Evaluation Form
  • Evaluation Form

  • Section 1: Applicant Details

  • Format: 00000 000 000.
  • Section 2: Project Overview

  • Start Date*
     - -
  • End Date
     - -
  • 0/250
  • Geographical Area Served*
  • Section 3: Funding Request

  • Section 4 - Activity Beneficiaries

  • Primary Beneficiaries - Select up to 3 groups that best represent the beneficiaries for this activity*
  • Ethnicity - Please select the ethnic group most likely to benefit from your activity: Please select up to 6 groups that best represent the beneficiaries for this activity*
  • Age Groups. - Please select the age group most likely to benefit from your activity: Please select all ages if there is no specific group*
  • Outcomes. - Which primary aspect of community cohesion and or promoting health and wellbeing do you expect your activity to cover?Please select*
  • Section 5: Supporting Documents

  • Please attach your supporting documents and clearly label each document with applicant's name and a short description of what it is, e.g. John Smith, Feedback Form.

    You can include:

    • Testimonials
    • Any pictures of the activity in action
    • Any video footage of the activity in action
    • Evaluation/feedback forms from your activity
  • Browse Files
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  • Section 6: Declaration and Consent

  • *
  • Date of Submission*
     - -
  • Rows
  • Should be Empty: