Luton Rising Partnership Fund Application Form

Luton Rising Partnership Fund Application Form
The Partnership Fund is a two-year, £2 million investment programme designed to establish ambitious, strategic partnerships that contribute towards delivering the Luton 2040 vision and creating lasting social impact for Luton residents. The funding provided shall be high level and therefore only a small selection of organisations shall be selected for partnership.

Before applying, please ensure you:

Have read the Fund Guidance.
Are familiar with the Luton 2040 vision.
Can evidence impact and outcomes.
Can provide supporting documents.
Have authority to submit on behalf of your organisation.
Organisation Details
Lead Organisation
Organisation Name
Organisation Type
Registered Charity or Company Number
Organisation Address

Street Address

Street Address Line 2
City/townState / ProvincePostcode
Website
Main Contact Name

First NameLast Name
Main Contact Position
Email Address
example@example.com
Telephone
Partnership Information
Are you applying as:
If partnership: Is this an existing Partnership/Consortium?
Names of all partner organisations
Lead accountable body
Partnership structure including roles and responsibilities of each partner
Proposal Summary
Project/Programme Name
Amount Requested (£)
Delivery Period
Which priority area(s) does your proposal address?
Provide a summary of your proposed partnership programme and how it addresses your selected priority area(s) (max 500 words)
Please describe the evidence of need behind your proposal and what gap in provision will this investment address? (Max 500 words)
Target Beneficiaries
Who will benefit from the project? (Max 250 words)
Which wards will be targeted? (Max 250 words)
Why were these areas selected? (Max 300 words)
Proposed Outcomes and Impacts
Using the desired Luton 2040 outcomes outlined in the funding criteria, please complete up to 6 intended outcomes you will measure for the project using the following format:

Intended outcomes table

Rows	Intended outcome	How will it be measured?	Target	Timescale	Social value
Outcome 1
Outcome 2
Outcome 3
Outcome 4
Outcome 5
Outcome 6

Please Describe:

•          The change you expect to create which supports the Luton 2040 vision

•          How outcomes will be measured.

•          Your approach to monitoring and evaluation.

•          Any Social Return on Investment or wider social value measures

•          Any Social Value generated beyond the funded activities

(Max 1,500 words)
Description of change, measuring outcomes, monitoring, SROI and social value (max 1,500 words)
Delivery Model
Please outline some details about your delivery model in no more than 1,000 words
This should include:
• Key Activities
• Proposed delivery timetable
• Referral pathways
• Single-entry point approach (where applicable)
• Risk management arrangements
Delivery model details (max 1,000 words)
Organisation Capability
`Describe any relevant experience you have in delivering similar programmes (max 300 words)
Describe the expertise of your key delivery staff (max 300 words)
Please provide an overview of your Governance arrangements (including the names of your trustees and how often your board meets) and financial management processes (max 500 words)
Please provide a summary of any safeguarding arrangements and considerations for your programme (max 300 words)
Sustainability
Please outline how you will ensure that the benefits of this funding extend beyond the funding duration, outlining any plans for future funding and how organisational resilience and sustainability will be strengthened. (Maximum 500 words)
Equality, Diversity and Inclusion
Please outline how your programme has considered EDI, particularly referencing how your programme will ensure inclusive access and addressing any barriers to participation that you will be addressing. (max 500 words)
Financial Overview and Budget Breakdown
Please provide a breakdown of the costs you are applying for Luton Rising to fund, using the following categories. Please note we will need a detailed budget.

If any of the costs do not fit into these headings, please detail them in “other costs”.
Salary plus on costs description (please include how many FTE this funds)
Salary plus on costs amount (£)
Other staff costs description i.e. training and travel expenses
Other staff costs amount (£)
Volunteer costs description
Volunteer costs amount (£)
Direct project delivery costs description
Direct project delivery costs amount (£)
Marketing costs description
Marketing costs amount (£)
Capital costs description (up to £1,000 each)
Capital costs amount (£)
Core costs description (up to 15% allowance)
Core costs amount (£)
Other costs description
Other costs amount (£)
Total funds requested (£)
Financial stability: Please advise the level of your unrestricted reserves at your last year end and confirm you have an unrestricted reserve policy.
Is this funding for new work or to continue funding existing work?
If the total of your project budget is higher than the amount requested, how much has been raised so far and how will you fund the gap?
Total cost of project (£)
Amount requested from us (£)
Amount raised so far (£)
Please can you list below any match funding to be used against this project?
Volunteer hours description
Volunteer hours
Volunteer hours value (£)
In-kind contributions description
In-kind contributions quantity
In-kind contributions value (£)
Cash donations, fees charged, or own fundraising description
Cash donations, fees charged, or own fundraising value (£)
Total match funding (£)
6. Please note if you are successful, before funding is confirmed you will be asked to provide a Cashflow Forecast for the project in line with the scheduled payments. Please confirm you will provide this information if required
7. Have you ever received funding from Luton Rising directly or from BLCF in the past? If so, please provide the amount, the date it was received, and a summary of how it was used and the impact of this funding using outcomes and key success indicators. (Max 800 words)
Governance
Do you, or does anyone in your organisation, currently have a connection with Luton Rising? (For example, as a board member, employee, volunteer or close relative.)
If yes, please provide details of the person/people and the nature of the connection
If you are successful, before funding is confirmed you will be asked to provide the following supporting documents. Please confirm you are able to provide:
Declaration
It is essential that you understand and agree to sign up to the following statements.

Please note that if you leave the organisation or can no longer fulfil your responsibilities, or someone else takes over responsibility for the award on behalf of the organisation, you must inform us immediately.

Your signature(s) confirms your acceptance of the conditions below:

I confirm that the information given in this application is true and accurate to the best of our knowledge.

I understand that funding awards are subject to due diligence and approval.

I declare any conflicts of interest have been disclosed.
Signature
Name of authorised signatory

First NameLast Name
Date of signature

DayMonthYear
Date
Should be Empty:

Luton Rising Partnership Fund Application Form

Organisation Details

Lead Organisation

Partnership Information

Proposal Summary

Target Beneficiaries

Proposed Outcomes and Impacts

Delivery Model

Organisation Capability

Sustainability

Equality, Diversity and Inclusion

Financial Overview and Budget Breakdown

Please can you list below any match funding to be used against this project?

Governance

Declaration