Application ID
For Office Use Only
COMMUNITY COMMITTEE
FUNDING APPLICATION FORM
Name of Organisation:
Name of Project:
Where does your organisation meet:
Registered charity number
(if applicable)
Companies House number
(if applicable)
Please e-mail to: community.services@salford.gov.uk
If you are unable to e-mail please send to the address below:
Environment and Community Safety
Community Services
Salford Civic Centre 2nd floor Phase 2
Chorley Road
Swinton
M27 5BY
Telephone: 0161 793 2212
0161 793 2336 or 0161 793 2267
Please keep a copy of your application for monitoring purposes.
Date of next Budget Group:
Final Submission Date for Application:
Please note that as part of the assessment process Salford City Council cross reference
any applications received with Salford CVS Little Pot of Health, Innovation Funds and
Volunteers Expenses to ensure there is no duplication.
Please note that the Macros may need to be enabled on this application form to enable to boxes to
be ticked – please see the last page of the application form for details on how to do this.
Last updated 11th April 2016
1
If you require assistance in completing this form or with the translation of this application
form or require it in another format, please contact Community Services Division on
0161 793 2212 or 0161 793 2267
Neighbourhood Management Teams can be contacted for advice and assistance in completing your
application form.
Community Committee/
Neighbourhood Management Team
Address
Contact Number
Claremont/Weaste
Ordsall Neighbourhood Office
2 Robert Hall Street
Ordsall, Salford
M5 3LT
0161 603 4092
East Salford
Broughton Hub
50 Rigby Street
Salford
M7 4BQ
0161 686 5434
Eccles
Room 15-18A
The Town Hall
Church Street
Eccles
M30 0EL
0161 603 4290
Irlam/Cadishead
Irlam & Cadishead
Neighbourhood Team
2a Station Road
Irlam
M44 5ZR
0161 603 4290
Little Hulton/Walkden
Little Hulton One Stop Shop
42 Hulton District Centre
Little Hulton
M28 0AU
0161 779 8086
Ordsall/Langworthy
Ordsall Neighbourhood Office
2 Robert Hall Street
Salford
M5 3LT
0161 603 4092
Swinton
Salford Civic Centre
2nd Floor, Phase 2
Chorley Road, Swinton
M27 5BY
0161 607 1963
Worsley/Boothstown
Boothstown Community Centre
Standfield Drive
Boothstown
Worsley
M28 4BN
0161 779 8086
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PART A
TO BE COMPLETED FOR APPLICATIONS FROM VOLUNTARY AND COMMUNITY GROUPS,
CHARITIES OR OTHER NON STATUTORY ORGANISATIONS.
Please provide the full name, address and telephone numbers of your organisation and Management
Committee Members. The contact person named should be the person responsible for monitoring all
expenditure and for submitting all receipts and invoices to the City Council.
1
Name of Organisation
Address
Post code
Telephone Number
Email Address
Cheque to be sent to
2
Chairperson Name
Address
Post code
Telephone Number
Email Address
3
Secretary Name:
Address
Post code
Telephone Number
Email Address
4
Treasurer Name
Address
Post code
Telephone Number
Email Address
5
Main Contact Person Name
Address
Post code
Telephone Number
Email Address
6
Where does your organisation meet?
3
7
All organisations MUST provide bank account details and enclose a copy of a recent bank
statement (within last three months). All organisations must also provide a copy of their most
recent accounts.
Payments are made by BACS, if this is not possible a cheque will be issued in the
organisations name(cheques cannot be made payable to an individual)
Account Name
Account Number
Sort Code
Bank/Building Society Address
If you have not enclosed a copy of your organisation’s accounts, please tell us why?
If another organisation receives the grant on your behalf, please provide their details above.
If your bank/building society account balance is in excess of the application, please clearly
identify commitments within your account balance.
8
Does your group have a set of rules or
a constitution?
YES
NO
If you are applying for more than £500 you MUST enclose a copy of your constitution (signed
by the Chairperson of your organisation where appropriate).
Assistance is available for developing a constitution via your local Neighbourhood
Management Team. (See page 2 for contact details)
9
Does your group/organisation have
Public Liability Insurance? Please
provide a copy.
YES
NO
Salford City Council expects all services to demonstrate a commitment to keeping all children,
young people and adults safe. This will include robust and clear safeguarding policies and
procedures.
To ensure that you have all the correct policies and procedures in place, the following links
may be useful:
Salford Safeguarding Children Board
www.partnersinsalford.org/sscb
www.salfordcvs.co.uk
www.salford.gov.uk/adult-safeguarding
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10a
What are your arrangements for recruiting and vetting volunteers? (If applicable)
10b
Do you carry out DBS (formerly CRB) checks on staff and volunteers? If not please
explain why.
10c
Have you carried out a Salford
Safeguarding Self Assessment to
YES
NO
ensure that services you deliver are
safe for children and young people?
If you have not carried out a Salford Safeguarding Self Assessment please describe how
you know your services are safe?
Please enclose a copy of your Salford Safeguarding Self Assessment and your child/adult protection policy (if
applicable).
If you need any information, support or advice in relation to child protection policies or Salford Safeguarding
Self Assessments you can contact Salford CVS who will provide advice, support and training as appropriate.
Telephone no: 0161 787 7795
Webpage: https://salfordcvs.co.uk/salford-cvs/children-and-young-people
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Does your group/organisation
provide activities for under 8’s?
12
If so how many hours per day are
activities provided?
13
Does your organisation hold a
certificate of registration with
Ofsted?
YES
NO
Hours per day:
YES (please provide a copy)
NO
(Please note that if your provision is to operate for two hours or more in any one day, or more
than 14 days in a year for children aged under 8 years old, you will need to register with
Ofsted).
If you need any information support or advice on general issues when setting up a play/care
provision or to register your provision with Ofsted, you can contact the SLW (Starting Life
Well Team) on 0161 909 6508 or SLW@salford.gov.uk and they will arrange a visit to
support you. There are also training programmes available that you may be able to
access.
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PART B
TO BE COMPLETED BY COUNCIL DIRECTORATES AND PUBLIC SECTOR ORGANISATIONS ONLY
1
Name of Service Area/Division of
Council or Public Sector Organisation
responsible for the Project:
2
Main Contact Person Name
Postcode
Telephone Number
Email Address
3
4
Local Authority Budget Code Details –
(Please include a cost centre and GL
code) For internal services the
preferred of payment is journal transfer.
For external organisations the preferred method of payment is BACS, please provide bank
account name, number and sort code.
Account Name
Account Number
Sort Code
If BACS is not possible please provide details of whom cheque is to be made payable:
Please note, cheques CANNOT be made payable to an individual.
Address for Cheque to be sent to
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PART C
TO BE COMPLETED BY ALL APPLICANTS
1
Please provide a brief description of what your group/organisation does.
2
Please describe the purpose for which funding is required and how the local community will
benefit (how does this proposal support your community committees work priorities)?
Note: In the main, financial support for room hire or food will not be supported, although
exceptional circumstances may be considered if you present an appropriate business case.
3
Please clearly demonstrate which of the funding objectives that you feel your application
achieves and why? (this may be more than one) Each of the three funding objectives listed
below have a number of possible outcomes(things that happen as a result of the
activity/service/project you aim to deliver) If you feel your activity/service/project will also
achieve any of those outcomes please clearly indicate which ones, why you have chosen this
outcome and how they will be achieved (It is important that you read appendix 1 before filling
in question 3)
Builds Community Resilience
Please describe why?
Meets local wellbeing and health needs
Please describe why?
Supports the priority outcomes of the Salford Locality Plan
Please describe why?
4
Total number of beneficiaries
Age Range
Number of volunteers/participants involved in
this project
(*Beneficiaries are anybody that benefits directly from your activity/project/event.
This may include your members or others)
7
5
5a. Is it your organisations policy as an employer/service provider to comply with it's
statutory obligation under the Equality Act 2010 and accordingly it's practice not to treat one
group of people less favourably than others because of age, disability, gender, gender reassignment, race, religion and/or belief and sexual orientation?
YES
NO
5b. Please clearly indicate if your organisation is open to the following groups of people?
Those on low incomes
BME (Black and Minority Ethnic)
LGBT (Lesbian, Gay, Bisexual, Transgender)
Older People
Children and Young People
Disability Groups
Faith Groups
Females
Males
5c. If your organisation is not open to any of the above groups of people, please explain why?
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6
Which part of Salford do your beneficiaries come from? This information will determine
which Community Committee your application is submitted to.
Please ensure you provide the number of beneficiaries for each ward
(You may be asked to provide further evidence in relation to beneficiaries)
Community
Committee
Claremont/
Weaste
Ward
Number of
Beneficiaries
Claremont
Little Hulton/
Walkden
Broughton
Ordsall/
Langworthy
Irwell Riverside
Barton
Swinton
Winton
Langworthy
Ordsall
Swinton South
Pendlebury
Irlam
Worsley/
Boothstown
Cadishead
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Walkden North
Swinton North
Eccles
Irlam/
Cadishead
Number of
Beneficiaries
Walkden South
Kersal
Eccles
Ward
Little Hulton
Weaste
East Salford
Community
Committee
Boothstown &
Ellenbrook
Worsley
It is expected that all applicants will provide a minimum of 25% match funding and evidence to
support this, therefore please provide a breakdown of the financial assistance required including
items of expenditure and their estimated costs. Devolved budgets will not support more than 75% of
the total cost of the project/activity/service for which financial assistance is requested.


For each item of expenditure over £50.00 please attach a quote.
For applications over £500.00 a copy of your constitution is required.
Item
Cost
Total of funding assistance requested
£
8
What is the total cost of the project?
(Does the funding applied for in Q7 cover the full cost of the project/activity/event? If the
application is only for part funding who will be providing the other money? Please show the
additional sources of funding and the amount you are seeking from each funder) and ensure
you include and attach evidence of the 25% match funding your organisation will provide.
YES
Date and
amount
funding
applied for:
NO
Funders details:
What is the
funding to be
used for:
9
Outcome:
If you have not
received a
response when are
you likely to know
the outcome?
Also include details and amounts of any “self help” fundraising intended or achieved to
support this project (including assistance in kind). Also show any other source of income
received or applied for.
9
Timescale of project/activity/event (if appropriate)
Start Date:
End Date:
10
Who will be responsible for managing the project.
11
How will the project be monitored, you may choose to record the number of people taking
part, record the number of people that offered their time and what they did or you may gather
beneficiaries/participants views.
12
How will you know what you have achieved the objectives and/or outcomes that you have
described in Part C question 3? Please also describe how these will be measured (some
examples include taking pictures, recording names and completing a survey)
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Community Committee Conditions for Funding Applications
Organisation:
Address:
Salford City Council (“the Council”) is bound by section 2 of the Local Government Act 1986 not to publish any
material which appears to be designed to affect public support for a political party. The section also states that the
Council cannot give financial assistance to a person for the publication of such material. This includes community
committees which make decisions regarding Council funding.
You must ensure, therefore, that any publications produced by or on behalf of community committees are not
designed to affect public support for a political party, and any publication must comply with the following conditions:





There should be no offensive language, including anything that would breach the Equality Act 2010.
There must be nothing of an overly political nature
The publication must take a balanced approach, giving different points of view and information on Issues.
Publicity should not attack, nor appear to undermine generally accepted moral standards
Nothing published should breach libel laws as the Council would be found responsible as if it had funded
the publication
 Appropriate screening/filtering procedures must be in place to ensure that none of the above conditions are
breached
All the above conditions will apply to all publications/projects delivered by your organisation as Salford City Council
has an obligation, when considering potential funding, to ensure that the publication complies with the above
guidance.
For your information, “publication” includes leaflets, newsletters, posters, campaigns, advertising, websites, and
general publicity information on T-shirts, carrier bags, badges, letterheads, business cards and the like.
Who will be responsible within your organisation for ensuring all of the above conditions are complied
with?
How will this be monitored?
WE AGREE TO ENSURE THAT ALL OF THE ABOVE CONDITIONS ARE COMPLIED WITH AT ALL TIMES AND
UNDERSTAND THAT FAILURE TO COMPLY MAY RESULT IN LEGAL ACTION BEING TAKEN TO SECURE
THE RETURN TO SALFORD CITY COUNCIL OF ALL FUNDING APPROVED BY THE COMMUNITY
COMMITTEE.
(Chairperson) Signed:
(Treasurer) Signed:
Date:
Date:
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GRANT ID NO.
Promote your service or event to Salford residents – for free.
Salford City Council’s online Service and Events Directory contains thousands of records, helping
residents to join in with events, activities and services and improve their wellbeing and health.
The directory supports a number of different web pages and sites, so by entering information just the
once, your service, event or activity will appear in lots of different places – helping you to attract the
people you want.
You can also manage this yourself so you are in control of what information is recorded about your
organisation in the directory
To start adding your information email information.services@salford.gov.uk
If you don’t use email, you can still add information. Just telephone 0161 603 4206 or fill in the form
below and send it back with your grant application.
Services and Events Directory Form
Name of service/event/activity:
If your service/event/activity is part of a
another organisation, please provide name
Please give a brief description
of service/event/activity
Location (if the service/event/activity
takes place in a person’s home,
please state this)
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Contact details for service/event/activity
Telephone
Email
Web
Other
Other details
Opening times
Parking facilities
Accessible facilities
Childcare facilities
Are there any
charges?
Age range
Is the service/event/activity for male or female only?
Any other eligibility
criteria?
Does the service/activity/event have any
accreditation (eg. DBS clearance for staff,
Ofsted or CQC registered)
Your name
Your contact details
13
YES
Have you answered each section?
NO
Have you included the following DOCUMENTS (where applicable) with this application? If not your
application form will be returned to you and you may miss the deadline for submission to Budget
Group.
1
Copy of your latest bank statement(and identified commitments)
2
Copy of your organisations most recent account
3
Copy of your groups’ rules or constitution signed by the Chairperson (For all applications over
£500.00)
4
Invoices, quotes and estimates of expenditure totalling £50.00 or over
5
Evidence of match funding
6
Public Liability Insurance
7
DBS/Safeguarding Policy
8
Ofsted Certificate
9
Inclusion in Service Directory Form
10 Signed Community Committee conditions for funding applications consent form
Please note that all successful applicants will be requested to provide evidence of expenditure for the project
(receipts/invoices) and to complete a monitoring form on completion of the project. These receipts/invoices,
monitoring reports could be requested at anytime. Should we feel that you have a good news story, you may be
contacted for further information.
Salford City Council is bound by section 2 of the Local Government Act 1986 not to publish/fund any materials which are
offensive, political, and do not provide a balanced approach. Therefore please ensure you read the attached Community
Committee conditions for funding applications consent form and if you agree with the conditions, complete, sign and
return with the application form.
Please Note:
Should Community Committee require further information regarding your application they may choose to “defer” the
application. In this instance you will be contacted by your local Neighbourhood Management Team.
Declaration: To the best of my knowledge the information supplied in this application is correct and accurate.
On the behalf of the applicant organisation I accept full responsibility for the management of the funding as
stated in this application.
Signature
Name in Block Capitals
Position in Group
Returning your application for:
1.
Please e-mail the application form to community.services@salford.gov.uk ensuring all
supporting information is attached.
OR
2. Please send the completed application form to the address on the front page ensuring all
supporting documentation is attached.
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APPENDIX 1
DEVOLVED BUDGET CRITERIA 2016/2017
Any grant application that delivers improved wellbeing and health outcomes for the local population will be
considered. However, all applicants will be expected to demonstrate and provide evidence of a minimum of 25%
match funding or match funding in kind in relation to the service/activity/project that they are applying for funding
for. Exceptional circumstances may be considered if an appropriate business case is presented and is considered
acceptable by the Strategic Members with responsibility for Neighbourhoods.
There are many ways in which organisations can raise funds, for example:
 public collections, or street fundraising
 gaming, such as lotteries and raffles
 events, for example street fairs
 online
Further details can be found at
https://www.salfordcvs.co.uk/news/charity-commission-fundraising-guidance
Crowd funding is another way organisations can generate additional income (match funding). It works by providing
a platform for community groups, start-up businesses, charities, social enterprises and individuals to raise the
funds they need themselves in return for ‘rewards’. The public can back an idea with pledges of money and project
owners can 'thank' their backers with rewards that reflect the money contributed (this can be product, service or
experience produced by the project).
Organisations requiring advice and support regarding match funding or match funding in kind and or support to
develop a crowd funding platform, should contact Salford CVS
Email: - office@salfordcvs.co.uk
Telephone: - 0161 787 7795
As part of the assessment process it is also expected that all applicants will provide the following documentation:
 Charities and or Companies House number (where applicable)
 A copy of a recent bank statement (balance must be less than the application amount or details of
commitments are required)
 A copy of most recent accounts
 A copy of a signed constitution ( if applying for over £500)
 Copies of safeguarding policies ( Children and or Adults)
 Evidence that organisations comply with the Equalities Act 2010
 Evidence that appropriate Public Liability insurance is in place
 Evidence that DBS checks are undertaken where appropriate
 Copies of Ofsted registration where appropriate
 Appropriate quotes for purchases
In particular, we want to encourage activity which achieves at least one of the following three objectives, however
in the main financial support for room hire or food will not be supported, although exceptional circumstances may
be considered if an appropriate business case is presented and is considered acceptable by the Strategic
Members with responsibility for Neighbourhoods.
OBJECTIVE 1
Builds community resilience, where this means ‘one which is able to develop and engage community resources
to respond to, endure and recover from adverse situations and long term challenges. Community resilience
includes activities such as:
 Increased community led and managed activities
 Helping people to help themselves and support each other
 Communities taking responsibility for what happens in their area
 Reduced reliance on mainstream services and outside help
 Engaging local people through the existing interests of community groups and their social networks
 Building trust amongst residents
 Helping people to forge new social links as well as reinforcing existing connections
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OBJECTIVE 2
Meets local wellbeing and health needs. Further details can be found at:
http://www.partnersinsalford.org/community-priorities.htm
which includes:
 Need for the project shown in the Joint Strategic Needs Assessment
 Need for the project shown in the local Neighbourhood profiles
 Need for the project shown in local community priorities
 Needs for the project identified in the Neighbourhood Asset priorities
Neighbourhood Assets Profiles. The Neighbourhood assets profiles provide an overview of the needs and
priorities within each of the city's eight neighbourhood areas, together with an assessment of the availability of
community assets that residents and service providers could potentially use to help address those priorities. The
profiles are intended for use by members of the public, community groups, organisations and anyone who wants to
know about resources that exist within their community.
More information can be found at:
http://www.salford.gov.uk/yourcom.htm.
OBJECTIVE 3
Supports the priority objectives and outcomes of Salford City Council’s Locality Plan - A Vision For A Healthier
Salford. The Locality Plan develops from and replaces The Joint Health and Wellbeing strategy 2013-2016.
The vision for The Locality Plan is as below:



Start Well - Children will have the best start in life and continue to develop well during their early years.
Age Well – Older people will maintain well being and can access high quality health and care using it
appropriately.
Living Well – Citizens will achieve and maintain a sense of well being by leading a healthy lifestyle
supported by resilient communities
Priority outcomes of the Locality Plan include:
 Increased proportion of young people who achieve their potential in learning and employment
 Improved physical and emotional health in young people
 Improved support provided for young people by families and carers
 Healthier lifestyles and situation for Salford people
 Improved lifestyle, which leads to longer, more contented lives for those with long term conditions
 Increased happiness and life satisfaction, with improved personal resilience
 Improved health and situation for older people
 Increased quality and personalisation of care for older people
 Improved end of life care
More information can be found at:
http://www.salfordccg.nhs.uk/salford-locality-plan
Examples of grant applications which may be considered include those where the proposed activity has a
beneficial effect on:


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Promoting healthy lifestyles such as stopping smoking, reducing harmful alcohol intake, increasing physical
activity, reducing obesity etc
Improving the local environment
Reducing crime and fear of crime
Encouraging learning, leisure and creativity
Investing in children and young people
Promoting inclusion and culture
Creating prosperity for local people, community groups and businesses
Increasing local participation in community activity and democracy
Supporting carers
Reducing violence
Helping people to manage a long term condition such as diabetes, kidney disease or high blood pressure
Where appropriate, Community Committees may develop further local criteria for Budget Group
Members to use then considering applications.
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How to enable Macros
When you open the application form, on the top left hand side of the page there
may be the following message:
Security warning – some active content has been disabled.
There is a box entitled ‘Options’.
Click on options
A box opens saying: Security Alert – Macros and Active X
Click on the circle ‘enable the content’
Click OK
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