Warm & Welcoming Spaces Grant Application

Please confirm by ticking this box to confirm you are a formally constituted group

*Your group must be formally constituted or in the process of setting this up. This means you must have a bank account with at least two independent signatories as well as a governing document/list of governing members and a set of rules.

Group Name

Charity or Company Number

In which district/borough does your organisation work?

Please describe briefly what your organisation does

Application Information

Location of venue

Proposed days and times opening a week

Total proposed hours open per week

Proposed dates available

Capacity of venue

How many people do you expect to benefit a week?

Please describe any proposed activities you will provide within your Warm and Welcoming Space venue.

Please confirm you can satisfy the following Warm and Welcoming Space grant funding requirements bellow:

Your Warm and Welcoming Space will be an inclusive, non-judgmental space where everyone can expect to be treated equally, with dignity and respect and receive a warm welcome from staff and volunteers Your Warm and Welcoming Spaces venue will be heated and may provide basic refreshments such as a warm drink and a biscuit Your Warm and Welcoming Space venue will be free with no hidden costs to those using it Your Warm and Welcoming Spaces venue will have seating and may have Wi-Fi and power points available Your Warm and Welcoming Spaces will implement any health protection considerations that are brought in by the National Government. This will help the people working, volunteering, and attending the warm and welcoming space to keep well this winter Your organisation will follow your own food hygiene procedures (contact your local environmental health team for help and advice) Your organisation has its own safeguarding and fire safety policies, which you will adhere to as a Warm and Welcoming Space venue Your organisation will go to the Warm Welcome website and register your venue so that Derbyshire residents can find you via the national online map Your organisation will aim to run the Warm and Welcoming Spaces venue through the winter months

Marketing & Promotion

Evaluation

Your organisation will record the hours open each week Your organisation will track weekly visitor numbers, including approximate age demographics Your organisation will gather information on visitors' reasons for attending Your organisation agrees to provide case studies, including photos, illustrating the benefits experienced by visitors Provide a summary of key successes, typical visitor duration, and any considerations for future improvements

Amount of Grant requested

What will the grant pay for?

Total

Bank Details - Name of Bank, Account name, Account number, Sort code

Signed

On behalf of the organisation, I confirm that the information in this application is correct.

Applicant signature (draw in the box bellow. Pressing X resets the signature box)

Date

Position in organisation