1. Project Overview

Project Name and Description

Project Name:      

Project Description

Please ensure this clearly identifies what the project is about, what activities are proposed and very briefly why these are needed.

(Maximum half side of A4 page, Ariel Font Size 12)

     

Project Location

Address:      

Post Code:      

Co-ordinates (optional):      

Other details

Proposed Start Date: DD/MM/YYYY

Likely End Date: DD/MM/YYYY

Total Project Cost: £0.00

Total Grant Amount: £0.00

Proposed additional funding source(s) and amount(s):      

2. Lead Applicant Details and Background

Name and full Postal Address

Applicant / Company Name:      

Address:      

Post Code:      

Contact Name:       Position:       E-mail:      

Telephone No. (incl. STD code):      

Language Preference

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You may submit your application in Welsh. Any application submitted in Welsh will be treated no less favourably than an application submitted in English.

The language preference you select here is for your organisation.Formal correspondence and guidance will be in the language preference you select. Technical and financial information will normally be issued in English.Regardless of preference selected here, written or verbal correspondence from you may be in either language and we will aim to reply in the same.

Please tick which option you prefer:

Welsh ☐ English ☐ Bilingual ☐Lead Applicant’s Business Status

Please tick appropriate box:

Charity ☐ Community Group ☐ Cooperative ☐

Not For Profit Company ☐ Partnership ☐ Private Limited Company ☐Public Limited Company ☐ Public Sector

Body ☐ Social Enterprise ☐Sole Trader ☐ Other* ☐

*If other, please specify here:      

Company Number and / or Charity Number (if appropriate):      

Customer Reference Number CRN (if known):      (CRN is the Welsh Government grant payment reference number)

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3. Project Details

3.1 Fit of Proposal with National and Local Strategies and Plans

From the tick boxes below, please select relevant national areas of priority from Prosperity for All and the NRP; also identify any issue-specific plans to which your project will contribute (e.g. the Nature Recovery Action Plan, Action Plan for Pollinators, A Fly-tipping Free Wales etc.)

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Prosperity for All: Areas

Delivering a tangible shift in the provision of health and care services into communities shifting the emphasis to well-being ☐Support a substantial increase in people’s physical activity through healthier lifestyles using Wales’ significant natural resources ☐Helping to create and upgrade local facilities that bring people together such as green space, helping communities to take ownership of local assets ☐Building the capacity of communities as places which support better health and well-being ☐Building a sustainable relationship with the Voluntary Sector, based on the outcomes we want to achieve for communities and the right funding model to deliver them ☐Supporting the delivery of social prescribing models ☐

Natural Resources Policy: Opportunities and Challenges

National Challenges for building ecosystem resilience

Reverse the decline in biodiversity - develop resilient ecological networks ☐Safeguard and increase our carbon stores in soils and biomass ☐Maintain productive capacity – improve soil quality and biosecurity ☐Supporting climate change mitigation and adaptation through ecosystem approaches ☐Reduce noise pollution and pollution levels in our air and enhance air quality ☐

National Opportunities for Wales’ natural resources to contribute across the wider well-being goals and support PfA/EAP

Supporting preventative approaches to health outcomes ☐Supporting action to tackle health and economic equalities ☐

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Supporting community cohesion ☐Supporting secure and stable employment ☐

Please identify any issue-specific plans to which your project will contribute here:

     

3.1.2 SMNR Principles

Please provide a brief explanation of how your proposed project:

Supports delivery of the policy areas selected above; Contributes to local/regional objectives or plans; Fits within one or more of the themes of action for this grant scheme; Has applied the nine principles of SMNR to the design and delivery of the proposed

activity and can clearly demonstrate the application of the principles and the impact it has had on the design of the project1(using the headings below); and

Contributes towards delivery of section 6 Biodiversity and Resilience of Ecosystems Duty placed on Public Authorities, where applicable.

(Maximum of 1.5 sides of A4 page, Ariel Font Size 12)Applying the principles of SMNR

I. Manage adaptively by planning monitoring, reviewing and where appropriate, changing action:

     

II. Consider the appropriate spatial scale for action:     

III. Promote and engage in collaboration and cooperation:     

IV. Make appropriate arrangements for public participation in decision-making:     

V. Take account of all relevant evidence, and gather evidence in respect of uncertainties:

     

VI. Take account of the benefits and intrinsic value of natural resources and ecosystems:     

VII. Take action to prevent serious or irreversible damage to ecosystems:     

VIII. Take account of the short, medium and long term consequences of actions:     

IX. Take account of the resilience of ecosystems, in particular: Diversity within and between ecosystems The connections between and within ecosystems

1 Successful applicants will be required to clearly demonstrate the application of the principles and the impact it has had on the delivery of the project throughout its duration.

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The scale of ecosystems The condition of ecosystems

     

3.2 Aims, Objectives, Outcomes and Benefits

In this section please provide an explanation of:

Why the project is needed? (include here evidence of need and assurance that the project does not duplicate existing provision)

What is the ‘new’ element of this project? What you propose to do? What will be different as a result of what is being proposed? What are the outcomes/outputs from the project? (see examples at Annex 6 of the

Guidance). Please use the seven well-being goals as a template to set out the outcomes and benefits.

Who are the key delivery partners/collaborators? What you need to put in place to deliver the project? and Provide a timetable of delivery for your project.

Also – if your project will :

Affect a Site of Special Scientific Interest, Ramsar Convention Site, Special Protection Area for Birds or Special Area of Conservation. Please provide details identifying the areas concerned and any required compliance actions undertaken or to be undertaken (for example, Habitat Regulations Assessment where required, Appropriate Assessment where required);

Affect species protected under The Conservation of Habitats and Species Regulations 2017 or the Wildlife and Countryside Act 1981, please provide details identifying the areas/species concerned and compliance actions undertaken or soon to be undertaken (for example, license application(s)); and

Require any other wildlife or habitat permissions obtained, please provide details

(Maximum of 2 sides of an A4 page, Ariel Font, Size 12)Outputs and Outcomes against Well-Being Goals

1. A Prosperous Wales2. A Resilient Wales3. A Healthier Wales4. A More Equal Wales5. A Wales of Cohesive Communities6. A Wales of Vibrant Culture and Welsh Language7. A Globally Responsible Wales

     

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3.3 Proposed Project Governance, Management Arrangements and Risks

In this section you need to provide an explanation of :

The governance arrangements; and The project management arrangements

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Project Governance

     

Project Management

     

Have all necessary permissions and consents been obtained? (Tick to confirm): ☐If not you will need to provide assurance that all necessary permissions and consents will be obtained – please specify here:      

Using the table below set out a summary of at least the top five risks that might affect the project and the outcomes:

Example Risk Table (word count does not apply)

What is the risk?What is the

likelihood of it happening?

What the consequences to the project would

be if it did happen?

What might avoid it happening or, how might the effect be

reduced?

Loss of key staff Medium Loss of experience or skills

Impact on ability to deliver project

Staff training to ensure resilience

Dispute and conflict between partners

Medium Partners failing to agree and collaboratively deliver outputs and outcomes

Regular dialogue on shared goals

Dispute procedure developed

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3.4 Monitoring and Evaluation

Your proposal will need to set out the monitoring arrangements for your project including:

How you will monitor direct outputs; How you will measure and evidence your identified outcomes and cross disciplinary

benefits, including economic, social, environmental and cultural impact and successes, set out in 3.2);

How you intend to undertake an evaluation of the project and its impact; and The link between monitoring and evaluation activity.

This should be proportionate to the size of the grant being requested and should apply a range of methods appropriate to delivery, spanning both formative and summative approaches so that lessons learnt are applied during the project.

(Maximum of 2 sides A4 page, Ariel Font, Size 12)

     

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3.5 Proposed project costs and value for money

Your proposal should:

Provide a breakdown of all the costs associated with the project using the templates provided; Identify any wider match funding contributions from partner organisations; Provide an explanation of how the costs of the project are considered to be reasonable (taking into account the scope, scale and

timescale of the proposals); Clearly identify capital and revenue costs separately for each project proposal in line with the limitations set out in this guidance; Explain any mechanisms for distributing grant funding for project delivery; and Identify which elements of the project will be delivered within RDP or non-RDP areas/activity (if applicable)

For its project grants, Welsh Government allows for costs to be included on a full cost recovery basis in line with Welsh Government’s Third Sector Scheme and simplified costs. Please note only one approach to costing can be used for the duration of the project.

Further guidance on full costs recovery and simplified costs (including appropriate models for calculating a fair contribution to overheads) can be found at:

WCVA – Full Cost RecoveryFull Cost Recovery: a guide and toolkit on cost allocationWales European Structural & Investment Fund Programmes 2014-2020 - Detailed guidance on using simplified costs

a) Capital Funding

If you are applying for small scale capital under sub-measure 7.4 of the RDP and are within an eligible area, please complete the table below, detailing your costs up to the maximum costs allowed under this sub-measure (i.e. £160k with £128 under this scheme and £22k provided by the applicant on match funding).

Notes on using the table – the table is an embedded MS Excel object – please right-click on the table, select ‘Worksheet Object’ and click ‘Open’ – this will open up the table in MS Excel for you to edit – once you’ve finished, please close Excel via the ‘x’ icon on the top right hand corner of your screen. You will then return to MS Word – you should now see that the table you have edited recently in Excel has now been updated with your data in MS Word. Do not worry about making the table fit on page as it will be opened via MS Excel when evaluating.

If you wish to insert any new rows under the headings, please right click after ‘example 5’ / or select the last row under the category header and select insert row – you should not need to enter any formulae as this should have copied from the rows above, the total sum for the row should auto-calculate once you have entered figures into all three annual columns. Any issues, please contact the Grants team via: EnvironmentGrants@Gov.Wales

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StaffExample - 1 £0 £0 £0 £0Example - 2 £0 £0 £0 £0Example - 3 £0 £0 £0 £0Example - 4 £0 £0 £0 £0Example - 5 £0 £0 £0 £0

Travel and SubsistenceExample - 1 £0 £0 £0 £0Example - 2 £0 £0 £0 £0Example - 3 £0 £0 £0 £0

Total Capital Costs (Small scale under sub-measure 7.4 of

RDP)2019/20

£2020/21

£2021/22

£Total

£

Provide an explanation of how the costs of the project are considered to be reasonable (taking into account the scope, scale and timescale of the proposals):      

Clearly identify capital and revenue costs separately for each project proposal in line with the limitations set out in this guidance:      

Explain any mechanisms for distributing grant funding for project delivery:      

Identify which elements of the project will be delivered within RDP or non-RDP areas/activity (if applicable):      

b) If you are applying for capital funding in areas that are not eligible under measure 7.4, please complete the following table:

Notes on using the table – the table is an embedded MS Excel object – please right-click on the table, select ‘Worksheet Object’ from the drop down menu and then click ‘Open’ – this will open up the table in MS Excel for you to edit – once you’ve finished with your table/spreadsheet, please close MS Excel via the ‘x’ icon on the top right hand corner of your screen. You will then return to this MS Word application form (you should see that the table you have just edited has now been updated with your data in MS Word below. Do not worry about making the table fit on page as it will be opened via MS Excel when evaluating.

If you wish to insert any new rows under the headings, please right click after ‘example 5’ / or select the last row under the category header and select insert row – you should not need to enter any formulae as this should have copied from the rows above, the total sum for the row should auto-calculate once you have entered figures into all three annual columns. Any issues, please contact the Grants team via: EnvironmentGrants@Gov.Wales who will assist you.

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StaffExample - 1 £0 £0 £0Example - 2 £0 £0 £0Example - 3 £0 £0 £0Example - 4 £0 £0 £0Example - 5 £0 £0 £0

Travel and SubsistenceExample - 1 £0 £0 £0Example - 2 £0 £0 £0Example - 3 £0 £0 £0Example - 4 £0 £0 £0Example - 5 £0 £0 £0

External contracts/consultancyExample - 1 £0 £0 £0Example - 2 £0 £0 £0Example - 3 £0 £0 £0

Total Capital Costs (Sub-measure 16.2 of RDP)

2019/20£

2020/21£

2021/22£

Provide an explanation of how the costs of the project are considered to be reasonable (taking into account the scope, scale and timescale of the proposals):      

Clearly identify capital and revenue costs separately for each project proposal in line with the limitations set out in this guidance:      

Explain any mechanisms for distributing grant funding for project delivery:      

Identify which elements of the project will be delivered within RDP or non-RDP areas/activity (if applicable):      

c) Revenue funding

If you are applying for revenue funding, either as part of establishing a collaboration/co-operation or delivering a pilot or demonstration project, please complete the table below. NB: Costs for establishing a collaboration/cooperation are available over a twelve month period only i.e. 2019-20 financial year column.

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Notes on using the table – the table is an embedded MS Excel object – please right-click on the table, select ‘Worksheet Object’ and click ‘Open’ – this will open up the table in MS Excel for you to edit – once you’ve finished, please close Excel via the ‘x’ icon on the top right hand corner of your screen. You will then return to MS Word – you should now see that the table you have edited recently in Excel has now been updated with your data in MS Word. Do not worry about making the table fit on page as it will be opened via MS Excel when evaluating.

If you wish to insert any new rows under the headings, please right click after ‘example 5’ / or select the last row under the category header and select insert row – you should not need to enter any formulae as this should have copied from the rows above, the total sum for the row should auto-calculate once you have entered figures into all three annual columns. Any issues, please contact the Grants team via: EnvironmentGrants@Gov.Wales

Total Revenue Costs

StaffExample - 1 £0 £0 £0 £0Example - 2 £0 £0 £0 £0Cells in lock £1 £0 £0 £0Example - 3 £0 £0 £0 £0Example - 4 £0 £0 £0 £0Example - 5 £0 £0 £0 £0

TrainingExample - 1 £0 £0 £0 £0Example - 2 £0 £0 £0 £0Example - 3 £0 £0 £0 £0

2019/20£

2020/21£

2021/22£

Total£

Provide an explanation of how the costs of the project are considered to be reasonable (taking into account the scope, scale and timescale of the proposals):      

Clearly identify capital and revenue costs separately for each project proposal in line with the limitations set out in this guidance:      

Explain any mechanisms for distributing grant funding for project delivery:      

Identify which elements of the project will be delivered within RDP or non-RDP areas/activity (if applicable):      

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3.6 Longer Term Sustainability

This section is about your Exit Strategy following the completion of the grant. It should set out:

Your approach to sustaining delivery; and How you will explore potential resourcing and financing options for continuing delivery

after the grant completes (where applicable), during the funding period.

This section should explore what potential future investments there might be. This may include resources sourced from:

Project collaborators; Business sector partners (e.g. PES, Corporate Social Responsibility, volunteering and

team building opportunities, sponsorship, tourism opportunities etc.); Alternative funding sources; Mainstreaming into other provisions; and Community asset transfer and community volunteering.

This will be considered as the first stage of continuous development of an exit strategy to be implemented on completion of your project.

(Maximum of 1.5 sides of A4, Ariel Font Size 12)

     

3.7 Cross Cutting Themes

Explain how the proposed project will contribute to each of the of the following areas:

Equality of Opportunity and Gender Mainstreaming; Sustainable Development; Tackling Poverty and Social Exclusion; Promotion of the Welsh Language; and Children’s Rights.

(Maximum of 1.5 sides of A4 page, Ariel Font Size 12)1. Equality of Opportunity and Gender Mainstreaming

     

2. Sustainable Development

     

3. Tackling Poverty and Social Exclusion

     

4. Promotion of the Welsh Language

     

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5. Children’s Rights

     

3.8 State Aid compliance

You are required to set out the position of the project in relation to State Aid.

(Suggested maximum of 1 side of A4 page, Ariel Font Size 12)

     

Declaration by Applicant

I declare that the information contained in this application is true to the best of my knowledge and belief. ☐

I confirm that I have read and understood the Scheme Guidance Notes and any other technical guidance that has been issued and that I am authorised to sign / submit this application.

☐ I undertake to notify the Welsh Government of any other application for

grant aid for this project.☐

I confirm that no work on this project has started, other than identifying collaborative partners.

☐ I acknowledge that neither the Welsh Government nor any adviser

appointed by the Welsh Government shall be responsible for any advice given, including without limit any advice given in relation to this application, and that I am solely responsible for all business decisions undertaken.

☐ I undertake to notify Welsh Government of any changes to the details

provided in the application form. ☐ I understand that this application, if successful, will be part funded by the

Rural Development Programme funded by the European Agricultural Fund for Rural Development.

☐ I confirm that I have read the Welsh Government Grants Privacy Notice

and Fair Processing Notice (available to view at: https://beta.gov.wales/welsh-government-grants-guidance)

☐

Electronic Signature

Date: Name:

Company / Organisation:

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Position:

Signature:

Please email this form to the Welsh Government Environment Grants team: EnvironmentGrants@Gov.Wales

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