CashBack for Communities Youth Work Fund Application Form

Before proceeding to complete the application form you should:

1. Ensure you have read and fully understand the guidance document which you can download here

2. Download a copy of the 'Technical guidance on completing the application form'. This will give you details on how the online form works, saving your progress etc. Click here to download the document.

3. You will be asked to upload a copy of the following documents:

· Audited accounts or Receipts and Payment Statement

· Public Liability Insurance Certificate

· And, if your organisation was established within the last year, a copy of your latest bank statement

Section 1 - About You

First Name

Last Name

Your Position

Your contact telephone number (we must be able to reach you on this number)

Your Email Address (this should be a direct email adress and we must be able to reach you)

Is this a personal address?

Section 2 - About Your Organisation

Organisation Name

Legal Status

Other Type of Organisation

Charity Number (please enter n/a if not applicable

Company Number (Please enter n/a if not applicable)

Please tell us about the governance arrangement for your organisation (200 words max)

Registered Office Address

Address line 1

Address Line 2

Address Line 3

Town/ City

Local Authority Area

Postcode

Organisation telephone number

What is the vision/ mission of your organisation (Max 200 words)

Please confirm that your application has been approved by a senior manager within your organisation

Senior Manager - First Name

Senior Manager - Last Name

Senior Manager - Job Title

Senior Manager - Email Address

Senior Manager - Telephone Number

If not applicable, please detail why.

Section 3 - Previous Funding

Did your organisation receive an award from the Cashback for Communities Youth Work Fund last year?

Has the project completed?

Have you submitted the end of project report?

Is the Project on Schedule and delivering on the outcomes as set out in your application?

Have you contacted us to agree changes or an extension?

Please contact us to discuss this and your eligibility for an award this year.

The end of programme report must be submitted in order to be eligible to apply for an award this year.

Section 4- About your Project

Name of the project you would like us to fund

Please provide a short overview of the project you would like us to fund. (300 words maximum)

Please provide a summary of the project (for promotional material) (100 words maximum)

What evidence do you have that there is a need for this project? (200 words maximum)

Please tell us how you have ensured that the proposed activity is flexible enough to take place within local and national guidance on Covid-19 recovery (200 words maximum)

Please describe the youth work approach that underpins the project

Describe how young people were involved in the development of this proposal (Maximum of 100 words)

Describe how young people will be involved as partners in the delivery of this project (Maximum of 100 words)

Project Start Date

Project End Date

In which local authority area will the project be delivered?

CashBack for Communities monies should benefit young people facing deprivation and those communities most affected by crime.

Please provide the name of the area that will benefit most from this proposal

Please provide the Postcode for the area that will benefit most from this proposal . (Please provide only one Postcode.)

Section 5 - Participant and Programme Details

Tell us how many young people (anticipated) you will work with

Please break this down by age and gender


How many boys aged 10-14 years?
How many girls aged 10-14 years?
How many boys aged 15-19 years?
How many girls aged 15-19 years?
How many boys 20- 24 years?
How many girls 20- 24 years?

Total number of sessions you will deliver in total

Total number of activity hours

Section 6- CashBack for Communities Outcomes and Objectives

The Fund will support a range of activities for young people aged 10-24 that meet the three objectives below. Please select the objective most relevant to this project (please note that supporting people, families and communities most affected by crime is a new priority objective for CashBack for Communities Phase 5)

Please select the objectives most relevant to this project.

Supporting people, families and communities most affected by crimeSupporting young people most at risk of being involved in anti-social behaviour, offending or reoffending into positive destinations.Supporting young people most at risk of entering the justice system

CashBack funded projects should contribute to ALL of the following six mandatory outcomes. Where it is stated that you can select between indicators, you should enter a “0” value. It is important that you choose ALL of the indicators that are relevant in order to demonstrate the fit between your project and CashBack for Communities priorities. Applications are assessed and scored according to fund objectives and criteria (including fit with outcomes).

Outcome 1

Outcome 1: Young people build their confidence and resilience, benefit from strengthened support networks and reduce risk- taking behaviour.

Please confirm the number of young people you anticipate will achieve each outcome indicator. If an indicator is not applicable, please enter a "0" value. You should select ALL indicators that are relevant in order to demonstrate the fit with fund criteria.


Number of young people who will report that their confidence has increased.
Number of young people who will report that they can do new things (because of improved confidence)
Number of young people who will report that they have positive, supportive networks (see guidance)
Number of young people who will report positive changes in their behaviour (e.g. reduced risk taking/ increased understanding of risk/ better ability to make positive choices/ improved understanding of rights and responsibilities.

You will be asked to report against the numbers you have given at the end of your project. How will you measure this? (Maximum 100 words)

Outcome 2

Outcome 2: Young People develop their physical and personal skills

Please confirm the number of young people you anticipate will achieve each outcome indicator. If an indicator is not applicable, please enter a "0" value. You should select ALL indicators that are relevant in order to demonstrate the fit with fund criteria.


Number of young people who gain accreditation for learning and skills development.
Number of young people report their skills are increasing

What attainment opportunities, if any, will be available to young people involved

Youth Achievement Award- Number of young people

SVQ- Number of young people

ASDAN- Number of young people

Duke of Edinburgh- Number of young people

Food and Hygiene- Number of young people

First Aid- Number of young people

Other, please specify.

Other, Number of young people

You will be asked to report against the numbers you have given at the end of your project. How will you measure this? (Maximum 100 words)

Outcome 3

Outcome 3: Young people's health and well-being improves

Please confirm the number of young people you anticipate will achieve this outcome indicator. This indicator is mandatory.


Young people report increases of feeling against SHANARRI indicators (Safe, Healthy, Achieving, Nurtured, Active, Respected, Responsible, Included)

You will be asked to report against the numbers you have given at the end of your project. How will you measure this? (Maximum 100 words)

Outcome 4

Outcome 4: Young people participate in activity that improves their learning, employability and employment options (positive destinations)

Please confirm the number of young people you anticipate will achieve each outcome indicator. If an indicator is not applicable, please enter a "0" value. You should select ALL indicators that are relevant in order to demonstrate the fit with fund criteria.


Young people remain or return to school.
Young people's attendance at school improves.
Young people go on to participate in other learning or training offered by third sector providers/ social enterprises/ Community Learning and Development after/ during the project.
Young people go on to volunteer after the project.

You will be asked to report against the numbers you have given at the end of your project. How will you measure this? (Maximum 100 words)

Outcome 5

Outcome 5: Young people contribute positively to their communities

Please confirm the number of young people you anticipate will achieve each outcome indicator. If an indicator is not applicable, please enter a "0" value. You should select ALL indicators that are relevant in order to demonstrate the fit with fund criteria.


The number of hours of volunteering contributed by participants
Young people feel their contribution; links with communities and social interaction are improving.

You will be asked to report against the numbers you have given at the end of your project. How will you measure this? (Maximum 100 words)

Outcome 6

Outcome 6: Young people are diverted from criminal behaviour or involvement with the criminal justice system.

Please confirm the number of young people you anticipate will achieve each outcome indicator. This indicator is mandatory.


Young people feel less inclined to participate in anti-social behaviour and/ or criminal behaviour.

You will be asked to report against the numbers you have given at the end of your project. How will you measure this? (Maximum 100 words)

Section 7- Equalities

What will you do to attract and support disadvantaged young people (CashBack target group) to participate in the activity? (Maximum 100 words)

What will you do to attract and support young people from different ethnic groups to participate in the activity? (Maximum 100 words)

What will you do to ensure that the proposed activity is accessible to Young People with additional support needs? (Maximum 100 words)

In order to understand how well the fund supports young people with protected characteristics we'd like to ask you about the young people involved after you have completed your project.

Equalities Reporting
We appreciate that is not always possible or appropriate to gather equalities information from young people directly, it is important to understand the impact of the fund (and youth work provision) from an equalities perspective. In your project report we will ask you to tell us, to the best of your knowledge, how many young people with protected characteristics you worked with.

Please check the box to indicate that you are aware of this.

Section 8 - Finance

Please detail what funding you require (Please refer to the fund guidelines for information on eligible cost).
Please enter only numerical information in the "amount" box - do not add a £ sign)

	Amount (£)	Breakdown
Staff Time
Venue Costs
Activity Costs
Other

Total Requested Amount

Does the amount requested represent 100% of the total cost of the programme?

Total amount of match funding. (If there is no match funding, please enter 0)

Details of match funding (If there is no match funding, please enter N/A)

Total amount of in-kind funding. (If there is no in-kind funding, please enter 0)

Details of in-kind funding (If there is no in-kind funding, please enter N/A)

Is the balance of the funding secured?

Section 9 - Bank Details

Name of Bank

Address of Bank

Account Name

Account Number

Sort Code

Section 10- Supporting Documents

Please note when uploading files do not use special characters such as '&' in the file name as this can cause issues for the form. Please upload your Audited accounts or receipts and payment statement.

Please upload your Public Liability Insurance Certificate.

Has this organisation been established within the last year?

Please upload a copy of your latest bank statement.

Section 11- Compliance

Does your recruitment procedure include membership to the Protecting Vulnerable Groups (PVG) scheme, or, the use of Disclosure Scotland Enhanced Checks, as appropriate for staff and volunteers who are working unsupervised with children and protected adults?

Are you satisfied that your organisation's procedures for staff and volunteer recruitment and supervision minimise the risk of harm to children and protected adults?

Data Protection
YouthLink Scotland is aware of its responsibilities in ensuring the security of the data you have provided in this application. We confirm that we will only use this data to fulfil our duties in relation to this grant programme. However CashBack for Communities is a Scottish Government programme and is therefore subject to the provisions of the Freedom of Information (Scotland) Act 2002 and we may have to provide information to fulfil this obligation. Personal addresses are not subject to Freedom of Information so it is important to tick the box in section 1 if you are using a personal address for correspondence.

I confirm that I have read the above information regarding Data Protection and the Freedom of Information Act.

YouthLink Scotland is the national agency for youth work. We provide information, training and support to youth work organisations across Scotland. If you would like us to contact you with information about support opportunities (including other funding opportunities,) please let us know.

Yes, I'd like to hear about opportunities that may be of benefit to my organisation.