1. Project title (max 15 words)

     

2. Total grant amount sought from BIS

(inc applicable VAT)

3. Project start and end date

     

     

4. Applicant details. All correspondence will be sent to the Main applicant. The Main applicant must belong to the organisation to which the Grant will be awarded if this application is successful (Grant ‘Recipient’).

Main applicant

Full name (inc. title):      

Job title:      

Organisation/ Grant Recipient:      

Address:      

Tel. no:      

Email:      

Role in project:      

Partner 1

Full name (inc. title):      

Job title:      

Organisation:      

Address:      

Tel. no:      

Email:      

Role in project:      

Partner 2 (add additional partners as necessary)

Full name (inc. title):      

Job title:      

Organisation:      

Address:      

Tel. no:      

Email:      

Role in project:      

5. Project summary for publication (max 150 words). Please supply a succinct summary of the overall project, which will be published on the BIS Science and Society website if the application is successful.

     

6. Project objectives and context (max 1 page)

a) Please list the project objectives. Applicants should ensure that these are clearly measurable and refer to the aims of the BIS Challenge Grant Scheme to ensure there is a good fit:

     

b) Please include details on the project’s context. This is your opportunity to tell us why you think this project addresses the BIS challenges. It may be that you know there’s a particular demand for your project within the target audience. Or maybe you have evidence to show why your activity is particularly relevant to your target audience. The panel will also want to know whether you have buy in from your partners, whether you have you spoken to them about your project and whether they are willing to contribute their time, skills or resources towards it. You should also describe whether this is a new project or if it builds on a previous activity:

     

7. Metrics

Please provide the following anticipated metrics for your project. You can give more detail on the following metrics in Q8.

1. Number of activities, events and/or resources you aim to deliver

     

2. Target audience numbers and type of public audience you aim to target

     

8. Details of your proposed project ( 4 pages, including this one). Please provide details on the project development/ delivery plan and content, including:

• Activities - information on the planned activities that will take place, including number and type of activities to be delivered. If the exact plans have yet to be determined please provide a detailed example of the type of activities that could take place.

• Target audience - even if you have included this information in the project summary, please add more information on the specific types of audience and how they will be reached. The panel will be looking for how you will promote your project to reach and attract your target audience, including evidence that you have considered any challenges involved in getting your target audience involved in your project.

• Audience size - even if you have included this information in the project summary, please add more information on the audience size

• Date(s) – information on the project timeline, including research, development and delivery phases as appropriate

• Location of the activity (if applicable)

• Science - you should describe the science content of your project. Include the names, where known, of any speakers. The panel will be looking for evidence that the science content will be accurate and well communicated

Please avoid repeating information that is included in other parts of the application.

     

9. Project impacts ( 200 words)

Please include details on the anticipated impacts of the project.

     

10. Sharing learning and evaluation ( 500 words). Please summarise:

a) how you will evaluate the project - the panel will be looking for evidence that you have have a plan for evaluating your project against its aims. It would be helpful to outline whether you need to do any audience research before your activity to inform what you are going to do, and consider what information you will need to obtain during or after your project.

     

b) how you will share and disseminate the learning gathered from this project.

     

11. Project staff (1 page). Please include details on the individuals responsible for the development, delivery and evaluation of the project:

a) names, job titles and organisations

b) time allocated to the project

c) specific roles and responsibilities for this project

d) experience, skills and expertise (relevant to the project)

     

12. Project costs. Please provide a breakdown of the costs requested to research, develop, deliver and evaluate the project.

Please ensure that you check the budget to ensure that the totals are correct.

Cost details. Please include a description for each cost item.

Only include items which are to be supported by the grant (include any applicable VAT).

1^st April 2014 to 31^st March 2015

Costs to be supported by BIS or another

Total

Staff costs

     

     

     

     

     

     

     

     

     

     

     

     

Activity costs (including events, materials, research, evaluation etc)

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

Travel/ Subsistence

     

     

     

     

     

     

     

     

     

     

     

     

Miscellaneous (please specify)

     

     

     

     

     

     

     

     

     

     

     

     

Total grant amount sought from BIS (A)

     

Total partnership funding (B)

Please note if additional funding has been received from a third party that will contribute to the overall project costs. Please include details of the amount and source in the columns above if applicable. Please add notes here about whether the funding has been applied for or is already granted. Please note that BIS will not award a grant until all funding is secured.

     

Total in-kind costs (C)

Please provide a brief description of any in-kind costs and support:

     

Total project cost (A+B+C)

£      

13. Cost Justification (max 350 words).

a) Please provide further details/ justification on the cost items requested in Q12.

     

b) Is a form of this project already scheduled to go ahead? If so, please provide details on the added value that will be provided by a BIS grant.

     

14. Referees

     

15. How did you find out about the BIS Science and Society Community Challenge grant scheme?

     

16. Declaration. The declaration is to be signed by the Main Applicant and by an Authorised Signatory of the Grant ‘Recipient’ (i.e. the organisation to which the Grant will be awarded to, if this application is successful).

We confirm that the information provided in this application form is, to the best of our knowledge, correct and that the submission is fully supported by the Grant Recipient.

We understand that any Grant awarded is conditional on the Grant Recipient agreeing to the terms and conditions issued with a successful grant offer and confirm that we would be able to sign up to said grant conditions.

This application is made on the understanding that the Department for Business, Innovation and Skills will disclose information to external peer-reviewers and other relevant third parties. Information supplied with this application will be used solely for the purposes of operating the Science and Society Community Challenge grants scheme.