Starbucks Youth Action application form Page 1 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 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 workshop e. You idea should be something that you feel makes a real difference to the local community 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 Page 2 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 unique about it, how your project will run, where will it take place, what does the activity look like? Starbucks Youth Action application form Page 3 4. Who will directly benefit from your project? 5. What issues in your community will your project address? 6. What challenges or obstacles do you think you may encounter in carrying out your idea? Who can help your overcome these? Starbucks Youth Action application form Page 4 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. What is your project budget? Please tell us how much money you need to make the project happen. We only need a estimated budget at this stage, we will ask more detailed budget questions in the second stage application. Please note, we cannot pay for staff costs. 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. volunteer time, training, etc. 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 email your completed PDF application form to starbucksyouthaction@ukyouth.org Entering the Competition 1. The Starbucks Youth Action competition (the “Competition”) is open to UK residents aged 16-24 and over (“You”) subject to paragraph 2. below. Entrants aged under 18 must please provide details of an adult supporting the project. 2. Employees or agencies of Guardian News & Media Limited (“GNM”, “We”) its group companies or their family members, or anyone else connected with the Competition may not enter the Competition. 3. By entering the Competition you are accepting these terms and conditions. 4. To enter the Competition, you must submit an application form online at guardian.co.uk/starbucks-youth-action or email the PDF application form to starbucksyouthaction@ukyouth.org. If You have any questions about how to enter or in connection with the Competition, please e-mail us at sylvie.goy.freelance@guardian.co.uk with “Starbucks Youth Action competition” in the subject line. 5. You are responsible for the cost (if any) of sending your Competition entry to us. 6. Only one entry is permitted per person. 7. The closing date and time of the Competition is 23:59 on 24 June 2011. Entries received after that date and time will not be considered. 8. You own the copyright to your Competition entry as its author. 9. By submitting an entry to the Competition, You give GNM: a. Permission for your entry to be published on guardian.co.uk and grant GNM a non-exclusive, royalty-free, worldwide licence to republish your Competition entry in electronic format and hard copy for purposes connected with the Competition; and b. The right to use your name and town or city of residence for the sole purpose of identifying You as the author of your entry and/or as a winner of the Competition. 10. Your entry must be your own work, must not be copied, must not contain any third-party materials and/or content that You do not have permission to use and must not otherwise be obscene, defamatory or in breach of any applicable legislation or regulations. If We have reason to believe your entry is not your own work or otherwise breaches this paragraph 10, then We may not consider it. Picking the winners 11. A panel of judges will asses each application. Entries will be shortlisted in each of the participating 10 cities (Belfast, Birmingham, Bristol, Cardiff, Dublin, Edinburgh, Leeds, London (Notting Hill/ Kensington & Chelsea), London (Westminster) and Manchester) and those selected will be invited to attend a workshop to develop a second, more detailed application. Selected entrants will pitch ideas to a panel of judges, made up of Starbucks partners (employees) and local experts. Between three and five finalists will be chosen in each city and will win a share of £10,000 to develop their idea. The finalist’s ideas and projects will then be promoted in Starbucks coffee shops throughout in each of the 10 participating cities. The general public will have the chance to vote for their favourite projects to select an the overall favourite. Full details of the judging process and the judges are available on request to sylvie.goy.freelance@guardian.co.uk 12. When choosing the winners, the judges will be looking for ideas that will have a positive impact on a number of people, is a sustainable idea rather than a “one off”, specifically targets young people and disadvantaged young people. Page 5 13. The judges’ decision of who the winners will be made on or before 1 September 2011. The judges’ decision is final and no correspondence will be entered into. The Prizes 14. Between three and five entrants in each of the 10 participating cities (i.e. between thirty and fifty nationwide) will win a share of £10,000 to develop their project. 15. The prize cannot be exchanged or transferred by You and cannot be redeemed by You for cash or any other prize. You must pay all other costs associated with the prize and not specifically included in the prize. 16. We retain the right to substitute the prize with another prize of similar value in the event that the original prize offered is not available. Some other rules 17. Entries on behalf of another person will not be accepted and joint submissions are not allowed. 18. We take no responsibility for entries that are lost, delayed, misdirected or incomplete or cannot be delivered or entered for any technical or other reason. Proof of delivery of the entry is not proof of receipt. 19. Details of the winners can be obtained by sending a stamped addressed envelope to the following address: Starbucks Youth Action competition, Guardian Creative desk, Guardian News & Media Limited, Kings Place, 90 York Way, London N1 9GU. 20. No purchase is necessary. 21. The winners may be required for promotional activity. 22. The Promoter of the Competition is Guardian News & Media Limited whose address is Kings Place, 90 York Way, London N1 9GU. Any complaints regarding the Competition should be sent to this address. 23. Nothing in these Terms and Conditions shall exclude the liability of GNM for death, personal injury, fraud or fraudulent misrepresentation as a result of its negligence. 24. GNM accepts no responsibility for any damage, loss, liabilities, injury or disappointment incurred or suffered by You as a result of entering the Competition or accepting any prize. GNM further disclaims liability for any injury or damage to You or any other person’s computer relating to or resulting from participation in or downloading any materials in connection with the Competition. 25. GNM reserves the right at any time and from time to time to modify or discontinue, temporarily or permanently, this Competition with or without prior notice due to reasons outside its control (including, without limitation, in the case of anticipated, suspected or actual fraud). The decision of GNM in all matters under its control is final and binding. 26. GNM shall not be liable for any failure to comply with its obligations where the failure is caused by something outside its reasonable control. Such circumstances shall include, but not be limited to, weather conditions, fire, flood, hurricane, strike, industrial dispute, war, hostilities, political unrest, riots, civil commotion, inevitable accidents, supervening legislation or any other circumstances amounting to force majeure. 27. The Competition will be governed by English law.