Total expenditure $ D2 Other funding – Is this service initiative relying on any other sources of funding? Yes No If please identify the source(s) and the amount. Has this funding been secured? ‘Yes’, Source Amount $ Secured? Yes No Secured? Yes No Secured? Yes No Will the service initiative proceed if this / these funding monies become Yes No unavailable? If Yes, please outline your risk strategy to ensure the service initiative continues to be viable. Part E: Attachments E1 Attachments relevant to your proposal – Yes No Are relevant documents being provided in support of this proposal? Choose carefully a maximum of 14 pages will be given to the panel. – What is it? What part of your (e.g. evidence of community support, CVs application does this of key service agreements, evidence Document title relate to? of partner commitment) Part F: Application signatory details, declaration and submission
Total expenditure $ D2 – Other funding Is this service initiative relying on any other sources of funding? Yes No If ‘Yes’, please identify the source(s) and the amount. Has this funding been secured? Source Amount $ Secured? Yes No Secured? Yes No Secured? Yes No Will the service initiative proceed if this / these funding monies become unavailable? Yes No If Yes, please outline your risk strategy to ensure the service initiative continues to be viable. Part E: Attachments E1 – Attachments relevant to your proposal Are relevant documents being provided in support of this proposal? Choose carefully – a maximum of 14 pages will be given to the panel. Yes No Document title What is it? (e.g. evidence of community support, CVs of key service agreements, evidence of partner commitment) What part of your application does this relate to? Part F: Application signatory details, declaration and submission