Community Link Worker Third Sector Fund

The deadline to submit this application is Friday 6 June at 12.00 midday.

YesNo

*To proceed with an application for this fund, you are expected to have a bank account in the organisation's name.

All applicants are required to publish a statement describing how the organisation is committed to advancing the Fair Work First Policy including the ‘Real Living Wage’ and ‘Effective Workers Voice’ criteria, as a minimum.

This statement is applicable to all groups and organisations even if you do not directly employ staff, or only work with volunteers. Projects cannot progress without stating compliance - please refer to the Scottish Government's Fair Work First guidance.

YesNo

Organisation Name*

Website

Name of primary contact*

First NameLast Name

Primary Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: 00000 000000.

Name of secondary contact*

First NameLast Name

Secondary Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: 00000 000000.

Scottish Charitable Incorporated Organisations (SCIO)Companies Limited by GuaranteeTrustsNot-for-profit company, asset locked company, or Community Interest CompanyCooperative and Community Benefit SocietiesCommunity councils

1. Tell us about your organisation's experience operating in Highland and working with vulnerable people.*

0/200

2. Provide details about your proposed project: please include type of activities; outputs such as number of sessions, staffing, participants, etc; and relevant timing.*

0/250

3. What difference will this make for people who participate in the project?

Rows	Describe the change(s) you hope will be observed:
Outcome 1
Outcome 2
Outcome 3
Outcome 4

4. What methods will be used to measure the changes described in Q3?

May include asking specific questions which relate to outcomes in Q3 or observing and recording changes.0/100

5. How will your proposed activity create or increase capacity for community link workers to make social prescribing referrals?*

0/200

Cluster 1 (Aviemore, Grantown, Kingussie, Laggan)Cluster 4 (Foyers)Cluster 6 (Fortrose, Munlochy, Airds, Croyard, Drumnadrochit, Cromarty)Cluster 7 (Dornoch, Bonar Bridge)Cluster 8 (Armadale, Lairg, Assynt, Tongue, Scourie, Kinlochbervie, Durness)Cluster 10 (Applecross, Aultbea, Gairloch, Lochcarron, Torridon, Ullapool)Cluster 11 (Carbost, Dunvegan, Glenelg, Kyle, Small Isles, South Skye)Cluster 12 (West Highland Medical Practice, Fort Augustus, Ballachulish, Mallaig and Arisaig)

Is there a specific village or community you intend to focus on for this project?

7. How did you identify a need for this activity/service? Please describe your engagement methods, timing (and the people you engaged with) to identify this need.*

0/200

8. Proposed start date:*

Date

Proposed end date:*

Date

9. Projected REVENUE expenditure for the project:*

Rows	Revenue item heading	£
1
2
3
4
5
Total Revenue costs

10. Projected CAPITAL expenditure for the project:*

Rows	Capital item heading	£
1
2
3
4
5
Total Capital costs

11. Match funding (please enter details if applicable)

Rows	Amount	Confirmed? Y/N	Organisation Name
1.
2.
3.
4.

12. In-kind support

0/75

13. Total project costs £*

14. Amount requested £*

Maximum £10,000

15. Please provide income/expenditure details for the period ending 31 March 2024 for your whole organisation, not just the department related to this application. (Figures rounded up to the nearest whole number please)*

Rows	£
Income
Expenditure
Surplus/deficit at year end
Total savings/reserves at year end

If you have a different reporting period (or other anomalies), please use this free text box to explain.

0/75

Please attach a copy of your latest independently verified accounts, as required by your governance structure.

Please sign and submit form*

CLW Third Sector Fund

Tell us about your organisation

Tell us about your project

Financial Breakdown