UKStart-up form
This form provides an opportunity to develop your project aims and the plan set out in your application. It will act as a reference point for the future reports whichwe ask you to send to us every 12 months to tell us about your progress (and a shorter update every 6 months). These reports allow you to reflect on your progress and share your learning with us, and we use them to check you’re on track. We also use this information together with that from other projects to understand what difference we are making and to help us raise money.
Please refer to the guidance notes to understand exactly what we are looking for in each section and how much information to provide. You will also need to refer to your application form. Please note, fields highlighted in blue should be copied from your application form, as specified. When you have completed this please upload the document to GEM and if you have any problems, please contact your grant manager.
Background to the projectGrant reference number / As specified in Application
Organisation name (lead) / As specified in Application
Project startdate / As specified in Application
Project title / As specified in Application
Project summary / As specified in Application
Comic Relief theme / As specified in Application
CR outcome 1 / As specified in Application
CR outcome 2 / As specified in Application
CR outcome 3 / As specified in Application
People involved in writing the report (name, job title)
Date submitted dd/mm/yyyy
Section 1: Beneficiaries
1.1 Beneficiary categories and numbersFor each category, provide a brief summary of who you will be working with. Pleasealso tell us how many people you expect to work with over the lifetime of the grant and over the first year of the grant (which might be lower than year two and three to give time to set up).
Type of beneficiary / Narrative description of who this includes (100 words maximum) / Target for number of beneficiaries over the lifetime of the grant / Target for number of beneficiaries in the first 12 months
People benefiting directly / 0 / 0
Frontline workers benefiting / 0 / 0
Other people benefiting / 0 / 0
Only complete the following two questions if your grant will have ‘people benefiting directly’
Otherwise, please leave this section blank and go to section 3.
1.2 Age and gender ofpeople benefiting directly
Age of people benefiting directly / Target for number of beneficiaries over the lifetime of the grant / Target for number of beneficiaries in the first 12 months
0-10 / 0 / 0
11-24 / 0 / 0
25-64 / 0 / 0
65+ / 0 / 0
Age not known / 0 / 0
Totals / 0 / 0
Genderof people benefiting directly / Target for number of beneficiaries over the lifetime of the grant / Target for number of beneficiaries in the first 12 months
Male / 0 / 0
Female / 0 / 0
Gender not known, or defined differently / 0 / 0
Totals / 0 / 0
1.3 Diversity and hard to reach groups
Which groups are under-represented in accessing or engaging with your services and how do you plan to address this in the next 12 months? (350 words maximum) If this grant is funding services for ‘people benefiting directly’, please tell us about which groups are likely to be under or over-represented in your services and your plan of action to ensure diversity. We are particularly interested in ethnicity, sexuality, religion, gender, age and disability, those who are isolated and/or who live in rural areas, as well as other groups you believe are ‘hard to reach’ in your context.
Section 2: Outcomes
2.1 Your Outcomes for the grant: It is important particularly important to use the guidance notes here for further information about what we are looking for.
Project Outcome 1: Description of outcome (30 words maximum) What do you hope will change as a result of your work?
Outcome Indicators
(30 words maximum) / What do you hope to achieve over the lifetime of the grant? (100 words maximumfor each indicator)Please estimate what progress you hope to see,includingany numerical or percentage targets for the amount of change.
A / Narrative description / Narrative description
B / If relevant / If relevant
C / If relevant / If relevant
Overall, how many people do you realistically expect to benefitin relation to this outcome, over the lifetime of the grant? If relevant, pleaseestimate the number of people who are likely to meet this outcome overall (this may well be less than your total number of beneficiaries). / 0
Project Outcome 2: Description of outcome (30 words maximum)
Outcome Indicators
(30 words maximum) / What do you hope to achieve over the lifetime of the grant? (100 words maximum for each indicator)Please estimate what progress you hope to see, including any numerical or percentage targets for the amount of change.
A / Narrative description / Narrative description
B / If relevant / If relevant
C / If relevant / If relevant
Overall, how many people do you realistically expect to benefit in relation to this outcome, over the lifetime of the grant? If relevant, please estimate the number of people who are likely to meet this outcome overall (this may well be less than your total number of beneficiaries). / 0
Project Outcome 3: Description of outcome (30 words maximum)
Outcome Indicators
(30 words maximum) / What do you hope to achieve over the lifetime of the grant? (100 words maximum for each indicator)Please estimate what progress you hope to see, including any numerical or percentage targets for the amount of change.
A / Narrative description / Narrative description
B / If relevant / If relevant
C / If relevant / If relevant
Overall, how many people do you realistically expect to benefit in relation to this outcome, over the lifetime of the grant? If relevant, please estimate the number of people who are likely to meet this outcome overall (this may well be less than your total number of beneficiaries). / 0
Project Outcome 4: Description of outcome (30 words maximum) If relevant
Outcome Indicators
(30 words maximum) / What do you hope to achieve over the lifetime of the grant? (100 words maximum for each indicator)Please estimate what progress you hope to see, including any numerical or percentage targets for the amount of change.
A / Narrative description / Narrative description
B / If relevant / If relevant
C / If relevant / If relevant
Overall, how many people do you realistically expect to benefit in relation to this outcome, over the lifetime of the grant? If relevant, please estimate the number of people who are likely to meet this outcome overall (this may well be less than your total number of beneficiaries). / 0
Project Outcome 5: Description of outcome (30 words maximum) If relevant
Outcome Indicators
(30 words maximum) / What do you hope to achieve over the lifetime of the grant? (100 words maximum for each indicator) Please estimate what progress you hope to see, including any numerical or percentage targets for the amount of change.
A / Narrative description / Narrative description
B / If relevant / If relevant
C / If relevant / If relevant
Overall, how many people do you realistically expect to benefit in relation to this outcome, over the lifetime of the grant? If relevant, please estimate the number of people who are likely to meet this outcome overall (this may well be less than your total number of beneficiaries). / 0
2.2Data collection method for indicators and evidencing progress towards youroutcomes (350 words maximum) Please tell us how you plan to collect data including the tools you will use, how many of your beneficiaries they will be used with and when as well as how you will collect and analyse the information.
Are you commissioning someone external to your organisation to conduct an evaluation of your work? (note, this is not compulsory) / Yes/No
If so, can you provide further detail about what this evaluation will involve and what the focus is? (300 words maximum)
Do you intend to produce any publications or publically available resources that you will share with us? / Yes/No
2.3Use of online and social mediaIf you use any social media for your project or organisation please tell us which here so that we can follow your progress. Please specify n/a if not applicable or you do not wish to share this with us.
Website address /
Blog address /
Twitter account / @
Instagram account / @
Facebook page name
Section 3: Outputs
Outputs for the next 12 months: Please summarise your delivery plan for the next year by stating key project outputs. Where relevant, please also tell us the number of people you expect to involve or reach in relation to each output in the next 12 months
Description of output (10 words maximum) / Target for delivery in the next 12 months (maximum 80 words) / Target for number of beneficiaries in the first 12 months
1 / 0
2 / 0
3 / 0
4 / 0
5 / 0
6 / Only if relevant / 0
7 / Only if relevant / 0
8 / Only if relevant / 0
9 / Only if relevant / 0
10 / Only if relevant / 0
Section 4: Finances
Expenditure / Year 1 / Year 2 / Year 3
Staffing costs
Recruitment
Salaries (including National Insurance and Pensions)
Sessional workers
Volunteer expenses
Subtotal
Direct Project Costs
Travel
Training
Monitoring and evaluation
Promotion
Other project costs
Please describe your ‘other’ project costs:
Subtotal
Overheads
Management costs
Building costs (including rent, insurance, heating and lighting)
Office costs (stationery, postage, IT)
Capital Costs
Office equipment
Other capital costs
Subtotal
Total Expenditure
1