This is an HTML version of an attachment to the Freedom of Information request 'Preventing Violent Extremism grants'.
 
Preventing Violent Extremism Together:  
Funding Application 2008 - 2009 
Revision date: 14 August 2008 
 
INTRODUCTION 
All organisations seeking grant funding must complete this form. Applications that do not 
provide the required information cannot be accepted.  If you would like to discuss the 
form or would find it helpful for us to comment on a draft of your application, please send 
the draft (making it clear that it is a draft seeking comments) to us at PvET Project Team 
c/o Equality and Diversity Division, Birmingham City Council, Congreve House, 
 
3 Congreve Passage, Birmingham B3 3DA. 
Please tick if this is a draft proposal for comments  
Applications can be accepted by email as long as signed copies follow. However, 
funding decisions will not be confirmed until the signed application is received. 
 
CRITERIA FOR FUNDING 
The purpose of this programme is to increase the capacity and resilience of communities to 
resist violent extremism and feel a welcome part of wider British Society. 
The desired outcomes from this programme are to support the ongoing development of 
cohesive communities in Birmingham in which citizens value one another and play an engaging 
and active role in the community. 
These outcomes are aligned to the core objectives of the Prevent Strategy (published May 
2008) and consist of the following key strands:  
1.  Challenging the violent extremist ideology and supporting mainstream voices; 
2. Disrupting those who promote violent extremism and supporting the institutions where they 
may be active; 
3. Supporting individuals who are being targeted and recruited to the cause of violent 
extremism; 
4.  Increasing the capacity of communities to resist violent extremism; and 
5.  Addressing the grievances that ideologues are exploiting. 
 
Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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Awards for funding are very much based on the quality of the application. This means that:- 
  The eligibility criteria has to be met 
  That the project meets the aims set out in one of the themes of work 
  That all qualifying elements are submitted and satisfied 
  That the organisation or group meets the engagement criteria 
 
The central themes of Birmingham City Council are: 
 Reclaiming 
Islam 
  Women and young people 
 Media 
and 
communication 
 
We would particularly welcome project applications from organisations working with women and 
young people from the Muslim community in Birmingham. 
 
ENGAGEMENT CRITERIA 
Birmingham City Council will only engage with those organisations and groups whose aims and 
intentions are consistent with the Prevent Strategy and who meet the below criteria: 
1) 
Publicly rejects and condemns violent extremism and terrorist acts 
 
2) 
Can show its actions are consistent with its public statements 
 
3) 
Can show that its affiliated members or groups to which it is affiliated meet these criteria. 
 
4) 
The organisation or group defends and upholds shared values including: 
• 
Respect for the rule of the law 
• 
Freedom of speech 
• Equality 
of 
opportunity 
• 
Respect for others 
• 
Responsibility for others 
 
WHAT HAPPENS NEXT 

Your application will be considered and appraised against the following areas: 
1.  Applicant details (Q1) 
2.  Project details (Q2 – Q7) 
3.  Information on the application organisation (Q8 – Q18) 
4.  Activities and expenditure (Q19 – Q22) 
 
Once concluded an outcome decision letter will be sent confirming our judgement. Successful 
applicants will be asked to sign a Service Level Agreement (SLA) prior to undertaking the work 
or service commissioned. 
Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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PvET Funding Application Form 2008 
 
Please read the application pack carefully before completing this form. 
Application 
There are guidance notes next to each question. 
number 
Please write clearly in black ink or type.  Do not use correction fluid. 
Q1 
Contact Details 
Name of your group 
           
 
Name of your project  
           
 
Contact address, including full postcode 
           
           
Postcode:             
 
Is this address (tick one box only): 
Your group’s office 
 
The main contact’s address 
 
Other (please specify) 
           
 
Main contact for this application 
This must be someone 
Title:             
Date of Birth 
 
from your group who 
knows about your project, 

First Name:            
normally the person 
completing the form.
 
Surname: 
           
 
Position held in the group  
           
 
Email address 
           
 
Phone Number:  Day 
           
Evening 
 
 E 
If you have any specific communication needs, tell us what they are: 
Textphone 
 Sign 
language   Other 
language 
(please specify)             
 
Other  
           
 
 
 
This form is available in large print on request to 
[email address]  
 
Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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TELL US ABOUT YOUR PROJECT 
 
Q2 
Describe the project that you are applying for in not more than 255 characters.   
Project Summary: 
           
 
Q3 
Describe the project that you are applying for in detail 
What project or activities will take place if you receive a grant? 
Be 
specific 

           
about 
what 
you will 
do and 
how you 
will do it. 

 
Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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Q4 
Describe the need for your project 
Please explain how you know that there is a need for this project and  Tell us how you 
what difference the grant will make. 
have identified the 
need for the project, 

           
either within your 
group or community 
and how your project 
will meet this need. 

 
 
Q5 
Birmingham City Council has identified the following themes of work which will be 
considered for funding: 

 
•  Reclaiming Islam 
•  Women and Young People 
•  Media and Communication 
 
Please indicate below which theme(s) your project will address and provide any additional 
information about how the project will do this. 
 
           
 
Q6    Please tick which strand of the Prevent Strategy that your project will address 
 
Challenging the violent extremist ideology              Disrupting those who promote extremism 
 Supporting individuals                                             Increasing the resilience of communities 
 Addressing grievances 
 
Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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Q7      Please use this space to outline your key milestone, targets, and expected date of 
completion outlining what resources will be used and how they will be applied.
 
 
 
 
 

Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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TELL US ABOUT YOUR GROUP OR ORGANISATION 
Q8 
When did you start? 
When did it first start meeting or 
Month 
           
Year 
           
running activities or projects? 
 
 
Q9 
What is your status?   
Tick whichever boxes apply 
Registered Charity in England 
 
Registration number 
           
 
 
Exempt or excepted charity registered  
with the Inland Revenue 
 
Company limited by guarantee 
 
Company number 
           
 
Community group / society 
 
Other 
           
 
 
Q10  Briefly describe the purpose of your group/organisation. Please also attach your 
constitution, a list of committee members and their positions and the agenda and 
minutes of the last meeting.
 
           
Describe the usual 
activities  you 
provide. 

 
 
 
How often does your management committee meet? 
           
 
 
 
Q11  If you are a branch of, or affiliated to, a larger organisation, please tell us which 
one. 
           
If you are linked to a larger 
organisation, please provide 
details. 

 
 
 
Q12  Do you have an agreed equal opportunities policy? 
 
 
Yes 
 
 
No 
  
 
 
 
 
Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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Q13  Please state what particular steps you plan to take to 
implement equal opportunities through the project or 
activities you are planning 

           
Please give examples of how 
you challenge discrimination; 
combat harassment; work to 
eliminate unlawful practices; 
implement your policy through: 

a) Recruitment 
practice 
b)  Promotion of good 
community relations 
c)  Accessibility of services 
 
 
 
Q14  How will you know that the project has been 
successful? 
           
Please tell us what you will do to 
keep the project on track and 
how you will recognise its 
success. 

Please note that there will be 
monitoring requirements should 
your application be successful. 

 
 

 
 
 
 
 
 
Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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Q15  Are you aware of any other organisation delivering a similar project within the 
target area?  If so, how is the project you will provide different to the one that is 
already in existence? 

           
Please tell us what is unique 
about your project.  e.g targeting 
a particular section of the 
community or additional 
activities to those which already 
exist. 

 
 
Q16  What are the main risks for the success of the project, and how will you manage 
these risks?  (please use additional sheets where necessary) 
           
Risks to your project are things 
such as: 
Financial challenges, increased 
need for the project; staffing 
issues, communication, lack of 
use 
 
 
 

 
 

Q17  What are your plans for the future of the project when this funding comes end? 
           
Please tell us about your plans 
for the project after funding 
concludes. 
Will the project come to an end 
or continue? Please tell us what 
you intend to do. 

 
 
 
Q18  What insurance cover does your organisation have? 
 
Please list the cover you hold 
           
and with whom you hold it. 
Please include a copy of any 
insurance, certificate/s with this 
application, e.g. employer 
liability, public liability 
professional indemnity. 

 
Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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Q19  Tell us how much money you need for your project and 
 
give us a breakdown of what the money is for 
 
 A 

 
Amount 
Item or activity 
requested 
Total cost 
 
from us 
         
Please use general 
 
£ 
           £ 
           
headings. In Column A 
         
tell us how much funding 
 
£ 
           £ 
           
you are requesting.  In 
         
Column B tell us about 
 
£ 
           £ 
           
the total cost.  (A detailed 
breakdown should be 

           
£ 
           £ 
           
shown on your income & 
expenditure and 

           
£ 
           £ 
           
projected budget).   
           
£ 
           £ 
           
Remember to add VAT 
where it applies. 

           
£ 
           £ 
           
Please total all columns.  
           
£ 
           £ 
           
These totals will tell us 
whether there is a gap 

           
£ 
           £ 
           
between the total cost 
           
£ 
and the grant you are 
           £ 
           
requesting from us. 
           
£ 
           £ 
           
           
£ 
           £ 
           
Totals 
£ 
           £ 
           
 
 
Q20  Please provide details of any applications to other funding sources for this project 
Amount 
Not 
This information 
Name of funder 
Awarded
pending 
requested 
awarded
will assist us in 
understanding 
what 

           
           
           
           
           
percentage (%) 
of the cost of 

           
           
           
           
           
the project you 
are requesting 

           
           
           
           
           
funding for. 
 
 
Q21  Provide details of all other partners and what they are contributing, e.g. in kind 
support 
           
A partner is someone with an 
interest in the project who is 
supporting with e.g. 
accommodation, skills, 
administrative support 

 
 

 
Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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Q22  Please describe any contribution you are making towards this project  
This can be in cash, or an 
           
estimate of any ‘in kind’ 
contribution such as: 
a) the amounts of volunteers’ 
time, or 
b) the value of hiring a venue you 
are using for your project. 

 
 
 
Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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F1 
Please give us your bank or building society account details (for payment purposes) 
 
Please double check that the information you provide is accurate 
Your group’s account name 
           
Your bank/building society account 
must be in the name of your group. 

Bank/Building Society name 
           
We need this information to pay your 
grant without delay, if your application 
is successful.
 
Bank/Building Society address             
 
 
Bank Account number  
Sort Code 
 
(must be eight digits) 
            -              -             
 
           
 
 
or Building society  
 
           
roll number 
 
 
 
(Use this box only if you have a 
Building Society roll number) 
 
List all the people who are authorised to sign cheques or  We will only pay grants into an 
withdrawals on this account. 
account which requires at least 
two people to sign each cheque or 

Name             
Position in group 
           
withdrawal.   
Name             
Position in group 
           
It is recommended that these 
people should not be related. 

Name             
Position in group 
           
Name             
Position in group 
           
 
How many people have to sign each cheque or             
 
withdrawal from this account? 
 
F2 
Provide the following details from your most recent annual accounts. 
     
     
         
Account year ending: 
Please do not write ‘see enclosed 
accounts’. 

Day Month Year 
 
 
Total (gross income) 
£ 
You should take these figures 
           
from your most recent annual 
 
 
accounts, which you also need to 
Minus total expenditure 
£             
send us. 
 
 
Equals loss / profit for the year 
£             
 
 
Savings (reserves, cash or investments)  £             
 
 
 
F3 
Signature of main contact 
I confirm that, to the best of my knowledge and belief, 
all the information in this application form is true and 
correct.  I understand that you may ask for additional 
information at any stage of the application process. 
This must be the signature of 
the person named (in Q1) as 
main contact and not be the 

Signed  
Date 
           
same person who has signed 
in F4.
 

Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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F4 
Declaration 
Please read the following declaration carefully and sign it, the conditions will apply to 
you if your application for funding is successful. 

I accept, on behalf of my organisation, that the following conditions will be attached to any 
funding received: 
 
1. 
Please declare any direct or indirect personal interest with a Birmingham City Council 
elected Member or officer (eg if a Birmingham City Council elected Member or officer is a 
member of, or regularly attends, your management/Decision Making Committee).  If you 
are in doubt please declare it: 
 
 
 
2. 
All the organisation’s promotional material relating to the funded project will acknowledge 
the support of Birmingham City Council and will display the Council logo where 
appropriate.   
3. 
N.B. Organisations are not required to print new stationery for this purpose but to display 
the Council logo where appropriate during the funding period eg: on posters and 
presentations.  (Assistance on correct usage of the logo can be obtained from the 
Council’s Design and Print Section by calling 0121 303 0064). 
 
4. 
The funding will not be used to promote any activity deemed to be outside the definition of 
the engagement criteria or illegal acts. 
 
Senior contact (this can be a Trustee) 
I confirm that to the best of my knowledge and belief, all the information in this application form 
is true and correct.  I understand that you may ask for additional information at any stage of the 
application process. 
Signature:  
 
For example, this may be the 
Chair, Vice-Chair, Secretary, 

 
Treasurer, Chief Executive or 
Name:   
Director. 
 
This person must read and sign 
the application. 

Position:    
This must not be the same 
 
person who has signed in F3. 
Date:  
 
If an application is knowingly 
 
submitted with false information it 
Email: 
will be disqualified and be 
 
 
withdrawn 
 
 
 

 
Please ensure that all the required information is supplied  
Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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ADDITIONAL INFORMATION 
You must complete this section.  It gives us important information about 
Count everyone who has 
the people who will benefit from your project. 
a role in planning, 
organising or leading your

A1 
How many people are involved in running your group? 
group’s activities. 
Management committee members 
           
There must be at least 
three management 

Volunteers 
           
committee members.  
Other 
           
 
A2 
Of the people you included in your total for A1,  
Put numbers in the 
would you describe them as 
appropriate boxes. 
Disabled people 
           
Young people (25 or under)
           
Some people may be 
counted more than once 

Older people (60+) 
           
People of minority ethnic origin
           
if they are covered by 
more than one of the 

Other 
           
 
 
descriptions. 
 
A3 
What ages are the people who you hope to benefit through 
Please estimate how 
your project? 
many people of each age 
will benefit from your 

0-5 
           
6-10 
           
11-16 
           
17-18
           
project and put numbers 
19-25 
           
26-59 
           
60+ 
           
 
in boxes 
 
A4 
What percentage of people who benefit from this 
       
project live within Birmingham? 
 
A5 
How would you describe the people who will benefit from 
your project? 

 
 
 
 
 
 
Please tick boxes 
People living in the inner city 
 Young 
People
 
 
 
People living in the outer city 
 Muslim 
Women
 
 
A6 
Tell us about the people who will benefit from your project 
Please estimate how many 
people of each ethnic 

White 
origin will benefit from your 
British 
           
Irish 
           
Other
           
project. This should reflect 
the community that you 

 
 
Mixed 
serve. 
White & Black Caribbean 
           
White & Black African  
           
White & Asian      
           
Other
           
 
 
Asian or Asian British 
Indian 
           
Pakistani  
           
Bangladeshi 
           
Other Asian
           
 
 
Black or Black British 
Caribbean 
           
African  
           
Somali  
           
 
 
Chinese or other ethnic group 
Chinese 
           
Other ethnic group  
           
 
 
Please specify 
           
Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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IMPORTANT! 
We will only process your application if: 
• 
You enclose all the necessary/relevant* documents.  
Document Enclosed 
Constitution or set of rules 
           
List of decision makers/ committee members / trustees 
           
(showing names & positions) 
Equal Opportunities/ Health & Safety Policy 
           
Bank Statements (last 3 months) 
           
Business Plan (updates will suffice if one submitted last year) 
           
Most recent annual accounts (audited/certified as 
           
appropriate) 
Projected Income & Expenditure and overall budget for this 
           
project 
Relevant Certificates of Insurance  
           
Copies of relevant certificates demonstrating quality 
           
standards or affiliation to umbrella bodies 
 
• 
You complete the checklist below 
 
CHECKLIST 
Tick or cross 
 
We have answered all the questions on the application form. 
 
A senior person from our organisation (not the person named in Question 1) has 
signed the Contract. 

 
We have made a copy of this application to keep for our reference. 
 
Please remember

If you have not answered all the relevant questions and sent all the information we require, we 
will return your application to you and this will cause a delay
.  
Please address your completed application to the PvET Programme Manager. Funding 
applications will be accepted via post, email or fax. 
 
Equality and Diversity Division 
Birmingham City Council  
Congreve House 
3 Congreve Passage 
Birmingham 
B3 3DA 
 
Email: [email address] 
 
Fax: (0121) 233 9117 
 
Enquiries: (0121) 303 2545 
Birmingham City Council PvET Application 2008 – PvET08_APPFORM1 
 
 
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