Funding to address Covid-19 vaccine inequalities

Application form

Funding has been made available by Public Health Hertfordshire from the Contain Outbreak Management Funding (COMF) to support local groups and organisations to address Covid-19 vaccine inequalities and to encourage further take-up, across all age groups.

Grants of up to £5,000 are available to support any work that could lead to further vaccine take-up and an increase in vaccination rates across Hertfordshire. This could include tailored communications such as translation services, transport, website modifications, information sharing events and befriending services.

We are keen that the funding supports areas of deprivation and diverse ethnicities where we know Covid-19 has had a significant impact.

Funding will be awarded at the end of August 2021 and must be spent fully by 31 March 2022.

Deadline: Friday 30 July 2021 at midday

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* 1. Name of organisation

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* 2. Location of organisation

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* 3. Contact name

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* 4. Contact email address

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* 5. Type of organisation

Registered charity

Community Interest Company

Charitable Incorporated Organisation

Other (please specify)

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* 6. Please provide a brief summary of your organisation’s activities

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* 7. Please explain how you would use a grant to encourage more people in Hertfordshire to take the Covid-19 vaccine. Please include who you would target and why.

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* 8. Please provide a budget breakdown including the total grant request (up to a total request of £5,000).

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* 9. Please can you confirm that you would be able to spend this grant by 31 March 2022 (although it is anticipated that most grant funds will be spent in the coming months due to the urgency of the vaccine programme).

Yes

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* 10. Please can you confirm that you have the following in place. HCF may request copies prior to awarding grants:

	Yes	No
Appropriate Safeguarding policy	Appropriate Safeguarding policy Yes	Appropriate Safeguarding policy No
Equity, diversity and inclusion policy	Equity, diversity and inclusion policy Yes	Equity, diversity and inclusion policy No
Appropriate governing documents	Appropriate governing documents Yes	Appropriate governing documents No
At least two independent trustees/directors/management committee members	At least two independent trustees/directors/management committee members Yes	At least two independent trustees/directors/management committee members No
A bank account in the name of your organisation	A bank account in the name of your organisation Yes	A bank account in the name of your organisation No

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* 11. Please provide the details of your organisation’s bank account in the event that your application is successful.

Bank name (as it appears on your bank statements)

Sort code

Account number

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* 12. If you are awarded a grant HCF will require you to provide brief monitoring data. Please confirm that you accept that this is a condition of receiving a grant.

Yes