Sections 1 and 2 must be completed by the applicant.
Section 3 must be completed by the lead organisation’s Department Head, Head of Services or Relevant Director.
Please ensure that you have read the application guidance before completing this form.
By submitting an application to the awards, entrants are agreeing to abide by the conditions set out in the guidance. Failure to adhere to the requirements set out in the guidance will result in your entry being rejected from the competition.
The closing date for applications is 5pm on Friday 30th June 2017.
Late entries will not be accepted.
Hard copies of the application form are not required.
Any queries on the application process should be directed to the POP Awards mailbox.
Project Name:
Location and region:
Postcode(s) project covers:
Information contained within this section of the application form is assessed for the awards. Describe the project in no more than 4,000 words. Full details on how to complete this section of the application form is contained within the awards guidance.SCANNING
ANALYSIS
RESPONSE
ASSESSMENT
Dates and location of project
Please indicate whether the project is:
Ongoing Completed
Start date:
End date (if applicable):
Community Safety Partnership region:
Conwy
Denbighshire
Flintshire
Wrexham
Gwynedd
Anglesey
Type of area: Rural Urban Suburban Mixed
What were the financial costs of your project? (In no more than 50 words)
What resources were required for your project? (In no more than 50 words)
How did you secure resources for your project? For example, did you access specific funding? (In no more than 50 words)
Partners actively involved in your project
Please list key partners contributing to the project:
1.
2.
3.
4.
5.
6.
7.
How did you engage and work with them? (In no more than 100 words)
Sharing learning (In no more than 500 words)
Were there any other benefits e.g. community outcome, from the project not directly linked to the problem as it was initially defined?
What were the three most important lessons from the project and three things you would do differently if you were to do the work again?
Has the work been formally evaluated? If so, please provide details of the methodology and outcomes (that are not already set out in your application).
Contact Details
Application Author’s name:
Organisation:
Telephone Number:
Email address:
Alternative contact for application:
Organisation:
Telephone number:
Email address:
Part three of this application must be completed by the lead organisation’s Department Head, Head of Services or Relevant Director (within a Local Authority).Information requested within this section of the application form is compulsory. Each question should be answered. Failure to answer all the questions may result in the application being rejected from the competition.
Your name and job title:
Please confirm that the partners listed carried out the project as stated: Yes
Please confirm that the details stated are factually correct: Yes
Please confirm that all organisations involved in the project have been notified of this application (this is to prevent duplicate entries of the same project): Yes
Please confirm this specific project has only been entered into the 2017 awards once: Yes
Can all content of this application be made publicly available?
Yes
No - please state reason:
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