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FULL STAGE APPLICATION 

Please refer to guidance notes before completing this form
We want to ensure that all the projects we work with are aligned to local needs and priorities and that there is a recognition by local partners about how this will add value and help achieve outcomes for children, young people and families locally. To achieve this the local Director who has strategic and legal responsibility for children and young people and signs this proposal on behalf of the Local Authority/Health and Social Care Partnership to agree; 

• This type of approach, model and outcomes has the potential to help achieve local strategic priorities
• there has been an appropriate level of dialogue between local partners and the voluntary sector service on how this could help meet local strategic priorities and outcomes
• it is aligned to national strategic priorities for children and young people affected by alcohol and/or other drugs An email will be sent to the Local Partner Authorisation contact to confirm and accept this application.

Section 1: Local Area


Local Partner - Authorisation (e.g. Local Authority or Health and Social Care Strategic Director for Children and Young People)
We use this data to
• Assess your application for a grant.
• Monitor any grant made to your organisation and to perform any other requirements set out in the grant agreement between us.
• Allow us to perform our part of the grant agreement and to allow us to report to any other organisation involved in the funding of the grant, and our funders, where applicable.
• Inform you, with your consent, about grant opportunities, training events and relevant seminars and conferences that may be of interest to you and to consult with you through surveys.
We may use personal data that identifies you, such as photographs, in our reports to our funders.
We will retain your personal data after the completion of the grant agreement for a period specified in the grant agreement.  This will be deleted thereafter, unless you consent for us to retain it.

If you want to find out more about what we do with your data, you can access our Privacy Notice.








Local Partner - Primary Contact 
We use this data to
• Assess your application for a grant.
• Monitor any grant made to your organisation and to perform any other requirements set out in the grant agreement between us.
• Allow us to perform our part of the grant agreement and to allow us to report to any other organisation involved in the funding of the grant, and our funders, where applicable.
• Inform you, with your consent, about grant opportunities, training events and relevant seminars and conferences that may be of interest to you and to consult with you through surveys.
We may use personal data that identifies you, such as photographs, in our reports to our funders.
We will retain your personal data after the completion of the grant agreement for a period specified in the grant agreement.  This will be deleted thereafter, unless you consent for us to retain it.

If you want to find out more about what we do with your data, you can access our Privacy Notice.










 
Section 2: Charity Information




Staffing Levels 











Protecting staff, volunteers and clients 



Charities financial accounts 
Please summarise the last three year's audited accounts below (guidance notes recommended)
Financial Year to Total Expenditure Total Income  Unrestricted/                General Reserves  Cash in bank/on hand

 



Page 2

Section 3: This Proposal 


Background












Page 3

Section 3: This Proposal - Project Weaver's Triangle
Please complete the ‘Weaver’s Triangle’ below to give an outline of the project plan in terms of your long-term
outcome, short-term outcomes and activities. (GUIDANCE NOTES RECOMMENDED)



Page 4

Section 4: Why is this service needed? 




Page 5

Section 5: Description of Project
 
Number of people you are looking to support





Section 5: Delivering this service 

How many staff or volunteers will be employed under this particular proposal:






Page 7

Section 6: Evaluation and Monitoring 







Page 8

Section 7: Breakdown of Costs
Guidance notes recommended. Just use those headings that are relevant to your proposal.
 
Employment Costs (E.g. Salary, NI, Recruitment)





 
Property costs (e.g. rent, electricity) 





 
Equipment Costs (e.g. computers)





 
Other costs (e.g. travel, food) 





 
Management fees (if applicable)





 
Total cost to deliver this project




  



















Year 1  Year 2 Year 3 Total  
Total Matched Funding
Total Amount from PDI                                                              (this should equal no more than 50% of the total cost) 


Page 9

Section 8: Future Planning 




Page 10

Section 9: Declaration by Charity 

Project Lead


We use this data to
• Assess your application for a grant.
• Monitor any grant made to your organisation and to perform any other requirements set out in the grant agreement between us.
• Allow us to perform our part of the grant agreement and to allow us to report to any other organisation involved in the funding of the grant, and our funders, where applicable.
• Inform you, with your consent, about grant opportunities, training events and relevant seminars and conferences that may be of interest to you and to consult with you through surveys.
We may use personal data that identifies you, such as photographs, in our reports to our funders.
We will retain your personal data after the completion of the grant agreement for a period specified in the grant agreement.  This will be deleted thereafter, unless you consent for us to retain it.

If you want to find out more about what we do with your data, you can access our Privacy Notice.










Approval (Board or Senior Management Level)


We use this data to
• Assess your application for a grant.
• Monitor any grant made to your organisation and to perform any other requirements set out in the grant agreement between us.
• Allow us to perform our part of the grant agreement and to allow us to report to any other organisation involved in the funding of the grant, and our funders, where applicable.
• Inform you, with your consent, about grant opportunities, training events and relevant seminars and conferences that may be of interest to you and to consult with you through surveys.
We may use personal data that identifies you, such as photographs, in our reports to our funders.
We will retain your personal data after the completion of the grant agreement for a period specified in the grant agreement.  This will be deleted thereafter, unless you consent for us to retain it.

If you want to find out more about what we do with your data, you can access our Privacy Notice.











To the best of our knowledge the information given on this form gives a true and accurate account of the proposal to which it relates. We confirm that on behalf of the local authority or health and social care partnership and the charity we authorise Corra Foundation to publish details of financial support given to this proposal and of the objectives of the project; to pass any details obtained about the project through this application or through subsequent assessment procedures to the external partner funding agencies, and also to use such information as part of any Corra Foundation customer satisfaction survey; and as part of any Corra Foundation media release or publication.

These details will not be used for commercial purposes.

Page 11

Section 10: Enclosures
Please make sure that you have enclosed copies of the following with your application:








Appendices

You can add the following appendices 





The Corra Foundation is a charity registered in Scotland (No SC009481) and is also a company limited by guarantee (No SC096068). Fortify Social Enterprise CIC is a community interest company registered in Scotland and is also a company limited by guarantee (No SC5074457) Riverside House, 502 Gorgie Road, Edinburgh EH11 3AF.  The Corra Foundation was previously called Lloyds TSB Foundation for Scotland.
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