Community Wealth Building

Community Wealth Building

Application Form
Before completing this application, please ensure you have read the full guidance on the webpage. This will outline eligible organisations, eligible expenditure and our key priorities.

Prior to completing the application form, please ensure you have the following ready to upload:
- Evidence of financial stability, including recent accounts
- For any individual works exceeding £5,000 you should be able to demonstrate that you have obtained competitive quotes and/or checked publicly available pricing, for example websites or catalogues.
- Any additional evidence of delivery plans, policies or costings you wish to submit.
There is a box in Section 8 which allows you to upload all the files to your application.

If you have any queries or need some support, please contact spfcommunities@northyorks.gov.uk.

You can save and return to this application form at any time. Click the 'Save' button at the bottom of the form to create a draft, select the option to 'Skip Create an Account', then enter your email to have a link to the draft sent to you.
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
Is the registered address where the project/proposal will be delivered?*

YesNo
Project/Proposal 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 VAT registered?*
VAT Registration Number

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have a bank account in the name of the organisation with two signatories?*
Section 2: Project Information
Which UKSPF programme are you applying to?*
Project Title*
Please give your project a title which can be used for the purposes of any future publication
Give a short description of your project which can be used for the purposes of any future publication (25 words maximum)*

0/25
Which parliamentary constituency area will your project activity take place in?*
You can visit https://members.parliament.uk/constituencies to verify this.
Section 3: Tell us about the need for your project and its strategic fit
Explain the need for your project. Tell us about the issues and challenges that the project will address. Where possible, please provide evidence to support your answer (from surveys, research, relevant data sources, previous projects, etc).*

0/250
Which key priority theme(s) does your project align with, as outlined in the Community Buildings programme guidance?*

Community Wealth Building InnovationCapacity Building and Social Enterprise Development Support
How will your project deliver against the key priority themes? Give a longer description of your project here, explaining what are you aiming to achieve and what activities will be involved? (500 words maximum.)*

0/500
Section 4: Tell us about the positive impact your project will have
Which UKSPF Programme Outputs and Outcomes will your project deliver?*

Increased users of facilities/amenitiesIncreased number of new activities, events or servicesIncreased number of projects arising from funded feasibility studies (number of projects)
Estimated number of current users of the facilities/amenities
Increased number of users of the facilities/amenities as a result of the project
Estimated number of current activities, events or services
Increased number of activities, events or services as a result of the project
Increased number of projects arising from funded feasibility studies (number of projects)
Explain how your project will deliver each of the Outputs and Outcomes you have selected.*

0/250
Explain the positive impact your project will have. What difference will it make to your community and who will benefit from it? Will there be any target groups that will be positively affected? Where possible, please provide evidence to support your answer (from surveys, research, previous projects, etc). *

0/250
Explain how your project will help build community wealth specifically. *

0/250
Please see a Summary of York and North Yorkshire Combined Authority's Routemap to Carbon Negative. You may use this to guide your answer to the following question.
York and North Yorkshire has a regional ambition to be net zero carbon by 2034 and carbon negative by 2040. Explain how your project contributes to or aligns with this ambition. *

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

0/250
Section 5: Tell us about your financial position and project costs
What would happen if you did not receive grant funding from this programme?*
Expand on your answer to explain the need for public funding to finance this project.*

Provide a full breakdown of all costs involved in the project:*

	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
Item 13
Item 14
Item 15

Total Cost of your Project (£):*
This box will calculate the Total Cost of your Project by adding all items listed in the full cost breakdown table above
Please confirm the amount of funding you are applying for:*
Please explain where the additional match funding will be coming from. Please state whether the match funding is confirmed or unconfirmed. (This must be at least 20% of the total cost of your project). *

0/250

Match Funding is not a requirement of this fund. However, if you are able to provide match funding please provide details of where the additional match funding will be coming from. Please state whether the match funding is confirmed or unconfirmed.

	Funding Organisation	Amount (£)	Confirmed or Unconfirmed?	Date of expected confirmation
Funding Source 1
Funding Source 2
Funding Source 3
Funding Source 4
Funding Source 5

Section 6: Tell us about how the project will be successfully delivered
Tell us about the key milestones and delivery dates for the project activity.*

0/250
Does your project involve capital works that (may) require planning permission or any other building consent?*
If planning permission is already in place or a planning application has been submitted, please provide the relevant planning application reference number. *

0/100
How will you demonstrate that your project provides value for money and that best value is achieved? For example, what would be your approach to obtaining quotes for any externally sourced goods or services you need.)? Please outline your approach.*

0/250
Tell us about any key risks and how they will be mitigated.*

0/250
Section 7: Tell us about the people, experience, capacity and resources you have in place to deliver the project and monitor its progress
Do you have a track record of delivering any similar project activity in the past? Please give examples of previous project activity and achievements to support your answer. This could be a named reference who you have collaborated with recently.*

0/250
How will the project be managed day to day? Who will be part of the Project Management Team? Who will be undertaking the project monitoring? Are there governance arrangements in place? *

0/250
Section 8: File Upload, Submission Checklist and Signature
Please upload any additional evidence or documents to support your application including financial accounts, evidence of quotes.

Cancelof
Submission Checklist
Please tick to confirm that your organisation is willing to absorb any cost overruns on the project.*

Confirm
Please tick to confirm that your organisation has in place both employers and public liability insurance as legally required*

Confirm
Please tick to confirm that your organisation has up to date policies and procedures relating to Health and Safety, Safeguarding, Equality and Diversity and Data Protection including GDPR?*

Confirm
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 grants may only be awarded where they are fully compliant with Subsidy Control regulations. By proceeding, you are agreeing to provide the necessary details of your project and to any required undertakings to comply with and to enable the Combined Authority to meet its legal Subsidy Control obligations. This may include, but is not limited to, the verification that any grant award is compliant with the terms of a relevant Subsidy Control Scheme, or 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 stored and processed by the York and North Yorkshire Combined Authority and North Yorkshire Council, and may be shared with any other third party organisations directly involved in the delivery of UK Shared Prosperity Fund programmes, only for the purposes of processing applications. For more information about how the organisation will use your personal data, click here.
In order to process 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.
From time to time, we would like to contact you about our products and services 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.
Signature
I confirm that the information supplied in the application is accurate to the best of my knowledge and that I have the authority to apply for funding and deliver the project if the application is successful.*

Clear
Should be Empty:

Community Wealth Building

Section 1: Applicant Information

Section 2: Project Information

Section 3: Tell us about the need for your project and its strategic fit

Section 4: Tell us about the positive impact your project will have

Section 5: Tell us about your financial position and project costs

Section 6: Tell us about how the project will be successfully delivered

Section 7: Tell us about the people, experience, capacity and resources you have in place to deliver the project and monitor its progress

Section 8: File Upload, Submission Checklist and Signature