Go Play Grassroots 26/27 Application Form

1.1 Details of your organisation

Organisation name (as it appears on your governing/registration document or set of rules): (Required)

Organisation full registered address: (Required)

Postcode: (Required)

Website / Facebook / Twitter / Instagram details: (Required)

1.2 When was your organisation established? (Day/Month/year)

Date Organisation established (Required)

Day (dd)
-

Month (mm)
-

Year (yyyy)

1.3 Contact details of the person completing the application. This must be someone from your organisation who can talk about your project and can be contacted during normal office hours

Name: (Required)

Position: (Required)

Telephone: (Required)

Email: (Required)

1.4 Alternative contact details. This must be someone from your organisation who can talk about your project in your absence and can be contacted during normal office hours.

Name: (Required)

Position: (Required)

Telephone: (Required)

Email Address: (Required)

1.5 Voluntary or charitable status

Confirm your organisation has voluntary or charitable status. (If no, you are not eligible to apply, please refer to the guidance). (Required)

1.6 Does your organisation have a current constitution or terms of reference, set of rules or other governing documents? (if no please state the reason)

Current constitution or terms of reference, set of rules or other governing documents? (Required)

If No, please state reason:

1.7 How many people are involved in running your organisation?

Governing Body (Required)

Volunteers (Required)

Other

1.8 Is your organisation OFSTED registered?

(Required) Yes No

If yes, state the registration number

1.9 Are all staff/volunteers working on your project DBS enhanced checked? (if no, your application may be rejected)

(Required) Yes No

If no, state the reason

1.10 Organisation Designated Safeguarding Lead (DSL) contact details

Name: (Required)

Position (Required)

Email (Required)

Telephone Number: (Required)

DSL Training Qualification (Required)

Date Qualification obtained (Required)

Day (dd)
-

Month (mm)
-

Year (yyyy)

1.11 Please tick to confirm if your organisation has the following: (documents/certificates may be viewed during monitoring visits)

1. Latest Annual Accounts or statement of Income and Expenditure (Required)

2. Public Liability Insurance (Required)

3. Constitution/Terms of Reference / Governing documents. (Required)

4. Child Protection/Safeguarding Policy/ Procedures (Required)

5. OFSTED Registration Certificate, if registered.

6. Equality & Diversity Policy (Required)

7. Health & Safety Policy / Procedures (Required)

8. Risk Assessments for all aspects of project delivery (Required)

9. GDPR / Data Protection Policy (Required)

10. First Aider (at least one staff member or volunteer with a First Aid qualification obtained within the last 2 years who must be on site during delivery) (Required)

11. All delivery staff to have completed minimum Level 1 Child Protection / Safeguarding training within the last 2 years (Required)

12. Staff / Volunteer (at least one) holds Level 2 Food Safety/hygiene qualification obtained within the last 2 years who must be on site during delivery (Required)

Go Play Grassroots 26/27 Application Form

SECTION 1 - YOUR ORGANISATION