Expression of Interest to undertake community engagement in support of the NHS

Before starting to complete this application form, please ensure you have read the background information on our website relevant to the project you are applying to support. If you have any questions, please contact: nhsnwl.communications.nwl@nhs.net

Please complete all parts of this form. Incomplete applications will not be considered. Please provide as much information as possible, and keep to the word limits.

To complete your application you will need the following:

·         Name / address of organisation applying

·         Project lead contact details

·         Details of the organisation delivering the project

·         Organisation registration details

·         Project plan

1. Contact details

2. Eligibility: Legal Status of organisation

3. Your organisation

4. Proposed activity

Please provide us with your proposal of the activity you would undertake if you were successful in your application.  In answering this question, please include:

·         Planned activity including a breakdown of costs where possible

·         Proposed timeframe

·         How many people you anticipate meeting

·         What success would look like for you.

 5. Your track record

Further information