Application Form

Name and Organisation
Job title
Email
Contact Telephone No.

We will store and use this information to contact you about your application. This will involve sharing details with What Works Centre Development Team members.

Criteria	How You Meet This Criteria
1.	Sponsorship	Please provide the name of the Director of Children’s Services and a signature to indicate his or her sponsorship of this application (digital signatures are acceptable, as is an email from the DCS).
2.	Motivation	Please describe your motivation for making this application [Maximum 250 words]
3.	Project	Please indicate which project(s) you have a specific interest in and explain your proposal – the more specific you can be, the better You should address the following points in a separate document: The nature of the issue or problem in your area How the proposed project would address this What you plan to do – a detailed description of the proposed project You may find it useful to present a logic model explaining how the service will achieve our identified key outcomes. A logic model consists of: Your theory about how this would work i.e. how would your proposals for this project achieve the goals of the project specification? Information on inputs (what will you do?) Information on outputs (what difference this will make to those receiving the service – what difference will the inputs make?) Information on outcomes (how will these service outputs lead to different outcomes?) [Maximum 2000 words]
4.	Budget	Breakdown of costs This should indicate costs to be incurred by end of March 2019 and costs for April 2019-March 2020
5.	Capability to coordinate and deliver work within timescales	Please describe your readiness to commence working [Maximum 250 words]
6.	Risks	A brief summary of what you believe will be the key risks to delivering the project and what contingencies you will put in place to deal with them. [Maximum 200 words]