COVID-19 Winter Support Fund

Please read the Winter Support Fund Guidance prior to completing your application.

To access the fund please complete the application form below. You will see a successful submission confirmation message when you click the submit button, and you will also receive a confirmation email and pdf copy of your submission.

If you have any questions or would like any further information please contact nicola@cvsfalkirk.org.uk.

The local Falkirk COVID-19 Winter Support Fund has been established to enable food provision groups to continue to support families and individuals over the winter months. This is part of the Scottish Government’s COVID-19 investment package, distributed to Falkirk Council to provide financial support for local communities who continue to provide support for food insecurity throughout the pandemic.

The monies are available for new or extended food providers in the community that is being delivered solely in response to the COVID-19 pandemic which supports all members of the community experiencing financial hardship as a result of the pandemic.

This is a local COVID-19 Winter Support Fund intended to allow your organisation to access funding for food and other essential items normally provided by food providers. This fund offers you support for these costs to carry out food provision activities over a period of 8 weeks.
Section 1: Organisation Information
Name of Organisation*
Organisation Address*
Street Address Address Line 2 City Postcode Country
Companies House Registration number (if applicable)
Charity Number (if applicable)
Legal entity*
Organisation Bank Details (Informal groups with no bank account – see Guidance, FAQs)
Account Name*
Account Sort code*
Account Number*
Organisation contact(s)
Name*
First Last
Job title/Role held*
Email*
Telephone/mobile*
Do you want to add another contact?
- No
- Yes
Name
First Last
Job title/Role held
Email
Telephone/mobile
Section 2: Support Request Details
Are you a food bank?*
- Yes
- No
Are you a food pantry?*
- Yes
- No
Please provide a brief description of your project’s COVID-19 response activities*
Who is benefiting from your project’s activities?*
Approximately how many people are benefiting per week?*
Please include total number of individuals from all families and households including single people and couples.
Approximately how many households are benefiting per week?*
Host organisation details (Informal groups with no bank account – see Guidance, FAQs)
Host organisation
Host name
Host email address
Host Telephone/Mobile Number
Cost Breakdown

You may request funds based on the number of households you are supporting using the following formula £9 per household per week x 8 weeks

*If you require period products, please contact fairerfalkirk@falkirk.gov.uk
Are you currently supplying food?*
- Yes
- No
If yes, what will the funds be spent on?
- Food, dry, fresh, frozen
- Specialist Food, for dietary and cultural requirements
- Toiletries including toothpaste, soap, shower gel, nappies. Excludes period products*
- Household Materials such as cleaning materials, toilet roll
Please enter amount for Food, dry, fresh or frozen
Please enter amount for Specialist Food, for dietary and cultural requirements
Please enter amount for Toiletries including toothpaste, soap, shower gel, nappies. Excludes period products*
Please enter amount for Household Materials such as cleaning materials, toilet roll
Total amount
Additional Funds
Would you like to access Falkirk’s Volunteer Expenses Fund?*
- Yes
- No
Section 3: Grant Conditions
I/We the Applicant as designated in section 1 above:
- confirm that I/we will not apply to other COVID-19 funds for the same activity over the same period.
- certify that the information given on this form is accurate to the best of my/our knowledge.
- agree to notify any changes relating to the number of people/households being supported and/or funding as specified in this request for support.
- authorise CVS Falkirk to make any enquiries as considered necessary in connection with this Application and I/we may be required to provide additional information in relation to my/our proposal.
- confirm I/we have read and acknowledge terms of Data Protection in Section 4 of this form over leaf.
- acknowledge that, if approved, grant claims will be submitted in accordance with the CVS’s monitoring requirements.
- confirm that I/we will complete and return a report on people and households supported and return this at the end of each month.
- confirm that I/we will complete and return an end of award report by the 31st March 2021 identifying how this funding was spent.
- confirm that I/we have read the eligibility criteria for applying to COVID-19 Winter Support Fund.
Section 4: Important Information about Data Protection
The application form contains information that is personal data for the purposes of the General Data Protection Regulation 2018 (GDPR) and in respect of which the funding partner is obliged to supply the following information:
- The data controller is CVS Falkirk & District.
- The legal basis for collecting the information is Contract.
The information you provide will be used for the following purposes:
a)Processing your application. Your application will be made available to the funding partnership members.
b)Where your application identifies activity that relates to another fund within the Covid-19 emergency funding package, the application may be shared with other relevant Falkirk Council, Falkirk Health and Social Care Partnership, NHS Forth Valley, Scottish Government departments and/or agencies, including other grant-making bodies as part of the appraisal process.
c)Data may be used for statistical purposes by CVS Falkirk, Falkirk’s Community Planning Partners, Scottish Government for performance monitoring and reporting.

The application form will be stored securely and retained in order to ensure CVS Falkirk & District compliance with grant conditions that apply to proposals that are successful in receiving funding. Apart from a) to c) above, the information you provide will not be disclosed to any other organisation for any purpose other than detecting or preventing fraud.

Your Rights:

You have the right to request information about how your personal data is processed and to request a copy of that personal data. You have the right to request that any inaccuracies in your personal data are rectified without delay and you can edit your contact details at any time. This should be done in the first instance by contacting the organisation providing you with support.
Signing your application

The application form must be submitted from either the email account of one of the signatories, or with both signatories included in the email copy list.
Name*
First Last
Position*
Signature*
Please upload a copy of your signature as a jpg, png or pdf file
Max. file size: 128 MB.
Date*
MM slash DD slash YYYY
Do you want to add another signatory?
- No
- Yes
Name
First Last
Position
Signature
Please upload a copy of your signature as a jpg, png or pdf file
Max. file size: 128 MB.
Date
MM slash DD slash YYYY
Important:
You will receive a confirmation email and pdf copy of your submission on clicking the 'Submit' button. If you don't receive this, please contact us after checking your Spam/Junk folder.
Name
This field is for validation purposes and should be left unchanged.

COVID-19 Winter Support Fund

Section 1: Organisation Information

Organisation Bank Details (Informal groups with no bank account – see Guidance, FAQs)

Organisation contact(s)

Section 2: Support Request Details

Host organisation details (Informal groups with no bank account – see Guidance, FAQs)

Cost Breakdown

Additional Funds

Section 3: Grant Conditions

Section 4: Important Information about Data Protection

Your Rights:

Signing your application

Supported by

E-bulletin sign up

Find us

Tel: 01324 692000

Email: info@cvsfalkirk.org.uk