Your organisation's total income in the last financial year

How long your organisation has been operating

black

Resilience Service Application Form

Organisation Name

Organisation Type

Registered Address

Main Contact Name

Main Contact Job Title

Email address

Contact number

Organisation registration number

Are you FCA regulated (if providing debt advise)

Service Name

Delivery Area

When will you be able to mobilize services?

Start Date

Implementation Date

Total funding requested

What service(s) are you planning to deliver? 

What are the key activities?

How will the service(s) be delivered?

How will your service(s) prevent future crisis and support long-term financial stability? 

Who will your service(s) support? 

Why does this cohort require the support?

How have you identified this need? 

Estimated number of households you will support

How will your service(s) be delivered?

e.g. rural areas, vulnerable cohorts, digitally excluded households

How will you ensure accessibility?

What outcomes will your service(s) achieve?

Which partners/organisations will you be working with to identify households and improve outcomes?

Who are your key partners? 

How will you work alongside existing services? 

How will you process information for households you will be working with?

How will referrals be managed?

Costs should be limited to those directly incurred through CRF activities and must exclude any core costs associated with existing provision.

Amount

Direct Delivery

Overheads

Marketing

Management

Materials and Suppies

Refurbishment/Equipment/Storage

Staffing

Technology 

Please provide a breakdown of cost

Consider management, overheads and number of people who will benefit.

How do your costings represent value for money? 

Do you have the appropriate safeguarding policies/procedures in place? 

Do you have GDPR/Data Protection arrangements in place? 

Do you have any key risks to delivery?

How will these risks be managed? 

Please confirm that you agree to report data in line with CRF using our grant management platform (Plinth)

Please confirm that you are able to report quarterly

The information provided in this application is accurate

I confirm that: 

The organisation has appropriate governance and financial controls

I confirm that:

Funding will be used in line with CRF requirements

Are you Money and Pensions Service accredited (MaPS) 

Material deprivation captures inability to afford essentials (heating, adequate clothing, basic household goods and food). By tackling the underlying conditions that prevent households from affording essentials, Authorities can support their residents to build protection to avoid hardship.

How will your service reduce experiences of material deprivation?

Insufficient food is a crisis need negatively effecting health and wellbeing if not addressed. More resilient households are less likely to experience financial crises that lead to emergency food need.

How will your service reduce need for emergency food parcels?

Access to high quality, free-at-the-point-of-use advice is a proven lever for income gains, arrears resolution and improved social wellbeing. Advice should lead to improved understanding of rights/entitlements for individuals, ideally provide individuals with an intention to act on the advice and for the issue to be progressed or resolved. Where appropriate, advice should support early problem resolution. Advice may focus on areas such as debt, welfare, housing and other wider support.

How will your service improve increased access to appropriate and quality advice services?

Encouraging individuals to build buffers that prevent small shocks becoming crises when an unexpected bill or income dip hits.

How will your service increase savings for households?

Rent, council tax and utilities arrears are the debts most likely to tip households into crisis, trigger legal action and increase health and homelessness risks. By supporting citizens to manage or reduce these debts, Authorities create more resilient households.

How will your service support households to reduce priority debt?

Authorities can support individuals to increase their household income through a combination of raising income and reducing expenditure. This could include helping individuals identify and claim financial support they are entitled to, identifying savings and building skills to help with employment and in-work progression.

How will your service support maximisation of individuals’ incomes?

By building the financial resilience of individuals and enabling effective pathways between crisis support and Resilience Services, Authorities should see reduced crisis need over time.

How will your service support decreased need for Crisis Payments and Housing Payments for households?

A policy outlining how complaints from service users, staff, volunteers, partner organisations, or members of the public will be received, recorded, investigated, and resolved.

Complaints Policy

A current safeguarding policy outlining the organisation's commitment to protecting children, young people, and adults at risk, including reporting procedures, roles and responsibilities, and responding to safeguarding concerns. This must comply with Staffordshire’s safeguarding policies and procedures.

Safeguarding Policy

Evidence that the organisation's Designated Safeguarding Lead(s) have completed current Level 3 Safeguarding Training. This demonstrates that appropriate safeguarding leadership, knowledge and expertise are in place to support the safe delivery of services.Where Level 3 Safeguarding Training is not currently in place, organisations must commit to ensuring that designated staff complete the training before service delivery commences.

Designated Safeguarding Lead Training Certificates (Level 3 Required)

Confirmation that appropriate Disclosure and Barring Service (DBS) checks have been completed for staff and volunteers who work directly with children, young people, adults at risk, or other vulnerable groups as part of the funded service

Enhanced DBS Information for Staff Delivering Resilience Services

A policy describing the measures used when recruiting staff and volunteers, including vetting, references, DBS checks and safeguarding considerations, to ensure suitable individuals are engaged in delivering services.

Safer Recruitment Policy

A policy detailing the procedures to be followed in the event of an emergency requiring the site or venue to be secured, helping to safeguard adults, children, staff, and visitors.

Lockdown Policy

A copy of the current Employers' Liability Insurance certificate. This provides protection for employees in the event of work-related injury or illness and is a legal requirement for all employers.

Employers Liability Insurance

A copy of the current Public Liability Insurance certificate. This provides cover for claims arising from injury to third parties or damage to property resulting from the organisation's activities.

Public Liability Insurance

A policy explaining how the organisation promotes equality of opportunity, prevents discrimination, and ensures services are accessible and inclusive for all participants, staff, and volunteers.

 Equality, Diversity and Inclusion Policy

Where appropriate a food safety policy and food hygiene training will be required which complies with Natashas law <a target="_blank" rel="noopener noreferrer nofollow" href="https://www.gov.uk/government/publications/introduction-to-allergen-labelling-for-ppds-food/introduction-to-allergen-labelling-for-ppds-food">Introduction to allergen labelling for PPDS food - </a><a target="_blank" rel="noopener noreferrer nofollow" href="http://GOV.UK">GOV.UK</a>&nbsp;

Food Safety and Hygiene Policy (Where Applicable)

A document outlining how the organisation manages health and safety risks, protects staff and participants, and complies with relevant health and safety legislation.

Health and Safety Policy

A policy outlining arrangements for managing the safety and wellbeing of staff and volunteers who undertake visits, outreach or other lone working activities

Policies for Lone Working (Where Applicable)

An agreement that sets out how information will be shared, stored, used, and protected between organisations involved in delivering the service. This ensures compliance with data protection legislation and supports appropriate information sharing where necessary.

Information Sharing Agreement 

Evidence of appropriate financial controls, including:Most recent annual accounts (or equivalent financial statement)Bank account in the organisation's nameAppropriate financial procedures for managing grant funding

Financial Governance

Application details

Funding Request

Service Proposal

In this section, please explain how your service supports financial resilience and crisis prevention 

Alignment to CRF purpose

Target cohort

Delivery Model

Outcomes and impact

Partnership working

Value for money

Delivery capability 

Risk management 

Organisations awarded funding through the Staffordshire Crisis & Resilience Fund must provide the documentation listed below prior to the commencement of service delivery and maintain these documents throughout the funding period, where applicable to their service. For example, organisations providing food-related support must hold appropriate Food Hygiene certification.

Where an organisation does not currently hold a required document, policy or certification, this must be obtained and submitted to Staffordshire County Council before funding can be released and delivery can commence.