Economic Inactivity Trailblazer – Employer Support Programme

Economic Inactivity Trailblazer – Employer Support Programme
Section 1: Applicant Information
Full Name*

First NameLast Name
Email*
example@example.co.uk
Phone Number*
Name of Organisation*

Street Address Line 2

CityState / Province

Postal / Zip Code
Organisation website*

(Please insert n/a if your organisation does not have a website)

Street Address Line 2

CityState / Province

Postal / Zip Code
Registered address*

Street address

Street Address Line 2

CityState / Province

Postcode
What is the legal status of your organisation?*
Please specify*
Company Registration Number

Street Address Line 2

CityState / Province

Postal / Zip Code
Charity Registration Number

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your organisation or business VAT registered?*
VAT Registration Number

Street Address Line 2

CityState / Province

Postal / Zip Code
How long has your organisation been trading for?*
How many full-time equivalent employees do you currently have?*
Are you applying as a 'Lead Applicant' on behalf of a partnership or consortium?*
Give an outline of the nature and purpose of your partnership or consortium. Which partners are involved? Is the partnership new or did it already exist? What arrangements (formal or informal) do you have in place? *

0/250
List all partner organisations involved. If applicable, give a company or charity registration number and a lead contact from each organisation. A signed declaration detailing the delivery partners involved must be submitted with this application. *

0/250

Section 2:Programme Information (Weighting 20 marks)
Which programme are you applying to?
Programme Title*
How much funding are you applying for from the York and North Yorkshire Combined Authority?*
£
Give a short description of your programme which can be used for the purposes of any future publication (25 words maximum)*

0/25
Set out what’s involved and how it meets the needs identified in the prospectus (500 words max)*

0/500
Does your activity take place across the entire region of York and North Yorkshire? *
Constituency Area
If no please provide locations

Section 3: Your Delivery Plan (Weighting 15 marks)
Your Delivery Plan is expected to outline what you will deliver and how. This should include details of the methodology you will use ie. in person, online, 121, group activity. Attach a separate document titled ‘Delivery Plan’ and include a Gantt chart/project plan*

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Will you be using subcontractors to support the delivery *
If yes, are they already in place?
Please tick here to confirm you will work with other business support programmes in the region such as the Growth Hub, FSB etc.*

Confirm
Please confirm with whom and how do you intend to do this? (250 words max)*

0/250

Section 4: Outputs and Outcomes (Weighting 10 Marks)
How many businesses will receive support via your programme?*
Which Outputs and Outcomes listed in the prospectus, specifically relating to Employment and Health, does your proposed programme achieve?*

Businesses better equipped to retain workers with health conditionsBusinesses adapting and embedding inclusive processes/practicesBusinesses better equipped to recruit workers previously inactive/with health conditionsEmployers accessing consultancy/mentoring supportEmployees receiving support to help them remain in work
How many businesses are better equipped to retain workers with health conditions as a result of the programme?*
How many businesses are adapting and embedding inclusive processes/practices as a result of the programme?*
How many businesses are better equipped to recruit workers previously inactive/with health conditions as a result of the programme?*
How many employers are accessing consultancy/mentoring support as a result of the programme?*
How many employees are receiving support to help them remain in work as a result of the programme?*

Section 5: Tell us about the positive impact your programme will have (Weighting 15 marks)
Explain the positive impact your programme will have in relation to the outputs and outcomes your proposed programme will achieve. (Include here any additional outputs and outcomes which you believe your support programme can and should deliver) What difference will it make and who will benefit from it? (500 words max.) *

0/500
Explain the legacy that your delivery will have. Will you continue to deliver and produce benefits after the funding from this programme ends? (250 words max.) *

0/250
Explain how your programme will promote equality, diversity or inclusivity. If your organisation has an equality, diversity or inclusivity policy, please refer to this and explain how your programme aligns with it (250 words max.)*

0/250

Section 6: Tell us about the people, experience, capacity and resources you have in place to deliver the programme and monitor its progress (Weighting 25 marks)
Do you have a track record of delivering any similar programme activity in the past? Please give examples of previous programme activity and achievements to support your answer. (250 words max.) *

0/250
How will the work be managed day to day? Who will be part of the Programme Management Team? Are there governance arrangements in place? (250 words max). Include an organogram.*

0/250
Please attach the organisation organogram here*

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If the procurement of contractors or suppliers is required to deliver your programme, what internal rules or practices will you follow to ensure best value will be achieved (e.g. following public procurement rules, obtaining quotes, etc.) Please outline your approach. (250 words max) *

0/250
How will the Outputs/Outcomes specified in this application be measured and monitored? Who will do this? What resources will be committed to delivering this monitoring and evaluation work? (250 words max) *

0/250
We require applicants to be able to deliver at pace and at scale. Please describe how you will meet these requirements (250 words max)*

0/250

Section 7: Tell us about your programme costs (Weighting 15 marks)
Confirm the amount of Grant funding you are applying for from the York and North Yorkshire Combined Authority*

Please provide a full cost breakdown, specifically include staff costs, and pricing information in a way that can be scaled in response to business need, e.g., per masterclass delivered or per business supported*

	Name of Item	Cost (£)
Item 1
Item 2
Item 3
Item 4
Item 5
Item 6
Item 7
Item 8
Item 9
Item 10
Item 11
Item 12

Section 8: File Upload, Submission Checklist and Signature
Please ensure that the PROGRAMME MILESTONE and RISK REGISTER tabs on the Additional Application Information spreadsheet have been completed and reflect the information given in this APPLICATION.
Please upload your completed Additional Application Information, a Signed Declaration of Delivery Partners and your Latest Audited Accounts here. Any further relevant supporting evidence may also be uploaded. This may include prior research and survey work referenced in the application, or more detailed programme plans and business case information.

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Submission Checklist
Please tick to confirm you have uploaded your Delivery Plan and organogram*

Confirm
Please tick to confirm you have completed ALL TABS of the Additional Application Information Spreadsheet*

Confirm
Please tick to confirm that you have uploaded a signed declaration which details any/all delivery partners involved in the programme*

Confirm
Please tick to confirm that your organisation is willing to absorb any cost overruns*

Confirm
Please tick to confirm that you have supplied a copy of your organisation's latest audited accounts.*

Confirm
Please tick to confirm that you have an appropriate personal and professional insurance cover.*

Confirm
In order to process and assess your application, we need to store and process your personal data and share this with partners involved in the delivery of the programme. If you consent to us storing your personal data for this purpose, please tick below:*

I agree to allow York and North Yorkshire Combined Authority and partners to store and process my personal data.
UK Subsidy Control Regime

Please note that, as a public authority, the York and North Yorkshire Combined Authority must comply with the terms of the Subsidy Control Act 2022 and programmes may only be taken forward where they are fully compliant with Subsidy Control regulations. By proceeding, you are agreeing to provide the necessary details of your programme and any required undertakings to comply with and to enable the Combined Authority to meet its legal obligations under the UK Subsidy Control Regime. This may include, but is not limited to, the submission by you of a satisfactory subsidy control assessment and/or declarations, notifications or announcements to the relevant authorities pursuant to Subsidy Control legislation. For more information, click here.
Data Protection

The York and North Yorkshire Combined Authority is committed to protecting and respecting your privacy. Any personal data collected will be processed by the York and North Yorkshire Combined Authority for the purposes of contacting applicants and assessing applications. Personal data may be shared with central government departments, North Yorkshire Council and City of York Council, or any other third party organisations directly involved in the delivery of the York and North Yorkshire Combined Authority programmes. For more information about how the organisation will use your personal data, click here.
From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:

I agree to receive communications from the York and North Yorkshire Combined Authority.I would like to receive regular updates from York & North Yorkshire Growth Hub about free business support, events, news and other opportunities.
Signature
I confirm that the information supplied in the application and additional documents is accurate to the best of my knowledge and that I have the authority to apply for funding and deliver the programme if the application is successful.*

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Economic Inactivity Trailblazer – Employer Support Programme

Section 1: Applicant Information

Section 2:Programme Information (Weighting 20 marks)

Section 3: Your Delivery Plan (Weighting 15 marks)

Section 4: Outputs and Outcomes (Weighting 10 Marks)

Section 5: Tell us about the positive impact your programme will have (Weighting 15 marks)

Section 6: Tell us about the people, experience, capacity and resources you have in place to deliver the programme and monitor its progress (Weighting 25 marks)

Section 7: Tell us about your programme costs (Weighting 15 marks)

Section 8: File Upload, Submission Checklist and Signature

Please ensure that the PROGRAMME MILESTONE and RISK REGISTER tabs on the Additional Application Information spreadsheet have been completed and reflect the information given in this APPLICATION.