Tackling Inequalities Fund - Round 2 phase 3 Application Form

The focus of this programme is to help to reduce the negative impact of Covid-19 and the widening of the inequalities in sport and physical activity.

Timeframes: The delivery of all projects must be completed by the end of March 2022.
Awards: £300 up to £4,500

Please read the guidance document before completing the application form. You must complete all sections of this form and keep to the word limits indicated.

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* 1. Organisation information

Organisation information

Full organisation name

Full organisation address (including Birmingham street ward and district)

Organisation postcode

Project delivery address(es) and postcode(s) (if different from organisation address)

Company/Charity number

Lead contact name

Lead contact phone number

Lead contact email address

Organisation website and/or active social media accounts

Total amount of investment required

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* 2. Organisation type (select one)

Not for profit voluntary or community club or organisation

Registered Charity

Not for profit company or CIC or other social enterprise

Company limited by guarantee

Charitable Incorporated organisation

Registered Society

Other (please specify)

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* 3. Target priority group(s)

What primary priority group will the funding target?

Lower socio-economic groups

People with long-term health conditions

Minority ethnic communities

People with disabilities

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* 4. What secondary priority groups will the funding target?

Lower socio-economic groups

Minority ethnic communities (including Black, Asian and Minority Ethnic communities)

People with a disability

People with long-term health conditions

Other, please state (children & young people / older people / women & girls)

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* 5. About your organisation and audience

Please tell us about your organisation, what you deliver, and the people that you mainly work with (target audience, age groups, demographics)? (150 words maximum)

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* 6. How has COVID-19 affected your delivery, normal activities/operations? e.g. impact on income / expenditure / funding. Please explain how you have adapted your activity. (150 words maximum)

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* 7. How has your target audience been affected by COVID-19? For example, impact on finances, physical activity levels, mental health and wellbeing, etc. (100 words maximum)

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* 8. Proposed programme details

How will funding will be used to tackle inequalities through your programme (purpose, intended outcomes)? Provide details. (150 words maximum)

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* 9. How will funding be spent (please provide a breakdown)?
(Provide any staff costs or facility costs broken down by hour / session)

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* 10. Timescales of your project

Proposed start date (dd/mm/yy)

Length of project (months)

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* 11. Please provide information about any Sport England funding that you have received in the last 3 years, or any applications that are currently pending with Sport England.

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* 12. Do you have a recovery / sustainability plan? Can you provide details? (150 words maximum)

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* 13. Have you identified any skills gaps or training needs within your organisation? For example, first aid, Covid specific training, mental health, digital support, mentoring. (150 words maximum)
We are offering free access to our ‘Develop Your Way’ programme which supports organisations to strengthen and develop their governance, business planning and resilience as we come out of the pandemic. This includes information, guidance and advice, as well as access to 2 hours free organisational mentoring. Please indicate if you are interested in this support package below.

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* 14. Consents

Consents GDPR consent
By consenting to this statement, you are giving permission for your organisation to be contacted by Sport Birmingham in connection with further partnership, funding and marketing opportunities. For further information please read our privacy policy

I consent

I do not consent

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* 15. Please tick below how we may contact you.

SMS

Neither

Other (please specify)

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* 16. Application form submission

Organisation name

Signatory name

Position in organisation

Date form completed

Tackling Inequalities Fund - Round 2 phase 3 Application Form

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* 1. Organisation informationOrganisation information

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* 2. Organisation type (select one)

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* 3. Target priority group(s) What primary priority group will the funding target?

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* 4. What secondary priority groups will the funding target?

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* 5. About your organisation and audiencePlease tell us about your organisation, what you deliver, and the people that you mainly work with (target audience, age groups, demographics)? (150 words maximum)

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* 6. How has COVID-19 affected your delivery, normal activities/operations? e.g. impact on income / expenditure / funding. Please explain how you have adapted your activity. (150 words maximum)

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* 7. How has your target audience been affected by COVID-19? For example, impact on finances, physical activity levels, mental health and wellbeing, etc. (100 words maximum)

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* 8. Proposed programme detailsHow will funding will be used to tackle inequalities through your programme (purpose, intended outcomes)? Provide details. (150 words maximum)

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* 9. How will funding be spent (please provide a breakdown)?(Provide any staff costs or facility costs broken down by hour / session)

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* 10. Timescales of your project

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* 11. Please provide information about any Sport England funding that you have received in the last 3 years, or any applications that are currently pending with Sport England.

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* 12. Do you have a recovery / sustainability plan? Can you provide details? (150 words maximum)

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* 14. ConsentsConsents GDPR consentBy consenting to this statement, you are giving permission for your organisation to be contacted by Sport Birmingham in connection with further partnership, funding and marketing opportunities. For further information please read our privacy policy

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* 15. Please tick below how we may contact you.

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* 16. Application form submission

* 1. Organisation information

Organisation information

* 3. Target priority group(s)

What primary priority group will the funding target?

* 5. About your organisation and audience

Please tell us about your organisation, what you deliver, and the people that you mainly work with (target audience, age groups, demographics)? (150 words maximum)

* 8. Proposed programme details

How will funding will be used to tackle inequalities through your programme (purpose, intended outcomes)? Provide details. (150 words maximum)

* 9. How will funding be spent (please provide a breakdown)?
(Provide any staff costs or facility costs broken down by hour / session)

* 14. Consents

Consents GDPR consent
By consenting to this statement, you are giving permission for your organisation to be contacted by Sport Birmingham in connection with further partnership, funding and marketing opportunities. For further information please read our privacy policy