· web viewhealthy holidays fund easter 2021 application form for grants of up to £1,000 to fund...
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Healthy Holidays FundEaster 2021 Application FormFor grants of up to £1,000 to fund children’s holiday activities with food provision during the Easter break
a) About your organisation1) Organisation Name
Contact Details Lead Contact Secondary Contact
Name:
Tel Number:
Mobile Number:Email address:
Address(inc. postcode)
2) Please tick this box to confirm you have full Salford CVS membership Only VCSE organisations who are full members of Salford CVS are eligible to apply.
Payment details – if successful you will not need to invoice us separately
3) Bank Account details – for payment of award (if successful)Account Name (must be an organisation)Account Number
Sort Code - -If your bank details have changed since your last grant within the last 12 months, please enclose a scan or photograph of a bank statement OR paying-in slip.
OFFICE USE ONLY – AWARD APPROVED: £
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4) Type of VCSE organisation?(tick all that apply) Organisation Number
Constituted Group Not applicable
Company Limited by GuaranteeRegistered CharityCharitable Incorporated OrganisationCommunity Interest Company Community Benefit Society Cooperative SocietyOther (please specify)
b) Programme requirements5) Can your organisation meet the programme requirements below?
Yes No Further info
Provide healthy and nutritionally balanced meals and snacks for childrenProvide physical activities and wider ‘enrichment’ activities for children50% (min) of children attending eligible for Free School Meals without chargeHave a designated safeguarding lead on activity site at all timesAll staff and volunteers on site have received training & are DBS checkedFirst Aider on site at all times
Provide a simple end of project report by 30th April 2021
c) About you project6) Project Name:
7) Over how many days of will you provide food and activities during…
…week of 5th – 9th April 2021: Days…week of 12th – 16th April
2021: Days
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TOTAL: Days8) How many hours per day will your project operate?9) What will be the ratio of staff / volunteers to children?10) How many children will your project have capacity to support each day?
11) Will the food provided for children be hot, cold or both?12) Will your organisation be cooking / preparing food or buying-in prepared food?
13) Please describe the types of meals and snacks you plan to offer to children attending. These must be healthy and nutritionally balanced.
14) Venue(s) for food preparation / cooking (include postcode)
Food Safety and Hygiene Yes No Details
15) Is this venue registered with Salford City Council as a Food Business? 16) Will food preparation be supervised by Food Hygiene Level 2 qualified staff or vols
17) Venue(s) for activities (if different) (include postcode)
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18) Please describe the physical and wider enrichment activities you will be offering to children attending.Physical activities on offer
Wider ‘enrichment’ activities on offer
Any other information
19) How will you engage / promote your project to those families most in need?(150 words max)
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d) About the money20) Please provide a simple budget for your project below
Description of items Breakdown of calculations Amount requested
£
£
£
£
£
£
£
£
£
£
£
Total amount requested from this fund? £1,000 max) £
If applicable, please list any sources of match funding secured
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Source(s) of match funding: Amount(s)
e) Policy check21) Please confirm you have the following policies in place? tick all that apply a) Covid-19 specific risk assessment – describe below the actions your organisation has implemented to ensure that any activities being delivered are Covid safe
b) Health and Safety policy e) Wider Risk assessment
c) Equality/Diversity Statement or Policy
f) Safeguarding Children policy
d) Public Liability Insurance(Cost can be included in budget)
g) Safeguarding Adults policy(if applicable to project activities)
Please enclose: Please tick to confirm
Safeguarding policies
Safeguarding Children policy Safeguarding Adults policy if working with vulnerable adults
Food preparation / cooking
Food hygiene rating certificate for venue
Food hygiene certificate for lead cook(s)
Declaration
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We confirm all the information supplied in this application is correct, and we have read and understood the Terms and Conditions of grant aid and agree to adhere to these conditions Name: (signature not required)Role:
Date:
Please return this form to: [email protected] in Word or PDF format (no scanned PDFs) by 10:00am on Fri 19th March 2021
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