Bradford City & Districts Extended Access VCS Services
THIS APPLICATION FORM IS FOR EXPRESSIONS OF INTEREST
COMPLETING THIS FORM
Use this Expression of Interest form if you would like to attend a meeting to discuss this contract and how you (and partners) could deliver it. Please use this form to demonstrate your eligibility to deliver some or all of the work.
EXPRESSION OF INTEREST

Organisation name

Postal Address

Including full Postcode

Landline Number

Mobile Number

Email Address

Type of Organisation

Services may only be provided by organisations not for private profit such as registered Charities and certain types Community Interest Companies. By signing this form you are confirming that your organisation does not use any income for the benefit of shareholders, directors or other individuals associated with the organisation’s running (except paid staff).
My service is interested in providing the following elements of the service (please tick):

Welfare, debt and benefit advice

Mental wellbeing support
Supporting statement
Please briefly describe why your organisation has the experience, capacity and track record to successfully deliver this work. This information will help to inform the discussion with potential providers on Wednesday 6th December.
What to do next:
Please submit this form by email to Polly Mellor, Bradford VCS Alliance – please include ‘Expression of Interest’ in the subject header of your e-mail.
If you experience any difficulty with submitting this form please telephone Polly on
Tel: 01274 305045
Once we receive your Expression of Interest form we will complete checks to confirm you are potentially eligible to deliver this work.
We will confirm receipt of your form and unless you hear otherwise, please be available to attend a meeting of all interested parties on Wednesday 6th December, 1pm-2.30pm in Bradford.
Sign below once you are satisfied that you have completed the form.
I declare that the information given in this Expression of Interest form is true and accurate to the best of my knowledge and belief.
I declare that I have permission to submit this Expression of Interest for my organisation.

Print name of applicant

Signature of applicant

Today’s date