OLYMPIC / PARALYMPIC / CULTURAL GRANT APPLICATION EVALUATION SHEET
APPLICANT: REF Number: SCORE: (max 165) Reason: … Date of evaluation: AWARD 116-165 / DO NOT AWARD below 90 / HOLD 90-115
General
1.
Question
Yes/No
Comments - Why?
DSN Score
Is the applicant a non-profit making organisation aimed at meeting the needs of Dacorum residents (11) Is it a retrospective application? (7 & 8) Has the organisation registered with the Volunteer Centre?
Yes - Proceed
Criteria is to fund non (private) profit making Organisation or voluntary group that has a constitution or Sportsmark, bank account.
2. 3.
Yes - Do not Proceed No – Do not proceed
Retrospective applications are not accepted Ask them to do this as part of bid
No
Community Need 4. 5.
Question
Yes
Comments - Why?
DSN Score
What evidence is shown that the project is needed? (18) How will the project or activity benefit the people of Dacorum? (13, 15, 20, 26, 27 & 28) How will a grant from the Olympics/Paralympics fund extend access/participation in the organisation? (22 & 23) Does the application demonstrate partnership working? (21) Is facility to be available to:- general community - a focused group (20,12& 13)
Score 0 - 10 Score 0 – 10
6.
Score 0 - 10
7.
Score from 0 - 10
8.
Either Score 5 – 10 Score 0 - 5
Finance 9.
Question
Yes
Comments - Why?
DSN Score
Finance Has the organisation approached other funders? (33) How much match funding has been achieved from other funders of total amount needed? (32 & 33)
Score 1 – 5
0% - 20% Score 3 21% - 50% Score 5 51% - 75% Score 7 75%+ Score 10
What finance is the applicant themselves giving towards the overall amount needed? (29 & 32)
10. 11.
Is the panel aware of other more appropriate funders Does the applicant have unrestricted funds that could contribute to this application on top of those indicated in point 8 of this table? (33)
0% -20% Score 3 21% - 50% score 5 51% - 75% Score 7 75%+ Score 10 Score 0 (who?) Could pay for whole project Score 0 A further contribution requested Score 5 No other funds available from own budget Score 10 Score from 0 - 10
Please advise and refuse grant until this avenue has been explored.
12.
Does the project demonstrate value for money? i.e. capita per head (13, 14 31 & 32) How many themes in the Community Plan does this project support? (26)
13.
Score 1 for each theme up to 10
14.
Are there other financial considerations that should be considered relating to this grant application (29, 30 & 32) Does the Council contribute to this organisation in other ways – previous financial assistance, staff time, peppercorn rents, etc? (35) Does the applicant have relevant policies and procedures in place? (16) What lasting legacy will this application give to Olympics and Culture beyond 2012? (25) Are they encouraging volunteering? (8 & 11) What research has been undertaken to show a local need for the outcome sought by this grant application? (18, 19 & 23) Does this application address this need?(17& 24)
Score 1 - 10
15.
Score 1 - 5
16.
Score 1 to 5
17.
Score 0 to 10
18. 19.
No Score 0 Yes Score 5 Score 0-5
20.
Do they have a system in place for monitoring and review? (23 & 24) Is this request in competition with projects of a similar nature EG: not putting similar projects into jeopardy? (19)
EitherPartly Score 0 - 3 Totally - Score 4 -5 Score 0 - 5
21.
Score 0 -5