Easter HAF Liverpool - Review Application

Below is your application.

If you are submitting your application, review your answers and if you are happy with your application, click 'Submit' to send it to us. Once you have clicked the Submit button you will not be able to make any further amendments to your application. Click 'Amend' to return to your form and make any changes.V

*Name of organisation

Organistation address

*Address 1:

Address 2:

Address 3:

Town:

County:

*Postcode:

Country:

Project delivery site postcode

Main Contact Details

*Name
(title, first name, last name)

*Position

*Telephone

*Mobile

*Email
(This email address will be used to send you an acknowledgement and a copy of your application form when you have finished your application.)

Alternate Contact Details

*Name
(title, first name, last name)

*Position

A10

*Mobile

A11

*Email

A12

*What are your organisation’s main or current activities? (maximum 800 characters, approximately 100 words)

A13

*What is the legal status of your organisation?

If you selected Other at A13 please give details
(maximum 160 characters, approximately 20 words)

A14

Charity number
(if appropriate)

A15

Company number
(if appropriate)

A16

*When was your organisation established?

A17

*Are you part of, or affiliated to, a larger organisation?
(Select as appropriate)

If yes, please give details

A18

How many people are involved in your organisation?

*Full-time paid staff

Part-time paid staff

Management Committee members/Trustees

A19

Bank account details
(This should be an account in the name of your organisation with at least two signatories.)

Name of Bank/Building Society

Account name

Account number

Sort code (enter numbers without dashes, i.e. xxxxxx)

If you are successful in your application, to whom should the cheque be made payable? (This should be an organisation, not an individual. If you do not have a bank account for your organisation, please provide details of a community organisation that will accept the grant on your behalf.)

Project name
(maximum 120 characters, approximately 15 words)

*Brief description of your Easter programme? (maximum 800 characters, approximately 100 words)

*Start Date

*End date

*Number of days

*Number of hours per day

*Opening times

*Will the food element of your programme be provided in-house or by an external provider? Please give details. (maximum 800 characters, approximately 100 words)

*In the event of a Covid related closure/lockdown, what plans do you have in place to ensure children will still have access to food and activity provision?

*Please fill in a sample activity timetable

Date	Activity

B10

*Please fill in a sample menu

DAY	Breakfast	Lunch	Snacks	Evening Meal

B11

*Which ward will your programme be based in?

B12

If children/young people from other wards will also be involved, tell us which wards they live in.

B13

*Age range of children/young people

B14

*Estimated number of children/young people taking part

B15

*Estimated % of children in receipt of free school meals

B16

*How will you ensure that children/young people on free school meals will have access to your programme and what methods will you use to promote it at a local level? (maximum 800 characters, approximately 100 words)

B17

*Is your project aimed at a particular group or groups e.g., SEND children/young people? (maximum 800 characters, approximately 100 words)

B18

*How will you ensure that children, young people, and families are involved in planning within your programme? (maximum 800 characters, approximately 100 words)

B19

*How will you monitor and evaluate your programme and record details of those taking part? (maximum 400 characters, approximately 50 words)

B20

*Please describe the policies and procedures you have in place to ensure the safety and well-being of children, young people, families, staff and volunteers. (maximum 800 characters, approximately 100 words)

B21

*Please tell us how you will ensure that children, young people and families will be signposted to other agencies for advice and support. (maximum 800 characters, approximately 100 words)

B22

Do any staff members hold food hygiene certificates?

Yes/No	In Process

*Total Easter Programme Cost

*How much are you requesting?

Do you have additional funding (please specify)?

Please give details of the costs for the project:

(please break down as appropriate e.g. hourly rates, hours per day/week etc)

Staff Costs	££s

Programme costs	££s

Volunteer Expenses	££s

Equipment	££s

Food costs	££s

Administration	££s

C10

Overheads	££s

You will be asked to provide suppliers' or providers' cost estimates or quotations in the next section of the form.

*The constitution / set of rules of your organisation

*Your organisation’s latest annual accounts, or income/expenditure statement for the last 12 months

*A copy of your organisation’s most recent bank statement OR letter of confirmation from a community group that will accept funds on your behalf

*A copy of your organisation’s Safeguarding Policy if your organisation works with children, young people or vulnerable adults

*Proof of appropriate insurances in place for your programme

Suppliers' Cost Estimates 1

Suppliers' Cost Estimates 2

Suppliers' Cost Estimates 3

Suppliers' Cost Estimates 4

Please provide a paragraph that tells parents, carers, children etc. about your organisation and your Easter programme. Please include the name of the organisation, a contact phone number/email for registrations/bookings. Please include your opening times and if you are able to cater for SEND children. (maximum 4000 characters, approximately 500 words)

*Does your organisation have appropriate insurances in place for your programme?

*Does your organisation have appropriate risk assessments in place?

*Signed by
(title, first name, last name)

*Position in organisation

*Date of submission