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Application for Continuation Support

Please refer to guidance notes before completing this form
We want to ensure that all the projects we work with are aligned to local needs and priorities and that there is a recognition by local partners about how this will add value and help achieve outcomes for children, young people and families locally. To achieve this the local director who has strategic and legal responsibility for children and young people and supports this proposal on behalf of the local authority/health and social care partnership to agree; 
• This type of approach, model and outcomes has the potential to help achieve local strategic priorities
• there has been an appropriate level of dialogue between local partners and the voluntary sector service on how this could help meet local strategic priorities and outcomes
• it is aligned to national strategic priorities for children and young people affected by alcohol and/or other drugs.

Section 1: Local Area

We use this data to
• Assess your application for a grant.
• Monitor any grant made to your organisation and to perform any other requirements set out in the grant agreement between us.
• Allow us to perform our part of the grant agreement and to allow us to report to any other organisation involved in the funding of the grant, and our funders, where applicable.
• Inform you, with your consent, about grant opportunities, training events and relevant seminars and conferences that may be of interest to you and to consult with you through surveys.
We may use personal data that identifies you, such as photographs, in our reports to our funders.
We will retain your personal data after the completion of the grant agreement for a period specified in the grant agreement.  This will be deleted thereafter, unless you consent for us to retain it.

If you want to find out more about what we do with your data, you can access our Privacy Notice.


Local Partner - Authorisation (e.g. Local Authority or Health and Social Care Strategic Director for Children and Young People)






 
Local Partner - Primary Contact
We use this data to
• Assess your application for a grant.
• Monitor any grant made to your organisation and to perform any other requirements set out in the grant agreement between us.
• Allow us to perform our part of the grant agreement and to allow us to report to any other organisation involved in the funding of the grant, and our funders, where applicable.
• Inform you, with your consent, about grant opportunities, training events and relevant seminars and conferences that may be of interest to you and to consult with you through surveys.
We may use personal data that identifies you, such as photographs, in our reports to our funders.
We will retain your personal data after the completion of the grant agreement for a period specified in the grant agreement.  This will be deleted thereafter, unless you consent for us to retain it.

If you want to find out more about what we do with your data, you can access our Privacy Notice.









 
Section 2: Charity Information







Staffing Levels 











Protecting staff, volunteers and clients 



Charities financial accounts 
Please summarise the last three years audited accounts below (guidance notes recommended). 
Financial Year to  Total Expenditure Total Income  Unrestricted/              General Reserve Cash in bank/on hand

 




Page 2

Section 3: Project Information

 
 
How many staff and volunteers do you have working for the project:
















Page 3

Section 4: Project Background
 
Original Long Term Outcome

 
Original Purpose






 

Page 4

Section 5: Delivering the project
 
Approach / Models

 
Building Partnerships

 
Activities

 
Numbers of clients

Page 5

Section 6: What positive differences has the project made?
 
Outcomes

 
Differences at a Project Level


Section 7: The future

Successes / Challenges

Sustainability / Exit Strategies



Page 7

Section 8: Breakdown of costs 
Guidance notes recommended. Just use those headings that are relevant to your proposal.
 
Employment Costs (E.g. Salary, NI, Recruitment)





 
Property costs (e.g. rent, electricity) 





 
Equipment Costs (e.g. computers)





 
Other costs (e.g. travel, food)





Management fees (if applicable)




Total cost to deliver this project 























Year 3 Year 4  Year 5 Total 
Total matched funding 
Total amount from PDI 
It is important to speak with the PDI staff before completing this section

Page 8

Section 9: Declaration by charity

Project Lead

We use this data to
• Assess your application for a grant.
• Monitor any grant made to your organisation and to perform any other requirements set out in the grant agreement between us.
• Allow us to perform our part of the grant agreement and to allow us to report to any other organisation involved in the funding of the grant, and our funders, where applicable.
• Inform you, with your consent, about grant opportunities, training events and relevant seminars and conferences that may be of interest to you and to consult with you through surveys.
We may use personal data that identifies you, such as photographs, in our reports to our funders.
We will retain your personal data after the completion of the grant agreement for a period specified in the grant agreement.  This will be deleted thereafter, unless you consent for us to retain it.

If you want to find out more about what we do with your data, you can access our Privacy Notice.










Charity Approval (Board or Senior Management level)

We use this data to
• Assess your application for a grant.
• Monitor any grant made to your organisation and to perform any other requirements set out in the grant agreement between us.
• Allow us to perform our part of the grant agreement and to allow us to report to any other organisation involved in the funding of the grant, and our funders, where applicable.
• Inform you, with your consent, about grant opportunities, training events and relevant seminars and conferences that may be of interest to you and to consult with you through surveys.
We may use personal data that identifies you, such as photographs, in our reports to our funders.
We will retain your personal data after the completion of the grant agreement for a period specified in the grant agreement.  This will be deleted thereafter, unless you consent for us to retain it.

If you want to find out more about what we do with your data, you can access our Privacy Notice.












To the best of our knowledge the information given on this form gives a true and accurate account of the proposal to which it relates. We confirm that on behalf of the local authority or health and social care partnership and the charity we authorise Corra Foundation to publish details of financial support given to this proposal and of the objectives of the project; to pass any details obtained about the project through this application or through subsequent assessment procedures to the external partner funding agencies, and also to use such information as part of any Corra Foundation customer satisfaction survey; and as part of any Corra Foundation media release or publication.

These details will not be used for commercial purposes.

Section 10: Enclosures

Please make sure that you have enclosed copies of the following with your application:




 
It would also be useful to provide us with a copy of the following if available:








   

(The) Corra Foundation is a charity registered in Scotland (No SC009481) and is also a company limited by guarantee (No SC096068). 
Corra Foundation, Office Suite 30, Pure Offices, 4 Lochside Way, Edinburgh EH12 9DT.
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