Digital Support Fund Monitoring Form

 

This form will save entered information automatically in your browser as long as:

a) you do not delete your cookies

b) change browser

c) you have not submitted the form.

Once submitted, you will automatically be sent a copy of the completed application form for your records.

 

We appreciate the time it takes to gather data needed for this form. If you feel you are unable to easily provide any of the data requested or that it would take a disproportionate amount of time or resource to gather it, please contact [email protected] to discuss. 

 

     
    You and Your Grant Summary

     

    spend on devices *

    spend on data *

    spend on training and courses *

    spend on other *

    spend on administration *

    (Must total 100%)

     

    Your Impact and Reach


     

     

    Please list here the (approx.) number of individuals helped per postcode. All fields need to be completed, where the value is 0, please input 0. *

    NW10

    SW6

    SW10

    W3

    W4

    W6

    W10

    W11

    W12

    W14

     

     

    Older people (65+) *

    Adults (25-64) *

    Children and Youth (5-24) *

    Young Children (0-4) *

    Care experienced young people *

    Carers *

    Disabled ¹ *

    Ex-offenders *

    Faith groups *

    Families *

    Homeless *

    Individuals fleeing domestic violence *

    LGBTQI+ *

    Lone parents *

    Multi-ethnic communities *

    Refugees & Asylum seekers *

    Socio-economically disadvantaged *

    Those affected by addiction *

    ¹ Physical/mental impairment and/or neurodiverse conditions

     

     

     

     

    Your Stories and Images

     

     

    Final Questions and Report Submissions

     

    First Name *

    Last Name *

    Phone Number

    Email *