Active & Nourished East Lothian Application Form

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Contact Inforamtion

Administration
Application Contact Information

Safeguarding & Compliance Checklist (Mandatory)

All organisations must complete this checklist. Funding will not be released until minimum safeguarding and governance standards are met.

Adult Protection / Safeguarding Policy in place
Child Protection Policy in place and up to date

Code of Conduct for staff and volunteers

Complaints Procedure in place

Data Protection / GDPR Policy in place

Employer’s Liability Insurance in place (if applicable)

Equality, Diversity and Inclusion Policy in place

First Aid provision in place

Food hygiene compliance in place (if providing food)

Health and Safety Policy in place

Named Safeguarding Lead identified

Public Liability Insurance in place

PVG checks completed for all relevant staff and volunteers

Risk assessments completed for activities and venues

Safer recruitment processes in place

Apllication Details

Section 2: Project Summary

Geographic Focus


Section 3: Need


Please outline your organisation’s experience of delivering similar activities or services. This should include:

• Examples of previous holiday, youth, sport or community provision
• Experience working with the target groups identified in this guidance
• Evidence of successful delivery (e.g. outcomes, participation levels, feedback)
• Any partnerships that supported delivery
• What worked well and what you would do differently


We recognise that some organisations may be newer to delivery. Where this is the case, please outline relevant transferable experience, partnerships, or support arrangements in place to ensure safe and effective delivery.
Section 4 – Delivery Plan
Please select closest main activity
Name of Organisations
Section 5 – Inclusion
Section 6 – Pathways
Use Ctrl+click to select more than one item

Section 7 – Budget
Funding Breakdown
Please provide a full breakdown of the grant request. Ensure the breakdown adds up to the amount you have requested and provide the calculations for each item in the table below. 
Click "Add another response" to add another row as required.
Cost Category
Description Amount Reason
Section 8 – Monitoring

Section 9 – Risk