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Application Form
We are Asda’s charity, Asda Foundation. We operate independently of Asda Stores but work very closely with Community Champions in Asda’s superstores. Our mission at the Asda Foundation is to Transform Communities and Improve Lives through a range of grant programmes. Each year we invest over £3m in Asda communities. Asda Foundation U18 Better Starts Grant is only applicable for activities which benefit people under the age of
- There are key criteria to be met for an application to be successful. It is essential groups read the criteria guidance to give your application the best chance of being successful. A summary of key processes is below: Groups
- Please complete sections 2 to 6 of this form, remembering to include all relevant supporting documentation requested.
- Ensure you are applying for activities which meet criteria and use the ‘How to Complete an application form’ guide.
- Submit via email to your local Community Champion, please do not send directly to Asda Foundation. For Asda Store Community Champions: (full guidance can be found on One Asda)
- The application form requirements have changed. Please ensure you understand the requirements and have read the grant briefing pack.
- Check that the form has been fully completed and signed by the group and that you have received all supporting documentation.
- Conduct red flag checklists
- Complete sections 1 and 7. NB: Section 7 should only be completed after the group has completed all sections and you have received all the required documentation.
- Submit to Asda Foundation via email asdafoundation@asda.co.uk This email must come from your community champion email account. Asda Foundation Promise
- Asda Foundation will review the application and aim to communicate the outcome within six weeks of receiving the application from the Community Champion.
- Asda Foundation will communicate with the Community Champion in the first instance but may contact the group directly for further information if required.
Please note that incomplete applications will be returned as unsuccessful.
Mandatory Information Please ensure that you have checked your application form before submitting by ensuring that all mandatory questions have been answered and supporting documents have been included.
- The Group must complete sections 2 to 6 (Community Champions can support but must not complete the form)
- The Asda Community Champion must complete sections 1 and 7 ONLY Successful applications will be paid by cheque. Asda Foundation do not pay individuals, cheques are always made payable to the group.
Under 18 Better Starts Grant
Grant Round 2 2022
May 2022 – August 2022
Section 1 - Contact Details – Asda Store to Complete
Store Name and Store Number: Sunnyside Store 1234 Contact Name at Store: Bob Smith
Section 2: About your Organisation – Group to Complete
2.1 Legal Name of Organisation: Sunnyside Community Garden 2.2 Registered Address (location of where the group meets) Sunnyside Community Garden, Sunnyside Allotments, Sunny Road, Sunnyside Town, SS1 1SS 2.3 Please indicate what type of group you are and ensure that you include the relevant documents with your application. Accepted documents are included in the criteria document and noted in the table below. Type of Group Yes/No Documents you MUST include. We cannot process your application without these: Charity/Company Number Registered Charity • Governing Documents
Company • Memorandum and Articles
Community Interest Company CIC
- Governing Documents
- Bank Statement Unincorporated Club or Association
- Constitution or Rules of the Club
- Bank Statement Small Community Group • Written Letter confirming the group is not for profit.
- Bank Statement Government Entity/Public Body
- Bank Statement
- 4 Please select the main purpose of your group (select one only): a. Relief of Poverty ☐ b. Educational ☒ c. Health Improvement ☐ d. Community Togetherness ☐ e. Arts, culture, heritage, science ☐ f. Sport ☐ g. Human rights, equality, diversity ☐ h. Environmental ☐ i. Relief of disadvantaged ☐ j. Armed Forces ☐ k. Other ☐ Please state ____________________________________
- 5 Please describe the aims of your organisation, and your main activities. We are a registered charity supporting children and teenagers from the local area, giving them the chance to learn new skills, make new friends, feel like they belong and grow and eat their own food. We educate, promote social inclusion, and bring children together from the local area in a safe and welcoming environment, providing relief from disadvantage and boosting health and wellbeing.
- 6 Please provide a brief list of the item you will purchase to make your activities possible: Example: Item (^) Supporting Essentials Being Active Improving Wellbeing Celebrating and Bringing Children Together Example: Meal Celebration (items to cook spaghetti bolognese and apple crumble) £80. Example: Craft items to make cushions £125. Example: Veg patch gardening tool (spades, water cans etc) £150. Example: Shampoo, Conditioner, Shower Gel (50 sets) £150. Total £150.00 £150.00 £125.00 £80. Grand Total £505. Please Note: _1) Ensure you include an overview of items requested for all aspects of your activity.
- We do not expect a shopping list, for example onions, mince, pasta, tin tomatoes. Cooking spaghetti bolognese is sufficient._ Item Supporting Essentials Being Active Improving Wellbeing Celebrating and Bringing Children Together Extra food and ingredients to supplement the food grown at the allotment – for cooking and feeding
Tutor fee (8 sessions) £ 500 Cooking utensils and equipment for the children to use £ Total £ 700 £ £ 500 £ Grand Total (add together the total from the row above)
Section 4: Impact of the Grant – Group to complete both boxes below
4.1 Please share how this money will make a positive difference to your group (Chose maximum three, if more apply, chose the three most important to your group) a) ☒ Enable you to create a new service / activity b) ☒ Increase the amount of people your existing service supports c) ☐ Improve the quality of a service you provide d) ☒ Provide additional equipment for your group users e) ☐ Enable you to deliver an event that would have otherwise not happened f) ☐ Allow you to support / enhance an existing community event g) ☐ Enable your group to continue to operate / survive. 4.2 Please explain the positive difference, please outline in the box below: The sessions will help to educate children on healthy living and eating and give them a better understanding of where their food comes from and the environment. It will help to reduce social isolation and enable children to feel like they belong, giving them the opportunity to make new friends in a safe and inclusive environment. The sessions also provide an opportunity to ensure healthy nutritious meals are provided for each child who attends, addressing holiday hunger.
- 3 How many people will benefit directly from this grant? (E.g. A child attending a cookery class and learning to make a meal will learn a skill and benefit directly) 40
- 4 How many people will indirectly benefit from this grant? (E.g. The family of the child attending the cookery class will benefit indirectly as the child will be able to cook a meal for the family)
agrees that in connection with this agreement, it has not received, accepted, or used anything of value in violation of the applicable anti-corruption laws and regulations. 3.7 The Grantee shall keep its books, records, and accounts with sufficient detail and precision as to clearly reflect its transactions and the use or disposition of its resources or assets. Grantee agrees that ASDA and Asda Foundation each have the right to audit the transactions related to Grantee’s execution of its obligations under these Terms and Conditions, or its use of funds, goods, or services received under these Terms and Conditions, at any time and upon reasonable notice. 3.8 In the event that Asda Foundation determines, in its sole discretion, that the Grantee has engaged in conduct that violates any anti-corruption policy adopted by Asda Foundation or to which Asda Foundation is subject, or the applicable anti-corruption laws and regulations, Asda Foundation immediately shall have the right to suspend future Donations and to suspend or terminate the Terms and Conditions. 3.9 All payments under these terms and conditions shall: (i) be made solely by cheque or wire transfer for the benefit of, and to the account of, the Grantee and not to any individual employee or representative of the Grantee; (ii) be denominated in pounds sterling; and (iii) not be in cash or bearer instruments. 3.10 The Grantee agrees to provide timely information to Asda Foundation regarding any changes to the representations made in these terms and conditions. 3.11 The Grantee agrees to provide assistance and cooperation in any investigations related to the use of Donations received under these terms and conditions.
- WARRANTIES AND LIABILITIES 4.1 The Grantee warrants and represents that it has full power and authority under its constitution and has taken all necessary action and has obtained all authorisations, consents, and approvals to accept the Donation and agree to these Terms and Conditions.
- VAT Both parties acknowledge and agree that the Donation is inclusive of any VAT whatsoever that may be due and Asda Foundation shall not be obliged to pay the Grantee any amounts relative to VAT in respect of any liability that may fall due as a result of the Grantee carrying out the Purpose.
- GENERAL The parties agree that any notice issued under the Terms and Conditions must be made in writing (which shall include email) and shall be deemed to have been received 2 days after the date on which it was posted (or in the case of email, at the time of transmission or where the email is received after 5pm on a working day it will be deemed to be received on the next working day). Notices to the Terms and Conditions must be sent to the Company Secretary, Asda Foundation, ASDA House, South Bank, Great Wilson Street LS11 5AD and in the case of e-mail, only on provision of the relevant e-mail address by Asda Foundation to the Grantee. 6.1 If a court decides that part of these Terms and Conditions are not enforceable in law, that decision does not alter the enforceability of the rest of the Terms and Conditions. 6.2 These Terms and Conditions and the documents referred to in it (including the Request), contain everything agreed between the parties in relation to the Donation. 6.3 These Terms and Conditions and any non-contractual obligations arising out of or in connection with it shall be governed by English Law. The parties hereby submit to the non-exclusive jurisdiction of the courts of England and Wales. 6.4 We will use the information you give us to help assess your application and administer any grant we award you. We may also use it to analyse our grant making and for our own research or through the Foundation or others. We may give copies of this information to individuals and organisations we consult when assessing applications, when monitoring grants and evaluating our programmes. We may also share information with other organisations providing matched funding. Asda Foundation is a company limited by guarantee registered in England and Wales (company number 6480049 and a registered charity 1124268). Registered Office: Asda House, Southbank, Great Wilson Street, Leeds LS11 5AD. Ethics concern Please contact Asda ethics (0800 318 405 ethics@asda.co.uk) immediately if you have any concerns about this donation and believe it will be used for improper purpose. This may include but it not limited to, using the donation to influence the outcome of a commercial, regulatory or government decision in relation to Asda and/or using the donation for the personal gain of an individual(s) who is(are) not the intended recipient(s) of donation.
Section 6 : Group Declaration and Signature – Group to complete
Key Contact Your Name: Maggie Jones Role/Position with organisation: Chairperson Year of Birth: 1975 Town/City of Residence: Sunnyside Town Email Address: Maggie.Jones@SunnysideCommunityGarden@gmail.com Telephone Number: 01234 567890 Group Details Group Postal Address for cheque payment: (This may be a nominated trustee/director home address) Maggie Jones, Sunnyside Community Garden , Sunnyside Allotments, Sunny Road, Sunnyside Town, SS1 1SS Group Website URL www.sunnysidecommunitygarden.com Group Facebook handle Sunnyside Community Garden Group Instagram handle Sunnyside Community Garden Use of Personal Data Before engaging with any contractor (including any potential donation recipient) or supplier, ASDA Stores Limited including its subsidiaries, affiliates and charitable foundation – ASDA Foundation, (“ASDA”, “we, “us”), conducts due diligence to assess the risks of non-compliance with the UK Bribery Act (or other applicable anti-corruption and compliance laws) associated with each potential contractor or supplier. This due diligence may include carrying out background searches on the internet or other public sources of information and may include using personal information such as name, address, year of birth, email address and phone number as search inputs, and which may result in ASDA receiving certain sensitive information such as criminal history, ethnicity or political affiliations. The information will be collected from you and other sources by Dun & Bradstreet, Inc., with registered business address at 101 John F. Kennedy Parkway, Short Hills, New Jersey, 07078 USA, acting as a data processor on behalf of ASDA. For further information on how we handle personal data please see our privacy notice at https://www.asda.com/privacy/your-information/supplier. Declaration To be completed by the Key Contact or a Legal representative of your organisation. I confirm that I give my consent to the use of personal data as outlined in section 6 and the information contained within this form is true and accurate to the best of my knowledge and belief. I further agree to the terms and conditions attached to this form. Name: Maggie Jones Signature*: Maggie Jones Role/Position within organisation: Chairperson Date: 20.05. *If you are providing a digitally typed signature, in your email to the Community Champion with the application form, please can you provide the following statement: As I have provided a digital signature, please accept this statement to confirm I have read and agree to the Declaration statement in the application form.
