Year 6 Communities Mental Health and Wellbeing Fund for Adults

Do you have a bank account registered in your organisation’s name?

Do you have a Fair Work First policy statement?

Sorry!

Your organisation must have a bank account registered in the organisation's name, and must comply with the minimum elements of the Fair Work First policy, so we cannot accept your application.

Have you applied/do you intend to apply to any other TSIs in Scotland, for Communities Mental Health & Wellbeing (CMHW) funding for Adults?

Indicate the Local Authority area(s) you may apply to for CMHW funding:

1. Name of Organisation

2. Main Contact

First NameLast Name

3. Job Title/designation

4. Email Address

5. Phone Number

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

6. Secondary Contact

First NameLast Name

7. Job Title/designation

8. Email

9. Phone Number

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

10. Briefly tell us about your organisation.

This is not where you describe your project plans0/50

Tell us about your project

11. Name of project and project postcode:

12. Please tick one of the following types of initiatives which best describes your project:

13. Please enter the estimated number of volunteers involved in delivering the project.

Numerical entries only

14. Please describe the project including its key aims and activities and how this supports mental health and wellbeing. (max. 100 words)

0/100

15. Is your project for the general population (general), open to all but with a focus on particular target groups (targeted) or aimed only at particular target groups (restricted)?

16. If your project is targeting specific groups of people, which groups of people are you seeking to reach? (Select no more than three)

17. Cost of Living - the following family types are considered to be most at risk of poverty. Please select any (or all) who are highly likely to engage with this project.

18. National/Local Priorities - please tick any (or all) of the following priorities your project will contribute to:

Other (local) priorities

Tell us about your finances

19. Please select the category which describes the income of your organisation:

20. Have you received a grant from the Communities Mental Health & Wellbeing Fund from HTSI before?

21. Is your application for a new project or for a continuation/expansion of an existing project? (Select one)

22. Projected REVENUE expenditure for the activity/service:

Rows	Revenue Expenditure Item	£
1.
2.
3.
4.
5.
Total revenue costs

23. Projected CAPITAL expenditure for the activity/service:

Rows	Capital Expenditure item	£
1.
2.
3.
4.
5.
Total capital costs

24. Total project costs (rounded to nearest whole number - no currency symbols or commas).

Rows	£
Combined revenue and capital costs

25. Match funding if applicable:

Rows	£	Funded by?	Confirmed? Yes/no
1.
2.
3.
4.

26. Amount requested (rounded to nearest whole number - no currency symbols or commas).

Rows	£
Amount requested from us:

27. Please provide one or more outcomes that describe the changes you hope participants will achieve through involvement with the above activity: (<20 words each)

Outcome 1

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Outcome 2

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Outcome 3

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Outcome 4

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28. What is the legal structure of your organisation?

29. Registered Charity Number

Registered Company number

30. Please provide your organisation's address:

Street Address

Street Address Line 2

TownCounty

Postal Code

31. How many people are on the board or committee that runs your organisation?

32. Please complete the following income/expenditure details for the period ending 31 March 2025 - 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 or deficit at year end
Total savings/reserves at year end
Total unrestricted reserves at year end

If the figures provided above cover a different financial period, or there are other anomalies, please explain below. (20 words)

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33. In which locality do you plan to focus your work?

34. Is there a specific geographic community or neighbourhood you will focus on within the above locality?

35. Please select the date you will start your activity:

Date

Please select the date you will finish your activity:

Date

36. Describe how you identified a need for this activity? We particularly want to know how people you hope will benefit from this activity have been part of the process: (200 words)

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37. Give examples of additional measures you would take to ensure your activity is inclusive*, ie. accessible for your target group(s) and other participants: (200 words)

0/200

38. Please give examples of how you plan to measure progress against the intended outcomes for participants in this project, to help you demonstrate the impact.

0/100

39. Tell us how you are working with other organisations, or stakeholders in your area: (150 words)

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Signature

Please attach a copy of your latest verified accounts, as required by your governance structure, or a financial statement if you don't yet have one year's accounts.

If you have not competed this form yet but would like to save your progress, please click the save button below.

This will send an email to the main contact with a link to continue your application.

Before submitting, we recommend you check the formatting and ask someone to check your application for typos, accuracy and clarity.

Micro Grants Application £10,000 or less

Tell us about your organisation

Costs breakdown for the project:

Tell us more about your organisation

Tell us more about your project proposal

Tell us more about the activity