Workplace Wellbeing Fund - Application Form

Applying Organisation

This is the name of the organisation applying for the grant.

Applying Contact

Main Contact's Full Name

Telephone

How did you hear about us?

About your project

Please enter name of the project

This should be short and descriptive (25 words maximum)

Project details

Please tell us what you would like to spend the grant on and how this will benefit you and your colleagues.

Who are you working with? 

If you will be working in partnership with an individual/organisation, please provide further details (up to 300 words). State N/A if not working with any one else.

Postcode of the delivery location

Location of project

Project start date

Please select a date from the calendar, do not enter manually. Your project start date should be within 3 months of the closing date.

Project end date

Please select a date from the calendar, do not enter manually.

How will your project make a difference

Tell us how this grant will make a difference in 300 words

Other information

Any other information you think is relevant to your application.

Beneficiaries

Who will the beneficiaries be?

How many direct beneficiaries?

Direct beneficiaries are the targeted group that will engage with your project.  This should be a sensible estimation if specific numbers are not known at this time.

Financial

Funding breakdown

Please provide your budget for the £2k grant. A well-structured grant budget should clearly outline all the costs associated with the project, ensuring transparency and accountability. (up to 250 words)

Third Party Benefits

Will anyone involved in the project benefit financially from this funding? For example, will you be hiring a anyone to work on this project, who is linked to the applying organisation? Please give details. (up to 200 words)

Governance

Insurance to undertake activity

You must ensure you have the appropriate insurance in place to carry out the proposed project.

Safeguarding Policy

Constitution

A constitution is a governing document of how your organisation is managed and run.

Risk Assessments for activities

If required, we will ask to see your risk assessment for the proposed project.

Mailing list

We would love to add your to our mailing list to be kept up to date with Foundation news, grants, events and fundraising opportunities. Please opt in if you'd like to below. You can opt out at any time by dropping us an email.

Opt in to mailing list

YES! I'd like to be part of the Foundation mailing list

Confirmation and Authorisation Data Protection Statement

We will process all personal data provided to us for the purposes of assessing your application, managing, or monitoring any grant awarded and any related administration or research purposes in accordance with our privacy policy, a copy of which can be viewed on our website. Third party data: No personal data concerning third party individuals should be included within your application form without their explicit knowledge that their information will be shared with the Blue Light Card Foundation and potentially other grant makers, and their written consent; below you will be asked to confirm this before the application can be accepted. Any additional excessive personal information will not be considered and immediately deleted. Can we please therefore ask that you do NOT include details of named or identifiable individuals, for example, their job title, connection to your organisation, physical attributes, or other descriptions, either in details of beneficiaries aided, case studies provided, or in any other information. Should you have reasons why such information should be provided to us, please contact us before sending us the information. Collaborating with other Grant Makers: We reserve the right to disclose non-personal information regarding your application, activities, and organisation, to other grant makers unless you expressly request otherwise. No personal data will be shared with other grant makers for this purpose. Detection of fraud: We reserve the right to share personal information to detect and prevent fraud and do not require your consent.

Consent for data processing

I consent to the Blue Light Card Foundation processing my personal data for the purposes of assessing, managing or monitoring my application or any grant awarded, and any related administration or research purposes in accordance with the Foundation's privacy policy.

Authorisation statement

I confirm that, to the best of my belief, all information provided in this application is true and correct and I am authorised to submit this application on behalf of the organisation.

Permissions and privacy statement

I confirm that permission and a written agreement to pass personal information to the Blue Light Card Foundation for all individuals identified in our application has been obtained, and have read the Privacy Policy.