Winter Support Fund 2023/24 – Grant Monitoring Form

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    (All fields with * must be completed)
     
    You and Your Grant Summary


     

    Of your total funding request, activity or service type please estimate amount (£) of support provided to households:

    with children under 19 *

    with Disabled persons *

    with pensioners *

    other households *

    (Must total value of Grant received)
     
     

    Your Impact and Reach


     

    What reach did this project have in the borough, by postcode (tick as many as apply)? *

    NW10SW6SW10W3W4W6W10W11W12W14

     

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

    Postcode

    Individuals *

    Households *

    NW10

    SW6

    SW10

    W3

    W4

    W6

    W10

    W11

    W12

    W14

     

    How many:

    individuals benefitted from your project in total? *

    households benefitted from your project in total? *

    awards did your project make in total? *

     

     

    Please specify the gender people who benefitted from your project fall into, by providing the percentage (%) that fall into each of the following groups. All fields need to be completed, where the value is 0 (or where you don't have data) please input 0. *

    Gender neutral/Agender *

    Intersex *

    Male *

    Non-binary *

    Trans man *

    Trans woman *

    Female *

    Other *

    Prefer not to say *

     

    Please specify which population types people who benefitted from your project fall into, by providing the percentage (%) that fall into each of the following groups. All fields need to be completed, where the value is 0 (or where you don't have data) please input 0. *

    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

     


     

    Of your total funding request, activity or service type please estimate percentage (%) of households:

    with children under 19 *

    with Disabled persons *

    with pensioners *

    other households *

     


     

    Of your total funding request, activity, or service type please estimate percentage (%):

    spend on food ¹ *

    spend on utilities ² *

    spend on essentials ³ *

    spend on advice services 4 *

    spend on administration *

    (Must total 100%)

    ¹ Whether in kind or through vouchers or cash
    ² Including heating, energy (lighting, cooking) and water
    ³ Including help with other bills, transport and repairs as well as warm clothing, blankets, period and hygiene products, the purchase of replacement and energy efficient equipment (fridges, freezers, ovens, slow cookers)
    4 over and about what is already provided in the borough

     

    Of your total funding request, activity, or service type please estimate percentage (%):

    spend on vouchers *

    spend on cash awards *

    spend on third party costs *

    spend on tangible items *

    spend on other support *

    spend on administration *

    (Must total 100%)
     

    Your Stories and Images

    Images are powerful and we would love to share photos from your activity. Please send images to team@hfgiving.org.uk. By submitting images, you agree that you have obtained consent from individuals who are identifiable and grant permission for H&F Giving to use these images for our website, social media channels and for other marketing.

     

     

    Final Questions and Report Submissions

     

    First Name *

    Last Name *

    Phone Number

    Email *

     
    I am the above named person who is authorised to represent the grant recipient organisation, and certify that the statements in this report are accurate to the best of my knowledge. *