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Stage 2 Bolsover Community Grants Application Form -  Round 6

i.	Name of organisation or group

ii.	Lead contact name

iii.	If any details have changed since submission of stage one form please specify changes here.

iv.	How much funding are you applying for?

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

vi.	Please describe the main activities of your organisation

vii.	Please describe the group(s) or individuals your organisation supports or works with?

i.	Project name

ii.	What problems will your project address?  

iii.	What project activities will take place and where? 

iv.	Who will deliver the activities?

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

(250 words max)  Please see guidance for further details and definitions

vi.	Explain how your project will support people to engage in life skills, access basic skills and gain qualifications

vii.	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 Bolsover Community Grants project?

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

i.	How will your project create or develop new volunteering opportunities and how many volunteer opportunities will be created?

ii.	Describe the education and learning or employment skills support that will be delivered and how many unique learners will be enrolled

(E.g. if a course is 10 hours in length this is 10 learning hours however many learners participate) (50 words max)

iii.	Number of learning hours to be provided by your project.   

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

i.	Please describe how you will embed safeguarding within your project 

ii.	Please describe how you will embed sustainability within your project within your organisation and participants e.g. compost bin for waste

iii.	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)

i.	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)

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

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

E.g. will you use RARPA or any other unregulated educational standards, please note here (200 words max)

iv.	How will you ensure quality assurance is monitored throughout your project intervention and how will this be monitored? 

If not, when do you believe they will be secured?

i.	Are the match funds referenced secured yet?

ii.	Please explain how project costs have been calculated.

Please highlight how you are proactively seeking additional funds.

iii.	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

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

i.	What experience does your organisation have of delivering this type of activity? 

ii.	Describe the resources the organisation has to deliver the project (e.g., staff, premises etc)

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, The Department for Levelling Up, 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 

Name

Position

Signature

Date

Please Upload Your Budget and Performance Profile Spreadsheet (Document can be found on initial webpage) 

Please Upload Your Policies Stated in the Stage One Application Form (Health and Safety, Safeguarding, Equity and Diversity, Sustainability, Data Protection)

Any Additional Documents

Section 1: Applicant Information    

Section 2: Project Summary

Section 3: People and Skills

Section 4: Safeguarding, Sustainability and IDE (Inclusion, Diversity and Equity)

Section 5: Performance and Delivery

Please complete attached excel spreadsheet to give an outline of project costs. Please note, when purchasing resources/equipment over £2,500, there must be a minimum of 3 quotes obtained and retained before purchase is made 

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Stage 2 Bolsover Community Grants Application Form - Round 6

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Important Information