Household Support Fund Application Form Form Submission is restrictedYour application was successfully submitted. Thank you!Step 1 of 4Introduction Aimed at Voluntary and Community Social Enterprise (VCSE) organisations, the funding is intended to provide crisis support with the cost of essentials to vulnerable households in our city who are in most need. Specifically, grants can be awarded to support with the cost of: Energy & Water Food Essentials linked to energy, water and food Wider essentials Preventative support Housing costs Please ensure you have read the Grants Criteria and Terms and Conditions before submitting this form Contact DetailsApplicant Name*Name of organisation*Contact Email*AddressAddress 1*Address 2Town/City*Postcode* Eligibility Check – Stage 1Is your organisation a registered charity, Community Interest Company (CIC) or a Charitable Incorporated Organisation (CIO)*YesNoDo you have a UK registered bank account with two signatories in the name of the organisation?*YesNoPlease provide details of accounting system*Does the average annual turnover for the preceding two years exceed £250,000?*YesNoDoes the average surplus for the preceding two years exceed £25,000 per year?*YesNoDoes the organisation hold more than £100,000 in useable reserves?*YesNoHas the organisation been established and operational for at least the previous 12 months, with experience of delivering similar activity?*YesNoDoes the organisation participate in Worcester Community Lottery?*YesNo Application – Stage 2Project name*Project start date*Project end date*Project Detail*Please describe your proposed project in no more than 200 wordsHow does the project fit with the aims and criteria of the household support fund and eligible spend categories?*Please describe in no more than 200 wordsWhat evidence can you provide of the need for this project?*Please include details of any research / consultation that has taken place to evidence demand and ensure the project will complement existing schemes.Who will benefit from this project?*Please include the number of households your project will support and details of how you will determine eligibility. If your application is for an existing project, please specify how it will deliver additionality.How will you mobilise the project and ensure funding is spent by 31 March 2025?*Please provide details of the project infrastructure (i.e. people, skills and resources), mobilisation plans and timescales.How will you measure outcomes of the project and the impact on beneficiaries?*Please detail the expected impact the project will have on vulnerable low-income households. Please include details of mechanisms in place to comply with the reporting requirements.Please confirm that the beneficiaries will be Worcester residents.*Please provide areas and wards if known.How does your project offer value for money?*Please provide quotes for any purchases that you have made or intend to make for the project Financial – Stage 3What is the total cost of your project?*This is the sum total of the whole projectHow much are you applying for?*This should deliver additionality to any existing scheme and no more than 15% can be spent on administrative costsHow will the grant funding be spent?*Please provide as much detail in the budget breakdown to include quotes where possible. Please note funding can only be used for measurable outcomes as opposed to usual business operations e.g. salary, rent and utilities.Declaration Please read our Privacy Notice before submitting this form.I confirm that I have read the Grants Criteria, Terms and Conditions and Privacy Notice, and to the best of my knowledge the information I am submitting is correct.*I confirmDate Submit
