Starbucks Youth Action application form

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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 [email protected] or [email protected]
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 ([email protected]) or
Irish Youth Foundation ([email protected])
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