Planet Youth Highland Community Fund Application Form
For help with your application please view application guidance available
here
Application Details
Name of Organisation
Email contact
Telephone Number
Project Name
1. Please describe the project /proposal including its key aims and activities, evidencing how this supports the ethos of Planet Youth Highland
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0/250
2. Projected Revenue expenditure for the project/proposal
*
3. Projected CAPITAL for the project/proposal
*
4. Amount requested (to nearest whole number)
Please see the information regarding funding offer available in the application guidance pack.
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Your Proposed Outcomes
5. How will your proposed project align with the outcomes stated in the application guidance pack and contribute to supporting the Planet Youth health improvement model in promoting better health through reducing risk taking behaviours in children or young people? Please provide one or more outcome(s).
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Project aims
Intended Outcome
Children and Families at the Centre
Availability and Access
Collaborative Working/ Whole Systems Approach
Workforce and Culture
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Tell us more about your organisation
6. What is the legal structure of your organisation/partnership?
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Charity
Not For Profit company
Unincorporated association
Trust
Partnership/Collaboration
Statutory Service
Other
7. Registered Charity Number
8. Registered Company Number
9. In which Planet Youth Highland Partner School community do you plan to focus your work. Choose more than one area if appropriate.
Wick
Thurso
Golspie
Dornoch
Tain
Invergordon
Alness
Dingwall
Nairn
Culloden
Inverness High School catchment area
Lochaber High School Catchment area
Plockton High School Catchment area
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Tell us more about your application proposal
10. Projected start date of project
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Day
-
Month
Year
Date
11. Projected end date of project
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Day
-
Month
Year
Date
12. Describe how you identified a need for this activity? We particularly want to know how you have used previous Planet Youth Highland survey data as part of the process
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0/250
13. Tell us how you are currently working in partnership with other organisations, agencies or services in your area/locality
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0/250
14. Describe how you will apply Fair Work Practices to your project and support staff retention and recruitment.
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0/250
15. How will your project continue to deliver impact beyond the funding period?
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0/250
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Confirmation
16. Please confirm you have the authority for submitting this application and the potential undertaking it represents
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Yes
No
17. Attach a copy of your latest independently verified accounts, as required by your governance structure, or a financial statement if you don't yet have one year's accounts
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Any potential conflicts of interest must be declared. Where organisations receive funding from sources associated with the alcohol or tobacco industries, we require assurance that activities supported by such funding are clearly and demonstrably separate from those financed by this programme
18. I can confirm activities supported by such funding are clearly and demonstrably separate from those financed by this programme
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Yes
No
Not applicable
Signature
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Print Name
*
First Name
Last Name
Designation in organisation or if applying on behalf of a partnership, your role within it.
*
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