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* 1. What is the name of your proposed project?

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* 2. What is the name of the lead organisation for the project?

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* 3. What is the social issue that your are looking to address?

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* 4. Please provide a short summary of your project.

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* 5. How will any new service/intervention work with, and link into existing service provision?

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* 6. What is the current status of the project? (e.g. is this a proposal for a new service for your area/ has the service been piloted/ is it a fully mobilised service looking to scale?)

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* 7. What is the expected duration of the service? Please include anticipated start and end dates. 

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* 8. What is the estimated total cost of the project? Please provide details e.g. costs for mobilisation, project management and service provision. 

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* 9. Which outcomes would you expect your project to achieve?

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* 10. Please provide an overview of the scope of the service. What is the size of the population affected by the social issue you intend to address? What percentage of this population do you expect to reach with this service? Of those referred into the service, how many do you anticipate to achieve a positive outcome?

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* 11. Please provide a high-level cost benefit analysis of the service. 

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* 12. Please provide the names of key leads for the project:

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* 13. Please provide any other assurance of system buy-in from commissioners and/or providers to implement a Social Impact Bond model. 

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* 14. Please provide contact details.

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