community as a whole We agree to report back in 6 months time using the attached feedback form, including a breakdown of how the money has been spent. We agree to allow Radian to use the project/event for publicity purposes in both internal and external publications. MAKING A FALSE DECLARATION TO OBTAIN A GRANT IS A CRIMINAL OFFENCE AND RADIAN WILL TAKE WHATEVER STEPS IT CONSIDERS APPROPRIATE IN SUCH CIRCUMSTANCES. Name (please print): Signed:.. Date: On behalf of:.. (Name of organisation) For office use only: How many Radian residents live in the area of the project/event? How many cases of anti-social behaviour or domestic abuse have there been in the area?

Name of Organisation: Community Safety Grant Funding 6 month Feedback Report Name of Project/Event: How many individuals have benefited from the project/event? How did you promote this project/event within the community? What have been the outcomes of this project/event? What has been the actual spend of this project/event? How have you visually recognised Radian s funding towards this project?