Lowedges, Batemoor, Jordanthorpe, Beauchief & Greenhill

People Keeping Well (PKW)Community Partnership

Community Grants Fund 2018/2019 Application Form

People Keeping Well is a Sheffield City Council commissioning framework, via which the council puts money into community health projects. There are 16 partnerships across the city, including one covering Lowedges, Batemoor, Jordanthorpe, Beauchief & Greenhill.

Reach South Sheffield is the Lead Body for the People Keeping Well (PKW) Community Partnership for the area and will be administering this grants process.

Our partnership is making available £10,000 for local organisations to bid for up to £1000 to deliver community health projects in the area.

PKW outcomes are set by Sheffield City Council, the specific outcomes we need to work towards with this fund are:

1. Enabling and facilitating volunteering in the area. (this can support or strengthen volunteering programmes or create new opportunities for volunteers)

2. Encouraging people to ‘move more’ (this can be any kind of physical activity from ‘chair aerobics’ to getting people out into green spaces)

3. Partners work together to provide a range of Asset Based community-based support that improves health and wellbeing (this is about building infrastructure to support the community in what they do)

Applications for small grants (up to £1000) are invited from PKW partners for activities in the local area which meet one or more of the outcomes above.

1.Contact detailsName of group or organisation applying: Contact Name: Address: Email:

Telephone:

Your Group Yes NoIs your group constituted? Will another group manage the project costs on your behalf?If yes, who will this be?

1. About your Project

1.1. What do you plan to do? Please tell us in a few sentences or paragraph about your project or activity.

1.1a Please state if this is a new or continued activity.

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1.2 Who will be involved in this project/activity? E.g. older people. If your activity involves vulnerable people, children or young people, DBS checks may need to be carried out, although this is not always the case.

1.3 Where will your activity take place?

1.4 What do you hope to achieve with this project/activity? What difference do you hope to make? How many people will benefit from this project/activity?

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1.5 Which one of the three PKW outcomes will you address with this grant?

1.6 Will you build connections with local GP Practices and partners

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1.7 When will the project start?

1.8 Does the project have an end date? If so when?

2. Project Costs

How much money do you need and what will you spend it on? Please list and price where possible each item. Please also show that planned activities are covered by insurance, either by the host organisation or included in the costs below. (Please continue on a separate sheet if required.)

Item Price per item Total Cost (£)

Total3. Evaluation

Successful applicants will be expected to attend a celebration event at the end of the project, to which they should bring a one page report on how the project has been

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successful. This is not intended to be an onerous task, and can contain photographic evidence as well as a short written report.

Please provide a few sentences on how you will know your project has been successful? What are you going to collect to show or evidence this (e.g. attendance figures, case studies)?

4. Future Plans

Do you have any plans to carry on the activity/project after the funding has finished?

5. Declaration

It is important that you understand and agree to sign the following statements.

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Please note that if you leave the group or organisation or can no longer fulfill your responsibilities, or someone else takes over responsibility for the investment on behalf of the group or organisation, you must inform us immediately.

1. We are authorised to make the application on behalf of the above group or organisation.2. We certify that the information contained in this application is correct.

Name of person submitting form

Role in group

Signature Date

Please submit completed applications to: admin@gvcf.org.uk or post to: Helen

Cookman, Reach South Sheffield, 189 Blackstock Road, Sheffield, S14 1FX by 5pm on 2nd January 2019

If you would like to discuss the content of your application, or need help completing the form, please contact Maria Flude: Health.coordinator@gvcf.org.uk Tel: 0114 2398946

The intended timetable for the 2018 / 2019 Small Grants Programme is:

Stage in Small Grant Assessment Process Dates

Grants process goes live 26th November 2018

Deadline for submission of applications 2nd January 2019

Evaluation of application by independent panel – Section 1 Questions will be assessed and scored 0-10

10th January 2019

Award decision 14th January 2019

Grant payments issued By 18th January 2019

Project delivery commences 4th February 2019

In order to keep your details safe, this part of the application form will be detached and kept in a secure place before being submitted to the panel. For this reason, we will need you to provide your contact details again.

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Contact details

Please provide bank details of your group or host organisation.

Name of group or organisation applying: Contact Name:

Address:

Email:

Telephone:

Bank Details

Please provide bank details of your group or host organisation.

Bank:

Account Name:

Account Number: Sort Code:

Note. Please do not pay out (or agree to pay) anything related to your project until you have been informed in writing that your application has been approved.

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