Age & Opportunity Active National Grant Scheme September 2022 Supporting more physical activity within Nursing Homes & Day Centres

Age & Opportunity Active National Grant Scheme September 2022

Supporting more physical activity within

Nursing Homes & Day Centres

All relevant sections of this application form MUST BE COMPLETED in full.

We reserve the right not to consider incomplete applications.

Late Applications Will Not Be Considered Under Any Circumstances

Please read terms and conditions carefully. If you require assistance in completing your application contact Age & Opportunity’s Active team.

Organisation

First name

Last name

Grant Contact for this Application

Position/Job Title

(i.e. Treasurer, Secretary, Physical Activity Leader, Nursing Home Manager, CarePAL, Activities Co-ordinator)

Phone Number

Address

City

County

Zip/Postal Code

Age & Opportunity recognises the impact Covid-19 has had on those living in nursing homes and attending day care settings, so we are opening up the grant this year to all public and private nursing homes and day care settings.

Nursing Homes and day care settings, both public and private may apply for up to maximum of €1,000.

TYPE OF ORGANISATION

Other:

Total number of service users (Only submit whole numbers, system will not accept ranges e.g.10-15)

BANKING DETAILS

It is essential to supply Bank/Credit Union account details

(Note: post office accounts are no longer acceptable)

Name of Bank / Credit Union

Branch

Account Name

Account must be in name of the group / organisation not an individual

IBAN (full 22 digits required)

Please confirm if you have the required public liability insurance in place:

These grants are designed to support the work of the Active programme, including the network of Physical Activity Leaders (PALs) and CarePALs, the development of the Go for Life Games and other initiatives.

A CarePAL is someone who has taken part in our CarePALs training and is leading physical activity in a care setting

CarePAL in your group/care setting?

If yes, year completed CarePALs training

A member of your staff/team would be interested in taking part in CarePals training

2. Grants

Please indicate the purpose for which you are applying for this grant

Purchase of equipment / resource materials

Participation event e.g. Games/Activity day

Activity Session with Age & Opportunity Active Trainer up to value €500

(The activity session is designed to support CarePals who are working in the setting. Amount allocated will depend on distance trainer needs to travel)

Other

If Other please specify

Audio-visual, mechanical exercise machines, clothing or footwear will not be considered.

See Terms & Conditions for further details about what will and will not be funded

Describe Activity and/or Equipment

How many older people will take part? (Only submit whole numbers, system will not accept ranges e.g.10-15)

Outline costs - Please itemise costs

e.g. dynabands or parachute, catering, Age & Opportunity trainer €500, etc.)

Grant Amount applied for (Only submit whole numbers, system will not accept ranges e.g.10-15)

3. Declaration

I declare that the information given in this form is true and accurate and I accept the conditions relating to grant-aid provided by the Active National Grant Scheme for Sport and Physical Activity for Older People.

Contact Person

Name

Date

Completed applications must be submitted by 12 noon on Friday the 30^th September 2022

N.B. Late applications will not be considered. It is the responsibility of grant applicants to ensure that grant applications are submitted on time with all details completed. Note that due to the volume of applications we cannot acknowledge receipt of applications.

5. Key contacts

If you require assistance with your application contact the Active Programme team:

• Sue Guildea, Active Programme Manager

• Paul Gallier, Active Programme Assistant Manager

• Ciara Dawson, Active Programme Administrator

• T: (01) 805 7733 / active@ageandopportunity.ie

• Website: www.ageandopportunity.ie

Please refer to the terms and conditions document available on www.ageandopportunity.ie

Contact Information
Your Rights Under GDPR