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Bassetlaw Community Grants - Application Form

Please confirm the legal name of the applicant organisation.

Applicant Organisation

Project Name

Applicant Contact Telephone Number

Applicant Email Address

Applicant Organisations Postal Address

Website address

Charity Registration Number 

Company Registration number

Please tick the relevant boxes to confirm your organisation type. (Unconstituted groups are not eligible for this funding)

Type of Organisation

(e.g. staff, materials, events). £3000 minimum - £8000 maximum.

Amount of Revenue Funding Applying For

(e.g. equipment, building refurbishments etc). Up to £8000 maximum.

Amount of Capital Funding Applying For

Are you providing any match funding or in-kind funding? If so please detail value here

Will your project be based in Bassetlaw district and focus support for Bassetlaw District residents?

In what area of the Bassetlaw District will your project be based?

Please describe the main activities of your organisation including the group(s) or individuals your organisation supports or works with?

What problems will your project address?  

Explain the project activities taking place and where as well as identifying the number of people this will support due to the projects intervention

Who will deliver the activities?

Using your knowledge of the Bassetlaw District, please identify how you will support people to achieve required outcomes and outputs.

If you can, please provide two case study examples of where you have developed and delivered similar activity. Please provide details about who you worked with and the outputs and outcomes you delivered. Are there areas of good practice that you will build on through the Bassetlaw Community Grants project?

How will your project promote pride in place improving people’s satisfaction with where they live?

Would you welcome additional support from BCVS for your project?

Please Download Complete the Budget and Performance Profile Spreadsheet and Upload it Here

All applicants to confirm that:

The project will be delivered by a constituted organisation that has ability and permission to receive public funds.

Paid for lobbying, entertaining, petitioning or challenging decisions, which means using the Fund to lobby (via an external firm or in-house staff) in order to undertake activities intended to influence or attempt to influence Parliament, government or political activity including the receipt of UKSPF funding; or attempting to influence legislative or regulatory action;
Payments for activities of a party political or exclusively religious nature;
VAT reclaimable from HMRC;
Gifts, or payments for gifts or donations;
Statutory fines, criminal fines or penalties;
Payments for works or activities which the lead local authority, project deliverer, end beneficiary, or any member of their partnership has a statutory duty to undertake, or that are fully funded by other sources;
Contingencies and contingent liabilities
Dividends;
Bad debts, costs resulting from the deferral of payments to creditors, or winding up a company;
Expenses in respect of litigation, unfair dismissal or other compensation;
Costs incurred by individuals in setting up and contributing towards private pension schemes


I confirm that funds will not be spent on any items or activities excluded from UKSPF support as listed below:

www.gov.uk/guidance/uk-shared-prosperity-fund-branding-and-publicity-6

I have read and confirm the project will comply with UK Shared Prosperity Fund: branding and publicity requirements

•	Participation in a criminal organisation
•	Corruption
•	Fraud
•	Terrorist offences or links to terrorist activity
•	Money laundering or terrorist financing
•	Child labour or any form of trafficking human beings

I confirm that within the past 5 years the applicant organisation or any person who has powers of representation, decision or control within the organisation, has not been convicted of any of the following offences listed below:

If the organisation or anyone with powers of representation, decision or control has been convicted of any of these offences in the past 5 years, please contact BCVS to discuss 

The applicant organisation is able to confirm the following:

Financial Due Diligence:

(If successful, you will be required to submit a copy of a recent bank statement (not more than 3 months old) in the name of the organisation (no transaction details required)

The organisation has its own bank account, which requires two unrelated people to authorise cheques and make withdrawals. This must be the name of the organisation applying. 

The applicant organisation has at least three unrelated members on its governing body or Board of Directors?

Policies:

Please upload your organisation's Health and Safety Policy that complies with current legislative requirements.

Please upload your organisation's Safeguarding Policy that complies with current legislative requirements.

Please upload your organisation's "Equity and Diversity" Policy or equivalent

Please upload your organisation's "Sustainability" Policy or equivalent

Please upload your organisation's Data Protection Policy 

Please confirm that the applicant organisation holds valid Insurance.  Please state your insurance limits and note, at full application stage copies will be required 

Employer’s Liability Insurance of £5 million as a minimum

Professional indemnity insurance 

Public Liability Insurance which includes event insurance if an event is to be included in the full application.

I understand that grant funding of this type may be subject to certain restrictions under the Trade and Cooperation Agreement (the “TCA”) and the Subsidy Control Act 2022 and that I may be asked to sign a declaration regarding eligibility to receive grant funding under this scheme. I confirm that we will comply with the relevant guidance and legislation in respect of the grant funding and co-operate with BCVS to ensure any grant funding issued is done so in compliance with such subsidy control regime. I confirm that the project has not yet commenced, and that no expenditure has been incurred to date. I understand that any UKSPF offer will be invalid if the project commences prior to the date of an offer from BCVS. I confirm there are no anticipated changes in the nature or funding of our organisation over the duration of this application. I confirm that our organisation has not been the subject of any action or clawback from funders for poor or under performance in the past 2 years. I confirm that the information provided herein is correct to the best of my knowledge. Please note our Community Grants Manager may be in contact prior to the release of funds.

In line with the Data Protection Act 2018 and UK GDPR, BCVS is the data controller and collects your personal data in order to process your UK Shared Prosperity Fund application. We will only collect the personal data from you we need for assessing and administering the funding application. We may need to contact you for further information to support your application. We will retain your information for monitoring, analysing and targeting and may contact you by phone or email. By completing this form you acknowledge and agree that the data you have provided in this form will be held for a minimum of six years and used by project partners listed below to consider your eligibility and involvement in the project. Personal data shall be retained in accordance with the General Data Protection (UK GDPR) and other applicable legislation. To enable project partners to comply with their obligations and funding requirements for Shared Prosperity Fund Projects, we are required to share some or all of the information you have provided on this form with our project partners including Bassetlaw District Council and third-party organisations appointed by partners to undertake audit and evaluation. For the purposes of checking eligibility, compliance with regulations, and audit purposes. Please see our Privacy Notice www.bcvs.org.uk/privacypolicy

I confirm the applicant organisation works to the standards required under RARPA (Recognising and Rewarding Progress and Achievements) as the quality standard used by the UK government to quality assure non-regulated teaching and learning provision? For further information please see:   https://www.ncvo.org.uk/about-us/our-services/quality-standards/#/

Please note, BCVS will provide information sessions on RARPA and quality assurance to support sector capacity building for those organisations not yet ready but that wish to apply for funding in future rounds.  


Quality Assurance 

By completing this form you acknowledge and agree that the data you have provided in this form will be held for a minimum of six years and used by project partners listed below to consider your eligibility and involvement in the project. Personal data shall be retained in accordance with the General Data Protection (UK GDPR) and other applicable legislation.

To enable project partners to comply with their obligations and funding requirements for Shared Prosperity Fund Projects, we are required to share some or all of the information you have provided on this form with our project partners including Bassetlaw District Council and third-party organisations appointed by partners to undertake audit and evaluation for the purposes of checking eligibility, compliance with Regulations, and audit purposes. Please see our Privacy Notice www.bcvs.org.uk/privacypolicy

Use of data

I give permission on behalf of the applicant organisation to share the contents of stage one and stage two applications for this project with National Lottery Community Fund Officers. This is to enable lottery staff to identify whether any lottery funding programmes could provide support for this proposal. 

Optional data sharing

Name

Position

How will your project create and engage people with new volunteering opportunities stating how many volunteering opportunities you are creating

Please outline how the projects, activities and events will seek to overcome current barriers into volunteering and increase volunteer numbers overall

Please outline how your project will support the health and well-being of participants and support individual needs

Date

Please describe how you will embed safeguarding within your project

Please describe how you will embed environmental sustainability within your project within your project e.g. compost bin for waste

 Please describe how IDE (Inclusion, Diversity and Equity) will be addressed in all areas of the project

e.g. based on previous delivery, forecasting, expressions of interest etc. (200 words max)

Please justify the rationale behind the figures provided for the expected outputs and outcomes

e.g. there will be a need for case studies, site visits and regular reporting. (200 words max)

Please explain how you will capture, measure and evaluate the identified outputs and outcomes

Please explain how you plan to promote your project to the wider community and recruit participants?

Please explain how project costs have been calculated.

Please describe ways in which you will support sustainability of the provision beyond the community grants project end date.

Please Include Risk Description, Owner of risk, Probability of occurring (high, medium, Low), Impact of risk (high, medium, low), Mitigation

What are the risks in delivering your project and how will you mitigate these risks?