Challenge and Change Application Form

Thank you for taking the time to fill out the Challenge and Change application form below. Please note, all questions have an upper word limit. You do not need to try and reach this limit, it’s just there in case people need it and to allow us to read through loads of applications in a short period of time.

We will not be looking at spelling or grammar to make decisions on who receives funding, we just need to understand a bit about you and your idea.

Are you applying as a group?

YesNoOnly answer 'Yes' if you are part of an existing group or organisation

Organisation details

What is the name of your group?

How many people are there in your group?

If you are applying as a group, please could you nominate a main point of contact to fill out the contact details below, so we know who to contact

Contact details

1) What is your first name?

2) What is your last name?

3) Email address

4) Phone number

5) What are your pronouns? (e.g. she/her, he/him, they/them) What is this?

6) What is your date of birth?

dd/mm/yyyy

7) Where are you based? Please tell us your town or city

Please tick the box below to indicate your consent to our privacy policy

Tell us a bit about yourself

This is your opportunity to share any information about yourself that you think is relevant to the program, give us some background as to the work you’ve done previously.

Share your background and experiences in social justice work
What is driving you to do this work?
If you wish to submit via voice note or video only, please state this in the boxes below

Tell us about yourself (max. 300 words):

Tell us about your idea/project

Help us see and feel your passion and the injustice(s) you want to address – tell us your challenge and change story - using any medium you want e.g. words, video, photography, poetry, art.

We would love to know:

- How has your lived experience shaped your approach, views and decisions

- How will this impact your community?

Feel free to add any additional information that you think will help us understand your idea. (Max. 800 words)

Art or image submissions (1):

If submitting a supporting image, poetry, art (or any non-word based answer) please keep it to 16mb max and attach here:

Art or image submissions (2): If submitting a supporting image, poetry, art (or any non-word based answer) please keep it to 16mb max and attach here:

Art or image submissions (3): If submitting a supporting image, poetry, art (or any non-word based answer) please keep it to 16mb max and attach here:

Video or voice note submissions:

If you are sending us a video or voice note - put it online and put the link here, please keep it to 8 minutes max. We do not want edited or staged videos, we are just looking to understand your idea and ask that any video is just of you speaking directly to camera:

(If you have a password for your video, please remember to let us know it.)

Is your work/project national (working across the whole of England)?

YesNoI don't know

What is the primary theme/issue you are focusing on?

Please choose your primary theme (the most obvious/important) and then your secondary (still supporting but may not be the main one!). We are aware of the importance of intersectionality, but as a national program, we want to ensure we are supporting a range of different themes across the programme.

What is the secondary theme/issue you are focusing on?

If the theme or issue isn’t covered by this list, please share the theme/issue below:

Tell us what your plan is (500 words) *

We’d love to hear the bigger picture and understand your goals. How are you going to start putting things into action? What do you plan to spend the money on?

You do not need to have a full budget, just an outline and this plan can change once you get started, we just want a general idea

Where do you hope to see yourself and your idea/project going in the future? (Max. 300 words)

- By the end of Challenge and Change?
- Beyond the Challenge and Change programme?

Accessibility (optional)

In order for us to make fair and equitable decisions, is there anything else about you that you’d like us to know and consider? E.g. English is an additional language or you’re neurodivergent and therefore struggle with written communication

Diversity and Inclusion

We would like to ask some questions to help us to understand our applicants and funding better.

This information will be detached from your application. It is being used to inform our own monitoring and strategy and will not be used to judge your application.

What is your ethnicity?

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box.

Disability and Health Conditions Do you consider yourself to have a disability or health condition?

Gender

What is your gender?

If you prefer to use a different term for your gender, please specify here:

Sexual orientation

What is your sexual orientation?

If you selected 'Other' please feel free to add your preferred term here:

Social class

What social class do you identify with?

Calculation

Error

Error: duplicate theme values selected