Social Inclusion LEARNING FORUM Fund

DNWAP Objective Title / Social Inclusion Learning Forum
SICAP Objectives / G1.1: To support and promote the community engagement of disadvantaged target groups across the life cycle
G1.2: To support the development of local community groups which promote equality and social inclusion
Action Title by Applicant / Name for your Action e.g. Men on the Move, Literacy and Leadership etc.
Action Implementer
Who will lead on this action in the area (Name of Organisation) / Name of organisation: If your organisation is large you may wish to name a specific section or department as well as the Larger Organisation e.g. Teen Programme, Adult Day Services.
Action Implementer Contact Details (Lead Organisation)
Contact Person / Name of Key person for contact in relation to this action
Role in Organisation / E.g. Manager, Co-ordinator, Development Worker.
Address: / Address of Organisation
Phone: / Mobile or landline number for contact person
E-mail: / E-mail of Contact Person
How long is the group in existence / No of Years/Months
Do you have a Constitution/Legal Structure? Evidence of this will be required if your application is successful
Yes (Please State) / You do not have to have a constitution or have Secretary or Treasurer, You just need to give information regarding status of group e.g. informal grouping, group with management committee, limited company. DNWAP provides supports in this area.
No/Unsure
Chairperson / Secretary or Treasurer
Address: / Address:
Phone: / Phone:
Email: / Email:
Partner Organisation 1 – (if applicable) / Partner Organisation 2 – (if applicable)
Organisation Name / Organisation providing help – could be premises, staff, expertise, refreshments etc. You do not have to have a partner organisation.
Lead Contact Person
Role in Organisation
Address
Partner Organisation 1 – (if applicable) / Partner Organisation 2 – (if applicable)
Phone:
E-mail:
Contribution
Describe the contribution the Partner organisation will make e.g. staff, facilities, resources, funding
Target Group for your Action (Please Select)
Lone Parents / People with Disability / Disadvantaged Communities
New Communities / Long Term Unemployed / Roma
Young Unemployed / Travellers / NEETS
Other (Please state) / See general notes attached.
Project Details
Project Overview
Briefly outline the purpose of the project, including the evidence of need / Background to your organisation
·  When organisation was founded and why?
·  Nature of work your organisation undertakes
Rationale for Social Inclusion Action
·  Clearly state the need the project is addressing and how the action you propose will address the stated need. Please ensure that there is a clear logical connection between need and action. Be as specific as possible.
Credibility of Your Organisation
·  Why is your organisation well placed to address this need? Here you can refer to track record in engaging with target group, strong relationships of trust, staff with specific expertise, volunteer engagement , and any other factors which make your organisation suitable action implementers.
Referencing
·  If you are referring to relevant research to strengthen your proposal, please remember to reference accurately. Do not refer to ‘international research’, ‘numerous studies’ etc.. Instead refer to particular studies naming authors and dates and publisher.
Activities
Briefly outline the activity/activities that will take place under this project / Describe the activities that will take place.
Inputs
Outline facilities, materials, resources, staff etc. required to successfully implement this project. / As stated.
Outputs
Outline the anticipated outputs that will accrue from this action e.g. number of children/parents/groups that will benefit / ·  Tangible and quantifiable
·  Number of weeks programme will run for and how often participants will attend.
·  Duration of sessions
·  Number of participants
·  Target Groups who will participate- numbers from different target groups if relevant.
Outcomes
Outline the outcomes that are anticipated from this project / ·  Remember this section is directly linked to your statement of need and of how the project action will address need and promote Social Inclusion.
·  How will the lives of beneficiaries be improved?
Examples could be development of confidence; skills development; participant progression on to further education, training and development programmes; development of ability to identify own needs and be involved in development of future programmes.
·  increased engagement with statutory and community services
·  Development of ability to advocate and access services
·  Will there be a wider impact for participant’s families, the wider community, e.g. participants sharing knowledge or passing on skills, participants acting as role models for children/young people?
·  Participants may develop skills and confidence and as a result take up positions of leadership or activism in the community.
Time-Frame for Delivery (must be completed by 30th November) / State start and finish times.
Funding
Budget Required from SICAP
Item No. / Item Description / Estimated Costs
Costings should be based on recent quotations from suppliers, facilitators etc. and should be detailed.
Total
Matching or Additional Funding (if applicable)
(include any funding received from the EU, National or Local bodies toward this specific projct)
Funder / Amount
Overall Cost of Programme
Please state the overall cost of running this programme

Please add additional rows if required.

Note: Budget items may include staff[1] materials, transport, refreshments, costs associated with facilities etc. Staff costs are only eligible where staff are undertaking work specific to the proposed action that is additional to their existing work i.e. staff can not be paid for work that is part of their normal duties.

It is the responsibility of those implementing actions to ensure that all staff working with children and vulnerable adults have undertaken Garda vetting.

Key Application Timelines

·  Thursday March 31st at 5pm. Closing date for receipt of completed application forms.

·  Friday April 15th - Groups will be informed as to the outcome of their application

·  Wednesday November 30th - Deadline for completion of all project activities and all expenditure of programme funds.

Submission Details

·  Closing Date for Receipt of Applications: Thursday March 31st at 5pm.

·  Applications to be submitted to

·  Hard copies to be sent to: Mary Corridan, Local Community Group Training Officer, Dublin North West Area Partnership, The Travelodge Hotel, Shangan Road, Ballymun, Dublin 9.

·  Application Forms must be clearly legible-preferably typed.

·  Queries can be directed to Mary Corridan on 086 020 6272 or by email to the address above.

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File Path Stored / Doc. Type &
Version / Created / Reviewed by & Date / Date of Next Review
C:\Users\edcom022\Documents\Social Inclusion Training in Application Process 2016\Social Inclusion Programme Application Form 2016 -Training Copy.docx / Form
/ On: 30/07/2015
By: Paul Rogers, Mary Corridan, Fiona Hudson, June Magaharan / By: SMT / Jan 2016

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