CO-OPERATIVE GLASGOW BUSINESS DEVELOPMENT FUND APPLICATION FORM
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- Regina Dorsey
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1 Equality Co-operative Equity Democracy Self-help Solidarity Co-operative Selfresponsibility CO-OPERATIVE GLASGOW BUSINESS DEVELOPMENT FUND APPLICATION FORM The Co-operative Glasgow Business Development Fund is managed by the Co-operative Development Unit (CDU) based within the Council s Development and Regeneration Services Department. The CDU has been established in order to deliver on the Council s commitment to develop and coordinate co-operative business development activity across Glasgow. The Co-operative Glasgow Business Development Fund is designed to complement the role of the CDU in promoting, developing and supporting Glasgow s co-operative business sector. Please read the following information, before completing the application form: Information and Guidance for Applicants Co-operative Glasgow Commitee report (2nd May 2013) Glasgow City Council Strategic Plan
2 SECTION A INFORMATION ON YOUR ORGANISATION QUESTION 1 Registered Name of Organisation Contact Name for application purposes Telephone Contact s Position in Organisation Organisation Address Postcode Address Web Address Where did you hear about the Co-operative Glasgow Business Development Fund? QUESTION 2 Are you applying as the lead partner for a consortium application? Yes No (If yes, who are the other partners involved in your application?)
3 QUESTION 3 What is the legal status of your organisation? i.e. Co-operative, Mutual, Industrial Provident Society or other. (Please include any relevant registration numbers and tell us where you are registered) If you are a Credit Union, please provide your FCA/PRA Registration No. QUESTION 4 Which business sector does your organisation operate in? QUESTION 5 Please provide a description of your main business activity including principal products and services? (no more than 500 words) QUESTION 6 How is your organisation staffed? (please provide numbers) Full Time Part Time Volunteers
4 QUESTION 7 Who are your members and how many are there? QUESTION 8 In which year was your organisation formed? SECTION B THE APPLICATION QUESTION 1 What are the anticipated start and end dates of your proposed development activity? QUESTION 2 What are the total project costs? Please provide a breakdown of the various elements. Capital Total Sub-Total Revenue Total Sub-Total Total QUESTION 3 How much funding are you applying for from the Co-operative Glasgow Business Development Fund? Please provide a breakdown of the various elements? Capital Revenue Total
5 QUESTION 4 What business development activities will this funding be used for? (continue on a separate sheet if necessary) QUESTION 5 How will the activities described in your proposal contribute towards building your organisation s capacity, service provision, capability and/or financial sustainability? (i.e. what difference will it make?) (continue on a separate sheet if necessary)
6 QUESTION 6 How does your proposal contribute towards the Council s Co-operative Glasgow aims and it s Strategic Plan? (continue on a separate sheet if necessary) QUESTION 7 What other financial contributions, if any, will be used towards the overall costs of your proposal? (including amounts from your own organisation) Organisation Total QUESTION 8 Have you in the last 3 years received funding which the funder described as de minimis under State Aid? Yes No (Refer to section 6 in the INFORMATION AND GUIDANCE FOR APPLICANTS if you are unsure)
7 SECTION C INFORMATION ON YOUR ORGANISATION QUESTION 1 How will you monitor and measure the funding and its impact? (continue on a separate sheet if necessary) QUESTION 2 How will you ensure that your business development activity will be sustained post funding? (continue on a separate sheet if necessary)
8 CHECKLIST Please check the boxes confirming you have included the following: A copy of the governing documents adopted by your organisation (constitution, memorandum and articles of association etc). Your most recent audited accounts, or independently signed statement of income and expenditure. Your most recent annual report, if applicable. A copy of your equality and diversity policy. A copy of a business plan/proposal relevant to your proposal. If any of the above documents are unavailable please provide reasons for this and tell us when they will be available. DECLARATION I apply on behalf of the organisation named above for a grant as proposed in this application and in respect of expenditure to be incurred over the proposed funding period on the activities described above. I certify that, to the best of my knowledge and belief, the statements made by me in this application are true and the information provided is correct. Name Position Please the application form and all supporting documentation to: Co-operativeBusinessDevelopmentFund@glasgow.gov.uk Date If your supporting documentation is not available electronically, please send hard copies to the address below clearly stating what they refer to: Alan Davidson, Principal Co-operative Development Unit Glasgow City Council Exchange House 231 George Street Glasgow, G1 1RX
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