1. Keeping House Kick Start Grant Guidelines
and Application Form (for individuals)
About the Kick Start Grant
The Kick Start grant is for individuals or organisations that have an idea for a socially
enterprising service that can support people to live independently in their own homes but need
support to develop the idea further before a full business plan can be developed.
The Kick Start grant could be used to carry out further research or a feasibility study or any
other activity which helps to develop the idea further.
Applicants can apply for a grant of between £500 and £2000. Applications can be submitted
anytime between October 2010 and the end of January 2011. We aim to make a decision on
the grant application within three weeks of the application being submitted. Successful
applicants must spend the funding by December 2011.
Filling in the Application Form
These guidelines should be read carefully before filling in the application form. Each
guideline refers to a question on the application form.
1. This should be the name of the person submitting the application form.
2. This should be the contact details for the person submitting the application form.
3. We cannot pay a grant to an individual so if you have not yet set up the social enterprise you
are planning to develop you will need to nominate an existing voluntary sector or social
enterprise to hold the funds on your behalf. The organisation should be willing to report on
how the grant has been spent. If you do not know an organisation that can do this for you
please get in contact as we can assist you with this.
(a) Enter the details of the organisation that has agreed to hold the grant for you if your
application is successful. Please include a contact name.
(b) As above please enter details of the organisation’s legal structure.
4. Please fill in the number of people that you will be involved with the social enterprise you are
planning to set up.
5. This question refers to ALL the main activities of the planned organisation, not just the
activity you are applying for in this application. This provides us with the context for your
proposed idea.
6. The Keeping House investment programme is not a traditional grant fund, our focus is to help
potential or existing social enterprises to develop. Use this space here to describe how you
fit in with the investment programme’s aims.
7. (a) Outline the idea that you are looking to develop with the support of Kick Start funding.
Please include as many details as possible.
(b) The Keeping House investment programme is looking to develop services to support
older people, people with physical disabilities, sensory impairments, people with learning
disabilities and people with mental health problems to remain independent. Please indicate
which group(s) of people your idea will support.
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2. (c) Keeping House aims to develop a variety of services to help people to continue to live
independently. You will need to explain to us how you think your activity is working towards
this same aim.
8. Your application is assessed over a three week period. The start date should be no earlier
than three weeks after your submission.
9. Please provide a best estimate if you do not have a target completion date.
10. We are monitoring the geographic spread of applications. If your enterprise will operate in
more than one area, please indicate this. If you are working across the whole of Leeds,
please state this on the application form.
11. a) This is where you explain specifically how you want to use the Keeping House Kick Start
investment for, e.g. market research.
b) Please explain here how you will be looking to eventually generate income to sustain the
overall service you are looking to develop, e.g. will you charge people for the service?
12. a) This will provide us with a picture of how well resourced the idea is.
b) We want to see that you have thought about involving the people who use your service or
activity in the planning of it, and how they will be involved once the activity is up and running.
13. You should explain how you will make your activity accessible to all who may want to use it.
You will need to think about physical accessibility (e.g. large print, signers etc), practical
accessibility (e.g. providing cover for care responsibilities) and other forms of accessibility
such as culturally appropriate services (e.g. halal or kosher meal choice).
14. We want to know how you will measure whether the activity has been successful. For
instance, if you intend the grant to be used to carry out market research then a measure of
success may be a complete market research report which shows whether there is likely to
be demand for the proposed new service/activity.
15. We want to see the full budget for the activity, even if it will cost more than the amount you
are applying for. Please show us how you will raise the extra costs if you are not applying to
us for the full amount of the activity. Be as detailed as you can be about how you have
arrived at costs (e.g. room hire at £10 an hour for 4 hours = £40, or 2 trainers at £300 per
day = £600 etc). If appropriate, you will need to tell us how many hours you or your
consultant will be spending on a feasibility study / business plan.
16. We need to see these documents to check the status of the organisation that has agreed to
hold the grant for you (if your application is successful). Please also remember to attach the
draft brief if you intend to engage the services of a consultant to help you with a business plan
or feasibility study.
17. We need your permission in order to be able to offer you alternative sources of support or
suggest other possible funding if you are unsuccessful.
Please return your completed form to: David Peel, Leeds Adult Social Care, 2nd Floor East
Merrion House, 110 Merrion Centre, Leeds LS2 8QB
Telephone: 0113 247 7095 Email: david.peel@leeds.gov.uk
Textphone: 0113 247 6976
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3. Keeping House
Kick Start Grant Application Form (For
individuals)
Office use only
About you
1. Your name:
2. Contact address:
Postcode:
Telephone number:
Email address: Website address:
3. We are unable to pay a grant to an individual, therefore we require you to nominate a
voluntary sector or social enterprise organisation to receive the grant on your behalf.
If you do not have links with an organisation that could do this for you please get in
touch.
(a) Nominated organisation’s contact details
Organisation name:
Contact name:
Registered address:
Postcode:
Telephone number: Fax number:
Email address: Website address:
(b) Nominated organisation’s legal structure
Company limited by guarantee Community Interest Company
Co-operative Charity
Industrial Provident Society Other (please specify below)
Unincorporated
Charity registration number
Company registration number
Date of incorporation
Date commenced trading
4. How many people will be involved with the organisation you are planning to set up?
Board Full time paid staff
Part time paid staff Volunteers
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4. 5. What are the planned main activities of your organisation?
6. In a few words please describe how you plan to become a social enterprise
About your idea
7. a) Briefly outline the idea you would like to develop with Keeping House’s support
7. b) Who will the idea benefit and how will it support them to remain independent?
Older people People with mental health difficulties
People with learning disabilities Disabled people and people with
impairments
All groups
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5. 7. c) How will your idea support the people indicated above to remain independent?
8. When will the work in developing your idea further start?
9. When do you anticipate the work to develop your idea will
finish?
10.What wards will the activity take place in? (please tick all that apply)
East North East North West West South
Burmantofts and Alwoodley Adel and Armley Ardsley and
Richmond Hill Wharfedale Robin Hood
Chapel Bramley
Cross Gates and Allerton Guiseley and and Beeston and
Whinmoor Rawdon Stanningley Holbeck
Harewood
Garforth and Headingley Calverley City and
Swillington Moortown and Farsley Hunslet
Horsforth
Gipton and Roundhay Farnley Middleton
Harehills Hyde Park & and Park
Wetherby Woodhouse Wortley
Killingbeck and Morley North
Seacroft Kirkstall Pudsey
Morley
Kippax and Otley and South
Methley Yeadon
Rothwell
Temple Newsam Weetwood
Across the whole of Leeds
11.a) How will you use an investment from Keeping House to develop your idea further?
nb. If you are intending to pay for a consultant to help with a feasibility study or business plan, please attach a draft
brief for the consultant outlining the work you want them to carry out and the hours quoted.
11.b) How do you intend to generate income to deliver the proposed idea/service?
12.a) Name the key people involved in developing the idea. Briefly state their relevant
skills and experience.
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6.
12.b) Please describe how the people your idea intends to benefit will be involved in its
development?
13.How will you ensure that anyone who wishes to access your services is able to do
so? For example, have you thought about culturally appropriate services, or about
carers’ needs?
14.What will be a realistic successful outcome from this proposed activity? (This is the
information we will use for evaluating the success of the Keeping House investments)
Financial information
15. Using the space provided please provide a breakdown of what you would spend the
grant on. Please include details of any additional funding you have secured.
Item Amount (£)
A. TOTAL
B. Amount you are requesting from us
C. Amount from other sources
i/ A must equal B+C
ii/ Please give written estimates for larger items
iii/ If applying for sessional workers, state how many hours/sessions and cost per hour
iv/ If planning to engage a consultant enclose the draft brief and outline the anticipated nr hours the work will take
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7. Other information
16. Please supply the following information for the organisation you have nominated to
receive the Kick Start grant if successful:
i) Recent bank statement (original) Yes No
ii) Latest audited accounts/financial statements Yes No
iii) Written constitution or set of written rules Yes No
IMPORTANT!!
Please send us a copy of all the documents you have ticked “Yes” to. If you have a bank
account you should send a copy of your most recent statement.
However, if your organisation is currently in receipt of an LCC grant, or you have received
previous Keeping House investment in this financial year, you do not need to re-send us
item (iii).
Signed by: Date:
On behalf of (organisation’s name):
17. If your application is unsuitable for Keeping House, may we pass it on to a more
suitable funder for them to consider it?
Yes No
May we pass on information contained in this application to members of the selection
panel and those who manage and administer Keeping House?
(n.b. see note below about the data protection and freedom of information act)
Yes No
Signed: Date:
Data Protection & Freedom of Information
We will only use the information in this form to consider your Keeping House application.
The information in this form will only be available to the Keeping House Panel and those who
manage and administer it. However, you must sign under question 17 to allow us to do
this and we cannot consider your application if you do not do so. We will retain
applications in line with our file retention policy.
Any personal information provided on the form is protected under the Data Protection Act
(1998). However, under the Freedom of Information Act (2000) we may be required to release
information about which organisations are or have been supported by Keeping House grants.
If you have any concerns about this or any other matter about your information you should
contact us (see contact details below).
Please return your completed form to:
David Peel
Leeds Adult Social Care, 2nd Floor East Merrion House
110 Merrion Centre, Leeds LS2 8QB
Telephone: 0113 247 7095 Email:
david.peel@leeds.gov.uk
Fax: 0113 247 7779 Textphone: 0113 247 6976
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