Active Travel PB

You can save and return to this 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.

Lead contact name*

First NameLast Name

Lead contact position*

Email*

Telephone number*

Name of applicant organisation*

Organisation website (if applicable)

Registered address of applicant organisation*

Street Address

Street Address Line 2

CityCounty

Postcode

Select the constituency area of the registered address for your organisation*

Legal status of organisation (this application should only be completed by public bodies)*

Are you registered for VAT?*

Please provide your VAT Number

If not applicable to your organisation, please enter N/A

Which programme are you applying to

Project Title*

Please give a short description (25 words max) of your project which can be used for the purposes of any future publication*

0/25

Please classify your project using the identifiers below (tick all that apply)*

New or upgraded walking and cycling routesProvision for cycle parking, cycle hubs and cycle hangersEnhanced junctions or crossings for active modes of travelTraffic calming and management measuresImproved access to public transport through active travel connectionsSafer and more inclusive environments for underrepresented groupsBehaviour change initiative, eg cycle training, walking groupsBehaviour change initiative linked to physical infrastructure

Describe your proposal including what specific challenge/opportunity will your project respond to? How/why has this challenge/opportunity been identified?*

Strong applications will provide evidence of the need for their project, and explain clearly how the project will address the challenge or opportunity identified.

Please identify and quantify the outputs your project will aim to achieve:*

	Project target (can be a number or % increase)	Current levels if any (can be a number or %)
Number of people engaging in active travel
Number of people participating in behavioural change initiatives
Number of accessibility improvements to improve safety
Number of infrastructure improvements to enhance local connectivity and reduce emissions

What methods will you use to measure and evidence achievement of these targets?*

How have you determined the current levels your project targets will be benchmarked against?*

Please identify the outcomes your project will aim to achieve:*

	Tick all that apply
Sharing learning with other localities
Piloting innovative design approaches, delivery models or community engagement methods
Supporting data collection and monitoring to inform future investment decisions
Creating replicable approaches that enable future scheme development elsewhere
Strengthening the ability of communities, businesses and other organisations to take up active travel initatives

Outline what other options you've considered to address the challenge/opportunity you've identified. Explain why your chosen project approach is the best option of those considered, in particular focusing on best value and maximised public benefit.*

In order to demonstrate that the proposal you are making is the best use of public funds, you must consider other options. Use this section to demonstrate this thinking, and why your proposal is the best option.

Give details of the approach to procurement, and why is this approach seen as the most appropriate to deliver the programme? What is the level of confidence that the demand exists of response to the procurement opportunity?*

Please upload a copy of your procurement policy*

I confirm that any supplier used on the project will be appointed following an appropriate procurement process that is in accordance with our organisation's procurement policy attached.

Does your project need planning permission/landowner or highways permission/statutory consent?*

It is your responsibility to find out about and obtain any permissions/consent required. Failure to have relevant permissions in place may delay a decision on your project or lead to your application being rejected.

Please explain your answer*

eg, project does not involve capital works; you've already had confirmation that planning permission is not required etc

Please upload a copy of the relevant permissions/consents for your project if these have already been obtained.

OR

Confirm the status of any permissions or consent you are seeking for your project if these have not already been obtained, and tell us when you expect a decision.

Subsidy control: I confirm that this project will deliver a general public benefit, eg it will not be commercially exploited and will be made available to the public to use for free.

I confirm our organisation has appropriate safeguarding and recruitment policies in place for those who will be working with children or vulnerable adults.

Please use this box to upload a copy of your safeguarding policy

Use this table to break down your total project cost into the key areas of expenditure (eg, staffing, capital works etc). If you are registered for VAT, please exclude VAT costs. *

	Item	Cost (£)	Revenue/capital	Source of cost stated
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Total Project Cost (£)*

This box will calculate the Total Cost of your Project by adding all items listed in the full cost breakdown table above

This box will automatically calculate 90% of the Total Project Cost.

Please confirm the amount of grant funding you are applying for. This amount cannot be greater than 90% of the Total Project Cost and must be between the limits of £100,000 and cannot exceed £500,000.*

I confirm that our organisation will provide a minimum 10% of the total project cost in match funding. I acknowledge the match funding cannot be 'in kind' match funding.

Tell us the amount of match funding you are supplying (must be a minimum of 10% of your total project cost) (£)*

Tell us the source of your match funding.*

(eg reserves, other grant funding etc)

Please upload a copy of the latest set of accounts for your organisation*

FEASIBILITY PROJECTS ONLY need to answer this question. Provide a clear case of the potential routes to further funding to deliver the outcomes of the study, including an estimated likelihood of the funding being secured.

Consider and outline: potential sources of follow-on funding (eg reserves, grants, private investment, partnership); funding sources already engaged and any feedback received, evidenced probability of securing funding, taking into account potential oversubscription to favoured funding sources; whether the programme would be scaled down, paused or delayed if the required funding did not materialise.

Tell us who will deliver the project (eg, department, team, key personnel). What skills and experience do they have on this kind of project? *

Outline your programme's key milestones - examples of activities you might include with start and end dates, eg design, procurement, planning, consultation, event organisation, capital works. Remember that projects must be wholly deliverable by Jan 2028.*

	Activity	Start date	End date
1
2
3
4
5
6
7
8
9
10

Identify key risks to the project and how you will mitigate them if they arise.*

You can use this box to upload organisational governance or risk management policies and procedures.

I confirm that we have factored in capacity and budget that will allow us to meet the quarterly monitoring and evaluation requirements of the Active Travel programme.

In order to process and assess your application, we need to store and process your personal data and may need to share your information with programme partners. Please consent to us storing and processing your data for this purpose*

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, 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 AuthorityI would like to receive regular updates from York and North Yorkshire Growth Hub about free business support, events, news and other opportunities.

Signature*

I confirm that the information supplied in this application and in any additional documents 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.

Active Travel Fund

Applicant Information

Project Information

Strategic case

Economic Case

Commercial Case

Financial Case

Management Case

Checks and signature