Application Form

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Grant Type

APPLICATION FORM FOR COMMUNITY INVESTMENT FUNDING – up to £10,000

We strongly recommend that you get in touch with the grants team to talk through your project idea before completing your application form.

Throughout the form we use the word “project” as shorthand for the activity that you are seeking funding for.

For Mid Copeland enquiries please email communityinvestment-midcopeland@nda.gov.uk

The Community Investment Funding programme is paid for by taxpayer’s money. We take our responsibilities to the taxpayer seriously and will ask you to substantiate any statement you make. If you are awarded a grant we will expect you to deliver projects in line with your application and any other conditions that are set

APPLICATION FORM FOR COMMUNITY INVESTMENT FUNDING – up to £50,000

We strongly recommend that you get in touch with the grants team to talk through your project idea before completing your application form.

Throughout the form we use the word “project” as shorthand for the activity that you are seeking funding for.

For Mid Copeland enquiries please email communityinvestment-midcopeland@nda.gov.uk

The Community Investment Funding programme is paid for by taxpayer’s money. We take our responsibilities to the taxpayer seriously and will ask you to substantiate any statement you make. If you are awarded a grant we will expect you to deliver projects in line with your application and any other conditions that are set

APPLICATION FORM FOR COMMUNITY INVESTMENT FUNDING – over to £50,000

We strongly recommend that you get in touch with the grants team to talk through your project idea before completing your application form.

Throughout the form we use the word “project” as shorthand for the activity that you are seeking funding for.

For Mid Copeland enquiries please email communityinvestment-midcopeland@nda.gov.uk

The Community Investment Funding programme is paid for by taxpayer’s money. We take our responsibilities to the taxpayer seriously and will ask you to substantiate any statement you make. If you are awarded a grant we will expect you to deliver projects in line with your application and any other conditions that are set

Organisation Information

Organisation and Contact Details

Community Investment Funding (CIF) will be available for projects, schemes and initiatives to those communities that form Community Partnerships and participate in the siting process for a Geological Disposal Facility (GDF)

If you’re not sure whether your project is within an eligible area, please get in contact with us, or you can refer to the map included on the Community Partnership website

Please note: if your project covers more than one eligible area, you must speak to us before submitting an application, as you will need to apply to each area separately.

We expect you to be able to substantiate the claims made in this application. We appreciate that all projects are different, and evidence of claims can be presented differently. Suitable forms of evidence may include accounts, annual reports, websites, letters of support, or evidence from surveys or

feasibility studies

For Mid Copeland enquiries please email communityinvestment-midcopeland@nda.gov.uk

Please indicate the location or locations of your project:

Name of Organisation applying for funding:

Is this Application being made on behalf of a partnership?
(e.g. you are applying on behalf of a number of organisations)

Yes

No

Organisation Department (if applicable):

Organisation Address - Building Name/Number and Street:

Town/City:

County:

Postal Code:

Country:

Website:

Twitter:

Facebook:

If you as the main contact do not hold one of the following positions, we will also need a legally responsible contact to sign.

Company - Director or Company Secretary
School - Head Teacher
Clinical Commissioning Group - Chief Executive or Director
Town/Parish Council - Clerk or Chair
All other types of organisation - Chair or Vice Chair or Treasurer

Second legally responsible contact

If you are a company, charitable incorporated organisation, CIC or Academy / Trust, we need signatures from two legally responsible contacts. This means that if your main contact is not in one of the above positions, we will also need a third signature from someone who is.

Please note: Your signatories cannot be:

related by blood
married to each other
in a civil partnership with each other
in a long-term relationship with each other
living together at the same address.

Main Signatory

Title:

First Name:

Last Name:

Position Held:

Email Address:

Telephone Number:

Co-signatory
Please provide names of additional people in your organisation that would be required to approve the grant terms and conditions, if your application for grant funding is successful

Co Signatories

First Name:

Last Name:

Position Held

Email Address

Is the Organisation named above the one receiving the funding:
If not, then please speak to us before continuing with your application.

Name of Organisation receiving the funding:

Is the organisation a UK registered charity:

Registered Charity Number:

Charity Regulator:

Are you registered on Companies House?

Companies House Number:

Please provide a link or attach any articles of association or any other documents setting out your constitution
If you are an unregistered organisation (and are eligible to apply because you have a written and signed constitution), then evidence must be submitted to show that the above individuals have the authority to apply and sign for funding on the organisation’s behalf. This could be in the form of minute meeting records etc.

URL 1

URL 2

Please attach the last 3 years of annual accounts.
If your organisation has existed for less than three years, please provide your most recent accounts (including the current years management accounts) and any information on your balance sheet including details of financial guarantees, funding commitments or revenue forecasts.

Have you applied for funding from the NDA group before?
(e.g. from Sellafield, LLWR, Copeland Community Fund or Magnox)

If Yes, please provide details:

Project Name:

Awarded Amount:

Date of the Awarded Grant:

Project Information

Project Details

Project Title:

Start Date:

dd/mm/yyyy

End Date:

dd/mm/yyyy

Project Summary. Please provide a brief summary of the proposed project.

Here are some points to consider / cover when telling us about your project:

What you would like to do (describe the project and activity) and the difference your project will make
Who the people are that will benefit from your project?
What is the approximate number of beneficiaries you expect to reach /engage / reach?
How are you are considering any equality, diversity and inclusion issues within your project.
How you are considering any environmental issues (if applicable)
How you'll make sure people know about your project
Do you plan to learn from your project and use this learning to shape future projects?
Is your project something new, or are you continuing something that has worked well previously?
For capital projects:

If you own the building
For a building where you are a tenant – have you sought permission for any required changes?
Do you need planning permission? Has this been applied for / granted? (please provide any indicative timescales)

You can write up to 500 words for this section, but don't worry if you use less.

You can also consider using bullet points (-).

Project Summary. Please provide a brief summary of the proposed project.

The NDA uses an approach based on HM Treasury’s standard methodology for making investments when it assesses whether to fund socio-economic projects. This means that we look at all applications in five ways. We look at the:

• Strategic case for the project

• Economic case for the project

• Commercial case for the project

• Financial case for the project

• Management case for the project

Finally, we expect you to be able to substantiate claims made in this application. All projects are different, and evidence of claims can be presented differently. Suitable forms of evidence may include: accounts, annual reports, websites, letters of support, or evidence from surveys or feasibility studies.

Strategic Case

Strategic Case Details

What issue or opportunity does your project seek to address, and how do you know there is a need for this?
This section allows us to understand why you think our funding can benefit the local community.

Local strategy excerpt, IMD data or other economic or social data

Please tell us what your overall project aims are and set out a full list of the project’s objectives. Please make it clear how these link to the issue or the opportunity you are seeking.

Please set out the project outputs (in other words what will the project deliver, e.g. training courses provided, number of employment opportunities, apprenticeships created).

Radioactive Waste Management (RWM) will only consider funding projects that fit with our community investment funding criteria. Please provide a summary of outcomes of the project, showing how they fit with our themes. Later on in this form, there are some more precise questions about expected project outcomes. Please note that we make a distinction between outputs and outcomes. An output is what a project delivers (eg training young people) and an outcome is what changes as a result (for example, people use the training to get a better job).

Please use the table below to indicate the intended outcomes of the project you are seeking funding for. For example, if your project is intended to create new jobs, include an estimate of the total number of people who you think will gain employment as a result of the project (converted into full-time equivalents). This should include the people employed directly on the project, but also the new jobs created.

Please fill in all the measures that you think are relevant and include realistic estimates wherever you need. Give the figures you would expect if the project were a success, but be realistic.

We appreciate that it may be difficult for you to do this accurately, but these measures are an important part of our assessment process. In asking you for this information we are trying to be clear about outcomes, but also looking at how efficient your project is likely to be (for example how many jobs will be created as a result of our funding).

Please note that you will be expected to report on these outcomes as part of the project evaluation and monitoring.

How does your project meet our funding priorities?

Points to cover should include:

How the project fits in with the Community Investment Funding criteria of: Natural & Built Environment, Economic Development or Community Wellbeing
How do you know there is a need / demand for this project?
What are the project outputs (in other words what will the project deliver, (e.g. wellbeing sessions held, conservation days held, training courses provided, number of employment opportunities, apprenticeships created)?
How you will measure the benefits of the project (such as via surveys etc)

You can write up to 300 words for this section, but don't worry if you use less. You can

also consider using bullet points (-)

Outcomes and Measures

Outcomes

Example:

Outcome - Disadvantaged members of the community will be better able to access benefits and services that they are entitled to

Measure - Beneficiaries will be asked to assess if their knowledge has increased in regard to benefits and services after attending benefit advice sessions

Estimated target - 50

Outcome

Comments

Measures

Estimated Target

Community Wellbeing

For example improvements to community facilities, enhancement of the quality of life or health and well-being of the community

Theme

Outcome

Comments

Measures

Estimated Target

Natural or Built Environment

Including cultural and natural heritage, especially where economic benefits, for example through tourism, can be demonstrated

Theme

Outcome

Comments

Measures

Estimated Target

Economic Development

For example employment opportunities, job creation, skills development, education or training, promotion of local enterprise, long-term economic development or economic diversification

Theme

Outcome

Comments

Measures

Estimated Target

Community Partnership Specific

For example employment opportunities, job creation, skills development, education or training, promotion of local enterprise, long-term economic development or economic diversification

Theme

Outcome

Comments

Measures

Estimated Target

Please tell us who has been involved in developing your project, and anyone who is supporting it.
For example, any local communities/ groups you’ve talked to/ have been involved in the project design/development, local councillors or other key community stakeholders.

Please set out how the project is consistent with – and ideally supports - national or local government policy strategies.
For example, your council may have a local development plan.

The RWM cannot fund activity which duplicates core activity funded by any Government departments or local councils.
For example, services which are the statutory duty of the Department of Health or Department of Education. If you think this might be a risk or a consideration, please include details.

We will prioritise projects that support the funding priorities of the Community Partnership . If your project features in these priorities or directly supports them, please specify that here. Again, this is not a requirement for funding.

Economic Case

This section of the form is designed to help us assess the economic costs and benefits of the project to the local community. It covers:

• Why RWM support is needed and what the likely economic/social/environmental impacts would be due to a lack of any support?

• Information to demonstrate why your organisation cannot fund the project itself

• That other methods to achieve the same/similar outcomes have been ruled out

• That you have thought about other ways to deliver the outcomes of your proposed project and have ruled them out for sensible reasons.

• How much of the expected outcomes might happen anyway without RWM support

Economic Case Details

Please explain why RWM support and funding is required. If relevant, give information on any other organisations that have been approached for funding.

Supporting evidence can be emails/letters showing organisations that you have approached, rejection emails, letters of support, bank statements.

One of the things RWM needs to consider is whether there are alternative ways of delivering the outcome your project is seeking to achieve. Please briefly list any alternative models that have been considered and why they have been ruled out. For example, if you are looking for a grant to renovate a community centre, you might have looked into getting finance from a bank instead of a grant. You may have rejected this approach because your organisation could not afford the interest payments on the loan.

Is there a more appropriate body/route?

What are the likely outcomes if your organisation does not get the funding and the project does not go ahead?

Economic analysis including clear explanation for unquantified costs/benefits.

Set out why your organisation is the most appropriate one to deliver this project.

Please indicate how long it will take before the benefits of the project will be delivered. For example if you think that the project will create 10 jobs, you could give an indication of the when these jobs will be created (e.g. 2 jobs in 2022 and 8 jobs in 2023).

Commercial Case

This part of the application is concerned with feasibility and sustainability and the effect of funding changes on deliverability. It should address any procurement required, such as the purchase of goods or services. It should clarify contractual questions, including contractual milestones and delivery dates. It should set out who is responsible for agreed outputs. Risk management should be dealt with here also. We are expecting to see:

• Evidence that the project regarded is feasible and deliverable

• Evidence that the organisation delivering the project is a sustainable, reliable partner

• Clear and credible milestones and delivery dates

• What (if any) procurement is required and is there a procurement strategy

• Identification of risks and a plan to mitigate against them

• Any major dependencies – in other words, whether project dependent on any decisions or events outside of the applicant’s control.

Supporting evidence should be included to underpin any statements made.

Commercial Case Details

Please clearly tell us about your project’s key milestones and delivery dates. If your application is successful these will form part of the grant agreement

Milestone

Delivery Date

Details of your organisation and its track record in delivering similar projects or other relevant experience

Please tell us about any additional goods/ services/ equipment/ staff/ other items that you need to deliver your project.
Please tell us your approach to getting these, this will form your procurement strategy.
This should include:

- Staff (temporary or permanent

- Acquisition of premises (temporary or permanent)

- Any goods or services you need to buy, hire, lease or borrow

- Any contracts you need to put in place to deliver the project

Please set out any risks to project delivery and mitigations you have in place

Risk

How will this risk be mitigated?

Please list any major dependencies – in other words, whether the project is dependent on any decisions or events outside of the applicant’s control.

Your Project Budget

This section covers affordability and sources of funding, including all expected costs and match-funding.

Please do not enter £ symbol in any of the boxes

Total project cost (£): Please only enter numbers in all fields marked with a (£)

Breakdown of total project funding

Year 1 (£)

Year 2 (£)

Year 3 (£)

Year 4 (£)

Year 5 (£)

TPYBD Check

Please ensure the yearly breakdown total is equal to the total project cost amount

Total Amount of funding requested (£):

Multi-year funding:

Breakdown of funding requested

Year 1 (£)

Year 2 (£)

Year 3 (£)

Year 4 (£)

Year 5 (£)

FRYBD Check

Please ensure the yearly breakdown total is equal to the total funding requested amount

Proportion of funding requested? (%)

Is any match funding you have included in your budget fully secured from all parties?
(you have the monies already in the bank or have been notified of a successful grant application)

Details of Match Funding

Name of Organisation:

Amount (£):

Secured (£):

Unsecured (£):

Decision Date:

Would you still be able to run the project with a part-funding grant offer from RWM?

What impact would this have on your project?
For example would this impact on your outputs i.e. fewer people reached/ sessions delivered/ shorter project etc?

Is there a benefit/output to the wider community?

Please tell us if RWM is the first organisation you have approached for funding

Please set out the budget for the project. Including different line items in the budget with a brief description of the purpose of the expenditure. Also remember to include any contingency and costs to properly evaluate the project.

Budget Line Item

Amount (£)

Total Amount

BLI Check

Please ensure the budget line item total is equal to the total project cost

Comments
please provide any additional comments on your budget below (such as if costs are based on supplied quotes and if your organisation is able to reclaim any VAT etc).

You are required to submit financial projections to support your application. A cashflow forecast template is available on our website for you to use if you wish. It is not a requirement to use our template if an organisation has their own equivalent.

Financial Projections

Legal - Full business Case

Project Management

This section covers the deliverability of your project

Please set out your project plan. By this we mean how you are planning on delivering your project. You are free to present this as you see fit. Please attach any additional papers as you require.

Do you have your project plan that you would like to attach to your application?

Yes

Please set out your project plan. By this we mean how you are planning on delivering your project.

Points to cover should include:

If your organisation has any experience of delivering similar types for work
Who will manage the project?
Your project plan (an outline of activity timescales).
If this is part of a wider piece of work where further future funding may be sought

You can write up to 300 words for this section, but don't worry if you use less.

You can also consider using bullet points (-).

Who is responsible for managing the project? How are they held accountable? Please include any details on committee, panels or other governance structures.

Tell us how you will know your project is on track and that you will meet your agreed milestones and objectives i.e. do you have a performance monitoring system.

Are you using auditor or any third party assurance of your work? If so, please provide details.

How is the project taking account of equality, diversity and inclusion issues?

How are environmental issues being considered? If relevant, please include any assessment of risks of environmental damage from the project and how you have mitigated against these.

Are there any project management techniques being used to deliver the project. If so, please give details including the qualifications of the project manager.

How will you be communicating throughout your project, and how this will make your project successful? For example, how will you tell people about your project, what platforms will you be using. If you have a communications strategy, please tell us about here.

Please tell us about future plans for your project and whether you consider any additional future funding will be needed.

We expect projects that we fund to have contingency built in both in terms of cost and schedule. Please set out what contingency has been built into the project and your rationale for the level of contingency you have included. This does not have to sit within the funding you have requested from RWM.

Please include any other relevant information that you think may be useful in assessing the deliverability of the project. If you have not included it elsewhere, suitable evidence may include programme of work/plans including:

Evidence of planning permission (if required), qualifications, job specs, phased delivery plans to include operation, legal Compliance assessment, Regulatory Compliance, policy documents, a communications plan, an evaluation plan etc.

Please also use this space to upload your policies for example

Health & Safety Policy
Volunteering
Safeguarding (if relevant) including working with children/ vulnerable adults
Recruitment/Supervision
GDPR/Data Protection
EDI policies

If you have not included it elsewhere, suitable evidence may include: Programme of work/plans inc. dates, targets, milestones, ultimate objectives, CVs of those delivering, qualifications, job specs, phased delivery plans to include operation, legal Compliance assessment, Regulatory Compliance, policy documents, a communications plan, an evaluation plan etc.

Do you have any other relevant information on deliverability of the project you would like to attach to your application?

Yes

Legal Issues and Documentation

Project Reporting

If your application is successful, an End of Project Report template will be sent to you to complete three weeks before the project end date. There may also be additional reporting requirements. If you are successful we will outline all reporting in your grant acceptance letter.

Please note - You must clearly demonstrate how the money has been spent in accordance with the request. Photographs, invoices/receipts etc. will be required

Subsidy Regime - All applicants must read and respond accordingly

Now that the UK has left the EU, the rules on what we know as ‘State Aid’ have changed. State aid is now referred to as a ‘Subsidy’.

A subsidy is a financial contribution using public resources which confers a benefit on the recipient. This could include, for example, a cash payment, a loan with interest below the market rate or a loan guarantee. Subsidies are administered by all levels of government in the UK including central government, devolved administrations and local authorities, as well as other types of public authority.

Subsidies should be given in the public interest, to promote a social good or address economic issues. For example, a subsidy could incentivise businesses to undertake research and development that increases economic productivity and wider prosperity, or to increase the uptake of low carbon

technology.

However, without proper controls, subsidies could potentially cause economic harm or distortive effects, for instance, by giving unfair advantage to one enterprise over their competitors.

To comply with the new requirements, we must ascertain the amount of State support (public funding via public monies) an applicant has received in the current and last two financial periods.

Please can you confirm and provide details of all public funding ( e.g. grants, cash payments, loan or guarantee) your organisation (and any subsidiary organisation) has received or has yet to receive from all public bodies (e.g. Local Authority, Central Government, NHS, National Lottery distributors, members of the NDA group, Copeland Community Fund etc) in the:

(i) current financial year; and

(ii) the two previous financial years?

If you require more information on the Subsidy Regime, please see Overview of the subsidy control regime – a flexible, principles-based approach for the UK - GOV.UK (www.gov.uk)

If you have not received any subsidy, please tick this box to confirm

I confirm we did not receive any subsidy

	Public body providing assistance	Value of assistance (£)	Date of assistance
Current Financial Year
Last Financial Year
Year before Last Financial Year

Data Protection Declaration

We will process the data in accordance with the guidance set out in the Government Functional Standard for General Grants. The Government Functional Standard for General Grants facilitates the recording and reporting of grant information across government, providing accurate data to enable departments to manage grants efficiently and effectively, while actively reducing the risk of fraud.

The data you supply will be stored on the NDA group Grants Management System which is managed by Hyphenate Limited and hosted on Salesforce. The data will be shared with the Social Impact/ Community Investment Funding teams, Finance teams and Internal Audit teams of Radioactive Waste Management and the Nuclear Decommissioning Authority if required.

For full details of our privacy notice, please click on the link below

Privacy Policy - Mid Copeland GDF Community Partnership (workinginpartnership.org.uk)

The NDA uses an approach based on HM Treasury’s standard methodology for making investments when it assesses whether to fund socio-economic projects. This means that we look at all applications in five ways. We look at the:

• Strategic case for the project

• Economic case for the project

• Commercial case for the project

• Financial case for the project

• Management case for the project

For larger applications (£200,000 plus) we expect you to annex a self-standing business case going into more detail. In any event, use our guidance to help you understand our requirements. For particularly large applications, you may wish to look at the HM Treasury general rules for project appraisal, sometimes known as the “Green Book”, https://www.gov.uk/government/publications/the-green-book-appraisal-and-evaluation-in-central-governent. However, applicants are under no obligation to follow the full Green Book methodology and should be able to rely on our specific guidance.

Finally, we expect you to be able to substantiate claims made in this application. All projects are different, and evidence of claims can be presented differently. Suitable forms of evidence may include: accounts, annual reports, websites, letters of support, or evidence from surveys or feasibility studies.

The following documents will be required to support the application

Full business case to include financial projections

Letters of support

We aspire to continuous improvement of our systems and processes. If you think this form or the related guidance is unclear, unhelpful or could simply be improved, then please let us know.

Any additional comments:

If you have any questions or you are unable to submit the application form due to an error showing, please save your application (see save my progress & resume later at the end of the form) and contact the following, who will be able to help you.

For Mid Copeland enquiries please email communityinvestment-midcopeland@nda.gov.uk