Tesco Community Grants Application Form

Thank You! Your application has been submitted successfully. A confirmation

email will be sent to you, which will include a copy of your application. Please
look out for this email and if you do not receive it, please check your Junk Folder.
Instructions
Thank you for your interest in the Tesco Community Grants Programme.

CHECKLIST

To navigate between the pages you can click on the numbered chevrons above
or click the next button at the bottom of the page

What to include with your application

Below is a list of checks you need to have completed within this form and tick boxes you will
need to complete prior to submission.

(1) Please ensure you have read the guidance on Page 1, which explains the information that we
require from groups who are not a registered charity or company, or a public sector organisation.

(2) Project Name - (Page 3)

Please note this needs to be a MAXIMUM of 35 characters (please note the character count includes
punctuation such as spaces, commas and full stops).

(2) Project One Line Description - (Page 3)

Please note we need one sentence that will describe your project. This sentence needs to be a
MINIMUM of 140 characters and a MAXIMUM of 180 characters (please note that the 'character
count' does include punctuation such as spaces, commas and full stops).

(3) Project Consent Form - (Page 3)

If any aspect of your project involves undertaking physical improvements in an indoor or outdoor
space, we will need a Project Consent Form to be completed – this is available to download on
Page 3 at Section 16 of the application form - Page 2

(4) Privacy Information - (Page 5)

In this section of the application form we’re asking you to read some important information about
our data protection responsibilities and our responsibilities to you Please tick the box to confirm
you have read and understand.

(5) Governance Document for your Organisation - (Page 6)

This should be a Constitution or Memorandum of Articles if you are a community group or
charity. Please note we need to confirm your organisation's 'winding up' or 'dissolution clause'. If
you are a public body this should be your Code of Conduct or Terms of Reference.’ - Page 5

(6) Project Permissions - Please make sure the correct Project Permissions have been submitted
with this application (Page 3)

(7) Declaration (Page 6)

Ensure you have confirmed your authorisation to complete this form - Page 6

Page 1 - Guidance for Contacts Section

PLEASE READ IMPORTANT INFORMATION BELOW ABOUT WHAT WE REQUIRE
FROM YOU IN THE CONTACTS SECTION ON PAGE 2 (ABOUT YOUR
ORGANISATION & APPLICATION CONTACTS)

In order for us to complete our due diligence, please provide the following information to us, If
your organisation is NOT a registered charity or a registered company, OR if you are NOT a
public sector organisation. We will require the following from you:

1) Home Addresses for both the Main and Alternate contacts. Please also note, you must provide
different telephone numbers for both contacts.
2) The Main contact to provide two forms of ID in the upload fields - one for proof of Identity and
the other for proof of Address.
3) The Alternate contact MUST be a Bank Account Signatory for the bank account you will use if
you are successful in receiving a grant. Please note, bank account signatories must be unrelated
and not living at the same address.

For more details on why we require additional information please also see our guidance
document by clicking on the link - Click here for Guidance on our Risk Checks

As part of our grant administration checks, if your organisation is NOT a registered charity or a registered
company, OR if you are NOT a public sector organisation, we will require the above additional
information from you with this application form.

If your organisation is a registered charity or a registered company, and/or if you are a public sector
organisation, we DO NOT require this information from you. You may provide home addresses if you
wish to do so but it is not a requirement and you may provide your organisation office address for both
contacts.

FORMS OF IDENTIFICATION GUIDANCE

You cannot use one form of identification for both name and address. For example, if you provide your
driving licence as proof of your name you must provide another form of identification for your address,
such as a utility bill.

Proof of Identity - please upload a document, such as your Current signed passport; or a Current UK or
EEA photocard driving licence.

Proof of Address - please upload a document, such as a Utility bill (gas, electric - issued within the last
three months, UK water bill; Local authority council tax bill for the current council tax year; Tenancy
agreement from a housing association or a council; Current UK driving licence (but only if not used for
the name evidence).

You can take a picture of your document with your mobile phone or you can scan your document
and then upload to the attachment fields.

Page 2 - About Your Organisation & Application Contacts

Please ensure you have read the Guidance Notes fully as your application is likely to be rejected
if you do not provide all the information required for us to make an assessment. It would be
useful to print a copy of the guidance notes and have it next to you as you go through the
application form. Click here for Applicant Guidance

Please note, we have received feedback that there has been accessibility issues when using
tablets. Please try and complete any applications, and if you are successful, grant monitoring, on
a device other than a tablet to avoid any issues.

You will need to have any additional documents in an electronic format (eg. Word file, pdf, etc)
available to upload in the correct section in the application form as you will not be able to submit
your application unless it is complete.
Documents required are:
(1) Your Governance document
(2) A completed Project Consent Form (if your project involves undertaking physical
improvement in an indoor or outdoor space)
(3) Copies of any permissions for your project if required (eg. Planning, Landowner/Leaseholder
etc)
(4) Please ensure you have read the guidance on the previous page in relation to completing the
Contacts section.

Please note, unless all mandatory (*) questions are completed you will not be able to submit the
application.

In the section below, you will be asked to fill in details about your organisation and the people
responsible for completing this application form.

Please note that you will be asked to provide contact details of two people associated with this
application - the Main Contact and an Alternate Contact who can be responsible for this
application in the event of the Main Contact's absence.

Please note, all email correspondence in the first instance will be sent to the Main Contact only.

Section 1. Your Organisation and Application Contacts

1. Organisation Name
The Avenues Youth Project

2. Organisation Address
3-7 Third Avenue

Organisation Postcode
W10 4RS

3. What type is your organisation?

Registered Charity

3a. If you have chosen 'Other Voluntary or Community Org', Please provide further details below:

3b. If your organisation is a registered Charity, please give your registered charity number:
1090210

3c. If your organisation is a registered Company, please give your registered company number:
04045031

4. How long has your organisation been in existence?

5 Years +

Main & Alternate Contacts - Please refer to the guidance on the previous page, and if your
organisation is NOT a registered charity or a registered company, OR if you are NOT a public
sector organisation, please provide the following information requested from you.

1) Home Addresses for both the Main and Alternate contacts.

2) The Main contact to provide two forms of ID in the upload fields - one for proof of name and the
other for proof of address.
3) The Alternate contact MUST be a Bank Account Signatory for the bank account you will use if
you are successful in receiving a grant.

5. Main Contact
Title
Mr.

First Name
Tom

Last Name
Wegg-Prosser

Position held in the organisation

Grant Fundraising Manager

Main Contact Address

Must be HOME Address if your organisation is NOT a registered charity or a registered company,
OR if you are NOT a public sector organisation.
The Avenues Youth Project
3-7 Third Avenue
London

Postcode
W10 4RS

Contact Telephone Number

07879644216

E-mail
tom@avenues.org.uk

Please upload your identification for Proof of Name - please see guidance on previous page.
(Please note that to upload your file, you must click on browse, select your file and then click on
upload)

Please upload your identification for Proof of Address - please see guidance on previous page.
(Please note that to upload your file, you must click on browse, select your file and then click on
upload)

If your organisation is NOT a registered charity or a registered company, OR if you are NOT a
public sector organisation, the Alternate contact MUST be a Bank Account Signatory for the bank
account you will use if you are successful in receiving a grant.

6. Alternative Contact

Title
Mr.

First Name
Paddy
Last Name
Barnes

Position held in the organisation

CEO

Alternate Contact Address

Must be HOME Address if your organisation is NOT a registered charity or a registered company,
OR if you are NOT a public sector organisation.
The Avenues Youth Project
3-7 Third Avenue
London

Postcode
W10 4RS

Contact Telephone Number

Please make sure this is a different phone number to the main contact's phone number
020 8969 9552

E-mail
Please make sure this is a different email address to the main contact's email address
paddy@avenues.org.uk

Page 3 - About Your Project

Section 2: About Your Project

Groundwork Project Toolkit

By following this link you will find information and guides to help you create better places, improve your
prospects and promote greener living and working: Resources

7. Project Name:
Please note, this must not be more than 35 characters.
The Avenues, Sporty Saturday - Dance Squad

Yes (7) Project Name

8. Where is your project located?
Please provide full address and postcode.
If there is no postcode for the site, please provide the postcode of the nearest building.

Address Line 1
The Avenues Youth Project

Address Line 2
3-7 Third Avenue, London

Village/Town/City/Borough (if London)

Westminster

Postcode
W10 4RS

Country
England

9. Please provide the postcode of the Tesco store closest to your project.
To find your nearest store click: Tesco store locator
(Full post code only please in box below)
NW10 3NB

9a. Please tick here if your project has been nominated by a local store
Please only tick this box if you have been made aware that your project has been nominated by a
local store, you will have been contacted if this is the case.
Yes

10. Please select the statement that best describes your project:
Choose one of the options below.
Sport

11. Please select (where possible), a specific theme that your project falls under:
Please tick all those that apply:
Supporting children and young people

11a. If you have chosen 'Other', please state below a specific theme your project would fall under:

12. Please confirm any of the below areas your project covers.
Please tick all those that apply:
Children & Young People

13. Please provide a brief One Line Description of your project that we will use to promote your
project in our stores if your project is shortlisted for the public vote.
This should be a minimum of 140 characters and a maximum of 180 characters (please note, you
do not need to include your project name or address in this description. The word limit is strict
and only the actual word count can be included in the promotion).
The Avenues is starting its very own dance squad and we need your support. Vote for us to help fund the
troupe, providing expert choreography for a fun way to stay fit and active.

(13) Project One Line Description - Please tick the below box when you have completed the one
line description above.
Yes

14. Please tell us about your project, why it is needed and how it will make things better in your
local community.
Word limit 300
We are looking for funding to help establish a girl's dance troupe within the sports programme of our
Youth Club to be run onsite in our sports hall. The Avenues Youth Project is a best-in-class Youth Club
that provides fun, meaningful and inspiring after-school, weekend, and holiday activities for 8-18yr-olds.

With currently no girls-only sports activities, this programme will deliver something that we know there is
a need for, enhancing the sense of ownership that our girls feel within their Avenues experience helping
increase their self-esteem. With a growing membership of now over 800 young people (48.7% female),
and with clear benefits not only to young people's physical but also their mental health, we see additional
sports and movement capacity as an important part of our progression as a youth provider.
Having an increased sports programme will mean much to our female members. The Avenues is located
in Queen’s Park ward in Westminster, one of the UK’s 10-20% most deprived neighbourhoods. In
addition, 24% of year 6 children in Queen’s Park ward are obese, which although matching the national
average, is still a figure far too high, indicating the real need for more access to fun and engaging
physical activity for our young people. And with all our services free to access, we see ourselves as a
vital local resource, embedded at the heart of our community.

We have a well-established Sporty Saturday programme running from midday to 4 pm that includes
Judo, multi-sport and boys’ football. However, something just for the girls is conspicuous in its absence.
Following consultation with our female members, dance was the preferred addition. Existing at that
intersection of art and sport, dance tests the body in unique ways requiring stamina, strength, flexibility,
and perseverance and taps into our members' love of music.

15. How many people will benefit from the completed project?
Please provide a realistic number of total beneficiaries based on people who will benefit from this
project.
40

15a. Please explain what you have based your estimated number of beneficiaries on? (e.g. pupils
enrolled, visitor numbers, sessional/activities numbers, local population statistics, etc)
We have approximately 400 female members, many of whom love dance. Dance was the preferred
choice for girls-only sports activity. Our mixed dance sessions of Friday evening for our seniors (13-
18yrs) regularly have 10-15 participants. We would open this dance troupe to all our female members (8-
18yrs) and would expect to easily double existing dance attendance. Through outreach and via our
existing contacts in surrounding schools and through social media we will make our community aware of
this new activity and expect it to be well attended with certain members attending every week and a
natural churn of other members attendance. We also are located in a ward which has the highest number
of teenagers in the borough with 25% of the population under 18, so we expect demand to be high.

15b. Please select the age ranges of the main beneficiaries of your project.
Please tick all those that apply.
5-16
16-18

16. Will your project provide volunteering opportunities during project delivery and once your
project has completed?
No

17. Delivery period of your project.

Please confirm that your project can complete within 12 months of a GRANT AWARD OFFER.
Yes

18. Is your project undertaking physical improvements in an indoor or outdoor space? If yes,
please download your signed Project Consent Form by clicking on the link below:
This form needs to be completed if your project is undertaking physical improvement in an
indoor or outdoor space. You will find the Project Consent Form we need here: Project Consent
Form

(Please note that to upload your file, you must click on browse, select your file and then click on
upload).

19. Does your project require any other permissions?

Please note that you must have planning permission, if needed, at this stage.
No
19a. Please provide details of which permissions are needed below:

19b. If your project requires Planning permission, please upload your Planning permission award
letter here. Please note that to upload your file, you must click on browse, select your file and
then click on upload.
Please note that to upload your file, you must click on browse, select your file and then click on
upload

19c. (Please use the button below to upload additional pages of your planning permission letter
(if required)

19d. If there are any other permission(s), please attach a copy of any award letter(s).

19e. Please use the button below to upload additional pages of any other permission forms (if
required)

20. If your organisation is working with children or vulnerable adults, it is a requirement of the
programme, that your organisation has an up to date Safeguarding Policy in place. Please tick the
box to confirm that your organisation has a Safeguarding Policy in place? For your information,
please view our Safeguarding Requirements for Grantees Document for more information about
Groundwork UK’s Safeguarding requirements.
Please tick the box to confirm that your organisation has a Safeguarding Policy in place?
Yes

Page 4 - Finance
Section 3: Finance

21. How much funding are you requesting from Tesco Community Grants? (Including
irrecoverable VAT)
All costs should be based on a Tesco Community Grants award of up to £1,500. Please note, the
minimum you can request is £500. In this section you should enter the amount requested from
Tesco Community Grants and budget items rounded up to the nearest pound. Please do not enter
a decimal place, any punctuation marks or a £ sign. For example: You SHOULD enter 1500 but
You SHOULD NOT enter - £1500 or £1,500.00 or 999.99 etc
1500

22. How do you intend to spend your grant? Please list your budget items below.

1. Description
Contribution to annual cost of dance tutor (33 hours at £30 p.h.)

1. Amount Requested
1000

2. Description
Contribution to annual cost of junior support worker (60 hours at £8.4 p.h.)
2. Amount Requested
500

3. Description

3. Amount Requested

4. Description

4. Amount Requested

5. Description

5. Amount Requested

6. Description

6. Amount Requested

7. Description

7. Amount Requested

8. Description

8. Amount Requested

9. Description
9. Amount Requested

10. Description

10. Amount Requested

Total Amount Requested

Click calculator for total
1500.00

Confirm Total Amount Requested

The figure entered here MUST match the TOTAL amount you are requesting.
1500

23. Match Funding (if applicable). If some of the money for your project will come from other
sources, please tell us the amount below:
Please enter the total amount of match funding rounded to the nearest pound. Please do not
enter a decimal place, any punctuation marks or a £ sign.
13110

24. Please detail below where your Match Funding will come from and when it will need to be
spent by?
£10,000 has been applied for via Sport England Jubilee Activity Fund
£3,100 being applied for via Edward Harvist Trust.
Funding is to be spent 12 months subsequent to the commencement of the programme.

Page 5 - Privacy Information

Section 4: Privacy Information

Who we are
Groundwork UK is the data controller and contract holder (ICO registration number Z6601182)
responsible for personal data about Tesco Community Grants applicants and approved grantees. We do
not trade personal data for commercial purposes and will only process your data if required by law,
necessary to administer your grant, or with your consent. Groundwork UK uses GIFTS grant
management system to store your personal data in order for us to administer your grant. GIFTS data is
hosted on Microsoft Azure servers within the EU.

How we will use your personal data

Personal data is information which relates to, or could be used to identify you or another person. Data
protection legislation does not relate to non-personal information – for example, about an organisation or
your project. We will process the personal data you provide for the purpose of administering your grant
application (assessing your application, grant due diligence, processing grant payments grant variations,
grant monitoring, end of grant reporting) on the basis of a contract (the Grant Agreement) between
yourself and Groundwork UK.

The personal information we will hold will be your name, contact details and payment information. If you
are using an accountable body to process your grant funds, we will hold the organisation information and
organisation payment information.

Where you choose to receive email marketing about Groundwork UK’s other activities, we will process
your contact information out on the basis of your consent for us to do so.

We may share the personal data that you provide with Enablers who work for Groundwork Trusts in order
for them to provide support with this or any future application to Tesco Community Grants.

To protect our legitimate interests, we may also conduct checks against records held by other
government departments, and other agencies for the purposes of assessing your eligibility for a grant,
preventing fraud, or for the purposes of the prevention or detection of crime.

All information will be shared with Tesco (the funding body).

We need to keep the details of financial transactions for 7 years, in the event of a tax or banking enquiry.

Identity Verification Checks - Data that is sent to us for ID verification checks for proof of identity and
proof of address will be kept securely in our grant management system. If your application is successful
and you receive funding from Tesco Community Grants, we will keep this data until we receive a Project
Completion Report from you. Upon receiving a completed report, we will delete your data from our
system. If your application is unsuccessful, we will delete your data soon after informing you on your
application decision. We may at any time get in touch with the main contact to request additional
verification information if required.

Please tick the box to confirm that you have read and understand the Privacy Information above,
know your rights and how your data will be used.
Yes

Page 6 - Declaration
Section 5: Declaration

25. Do you have any Conflict of Interest that you need to tell us about?
Please refer question 24 in guidance notes.
No

If Yes, please give details below:

26. Please upload a copy of your group's governance document here: Please note that to upload
your file, you must click on browse, select your file and then click on upload.
This could be a constitution, code of conduct, Memorandum and Articles of Association etc. Your
organisation’s governing document needs to include a ‘dissolution’ or ‘winding up’ clause.
Avenues Youth Project - Articles and Memorandum of Association - Description - Avenues Youth
Project's Governing Document.pdf
27. How did you hear about the Tesco Community Grants programme?
Local Groundwork or Greenspace Scotland staff

If you have chosen 'Other', please give details below.

28. Attending In-Store Events

Please tick here if you would be happy to be involved with promotional events at your local Tesco
store?
No

29. Application declaration

Please note, when you hit the review button, you must also hit the 'submit' button to ensure your
application has been submitted. Once submitted, you will receive an email to confirm your
application has been received.
Before submitting your application form, please make sure you agree to the following:

 You are willing for project information and photos to be used for publicity purposes (including
social media such as Facebook or Twitter) should your project be funded.

 You or the landowner has sufficient public liability insurance or will have before the project starts.

 You have a bank account in the name of your organisation with at least 2 unrelated signatories
or have identified an accountable body to manage your grant.

 You have ticked question 20 to confirm your organisation has a Safeguarding Policy in place, if
you work with children or vulnerable adults.

By ticking this box I accept all of the above statements and I certify that all of the information I
have put in this application is true and to the best of my knowledge.
Yes

Signed
Tom Wegg-Prosser

Position in Group
Grant Fundraising Manager

Date
6/23/2022

From time to time, Tesco would like to inform you of their current promotions via email, if you
would like to receive this, please tick the box below.
This would enable Tesco to share those email addresses with marketing and help increase
awareness of Tesco business.
No

Tesco Fareshare Go Community Food Connection Service

Does your organisation benefit from the Tesco Fareshare Go Community Food Connection
service?
Please select Yes or No
No

If you would like to know further information regarding the Tesco Fareshare Go Community Food
Connection service, please visit the website - https://fareshare.org.uk/getting-food/fareshare-go-support/