Name *

Organisation *

Agency Department *

Telephone Number *

Email *

Areas of Expertise *

Address *

Overview of the Proposed Project

Project Title *

Proposed Start Date *

Project Duration *

Budget *

How much will your project cost? Have you secured any of it yet?

Project Aim *

What difference will your project make? A carefully worded aim ensures everyone is focused on the end result. For example: "To provide a sports facility for 11-19 year olds to divert them from anti-social behaviour"

Project Objective *

Up to five measurable targets that together deliver your project. To continue our example from above: Raise funding from a variety of sources Clear waste ground and build new sports facility, Buy sports equipment Recruit and train sports coaches Launch new facility

Brief Description of the Project

Why is the Project required? *

How do you know that the project is needed? Who have you spoken to about it? Have young people been involved in the decision making?

What will the Project achieve? *

What difference will your project make? Expand on your aims to tell us how you know this is true?

What problems do you foresee?

Who will be involved in the project? *

Have you included all those that will be impacted by the project? How many of them have agreed?
Who are the decision makers? Who is responsible when things go wrong?

When will the project take place? *

Do you have a specific deadline? Does the project tie in with other events?

Where will the project take place? *

Do you have permission to stage the event here? Is anybody inconvenienced with the project being here?

Please give an exact indication of the assistance you require *

Examples include: Youth Charter Programme Materials e.g. Soccerwise, Artwise, Carbonwise education packs. Equipment e.g. Sporting or Artistic Materials (please state what this equipment / materials might consist of) Funding (Please note that the youth Charter is not a grant giving body, but we do make joint grant applications for the delivery of workshops, programmes, projects and equipment provision.)

Any Additional Information:

Anything else you can tell us that might help us help you.