Starbucks Youth Action application form Greater London, Leeds, Manchester, Birmingham, Bristol, Cardiff, Edinburgh, Belfast, Dublin Things to consider before you enter: a. You must be aged between 16-24 b. Please state the location of project impact / where you live. You must live in one of the above cities. c. If you have endorsement or support of youth worker, school or college, please give contact details d. If your idea is selected, you will be asked to come to a training day e. You idea should be something that you feel makes a real difference to the local community APPLICATION DEADLINE IS 9am MONDAY 5th MARCH First Name:Last Name: Date of Birth (DD/MM/YYYY): Contact telephone number: Alternative contact telephone number: Email address: Your address: Postcode: Name of youth group/school/college/young person’s project you belong to: Contact details for lead worker from this organisation Name: Email address: Contact telephone number: Starbucks Youth Action application form About Your Project: 1. What is the name of your project? 2. How many young people are involved in your project (including yourself )? 3. Please tell us about your project and the difference it will make to the young people in your community. It is important you give us as much detail as possible: what is your idea, what is unique about it, how your project will run, where will it take place, what does the activity look like? Starbucks Youth Action application form 4. Who will directly benefit from your project and how? How many people will benefit? 5. How is your project unique to your location/community? What issues will it address? 6. What challenges or obstacles do you think you may encounter during your project? Who can help you overcome these - do you have a youth worker or teacher supporting you? Please be aware that if your project requires certain ‘deal breakers’ in place for it to run, this must already be established. E.g. if you need to get permission from the council to use their land, this must already be in place. Starbucks Youth Action application form 7. What is your project timeline? If your application was successful how long will it take to get your project up and running? What preparation/lead in time do you need? 8. Budget: use the box below to tell us what your total project budget is and how much you are requesting from Youth Action. Please note, we cannot pay for staff costs. Then use the budget sheet to fill out a more detailed budget plan. Total project budget: Amount requested from Youth Action: 9. If your project costs more than we can fund, where else could you get funding or support from? 10. Other than funding, what else do you need to make your project happen? E.g. Volunteers, refreshments etc. Please make sure you include these in your budget. 11. If you are under 18 years of age, please provide details of an adult supporting the project: Name of worker/leader Position held in group or organisation Please sign below to confirm that this application is your own idea and that your will be happy to feature in the promotion of Starbucks Youth Action. SIGNED: DATE: Submit your application to starbucksyouthaction@ukyouth.org or starbucksyouthaction@iyf.ie Budget – Please complete this budget sheet which asks you to itemise total project costs. There is a separate column for items you would like Youth Action to fund and costs which will be covered through other means (in kind/different grants). Please include additional support you might need, such as refreshments. Youth Action can pay grants of up to £2000 or €2000. Your grant cannot be used towards staffing costs. Item - (eg venue hire) Use headings that best describe the activity Cost Amount sought through Youth Action funding Amount to be funded from other sources £/€ £/€ £/€ £/€ £/€ £/€ £/€ £/€ £/€ Non-Youth Action source eg, own funding, local authority. Have you secured other funding needed? If not when do you hope to have this by? £/€ £/€ £/€ £/€ £/€ £/€ £/€ £/€ £/€ Total Total project cost (A) Total of Youth Action funding requested (B) Total of funding from other sources (C) Please send your application to UK Youth (starbucksyouthaction@ukyouth.org) or Irish Youth Foundation (starbucksyouthaction@iyf.ie)