Stage One

Interchange - Project Proposal VCO Details 2018-19

Please complete all the sections and return to

Contact Details:

Name
Job Title
Organisation
Contact number
Email

About your organisation

If you are you a Charity please state your Charity Number
If you are not a registered charity please tell us the status of your organisation
How many Staff do you have / How many Volunteers do you have
How many members are on your Management Committee
Which area(s) do you work in (please tick all that apply)
Liverpool / Sefton / St.Helens / Knowsley
Wirral / Halton / Other please state:
Main focus and groups you work with (please tick all that apply)
Children & Young people / Families / Volunteering / Domestic Violence
People with disabilities / Mental Health / Carers / Substance misuse
Women / Homelessness / Older People / Unemployed
Refugees & Asylum Seekers / Black & Minority Ethnic (BAME) / Lesbian, gay, bisexual, trans (LGBT) / Men
Other please state:
Main activities of your work (please tick all that apply)
Welfare advice / Arts / Mentoring / Accommodation
Health Services / Counselling / Information provision / Education
Campaigning / Research / Grant-making / Environmental
Social Care / Umbrella body / Community development
Other please state:
Please tell us the annual turnover of your organisation:
Have you worked with
Interchange before / Yes / How did you hear about Interchange
No
Do the research participants fall into any of the following categories?
Please delete as necessary
  • Young people under 18 years old
/ YES / NO
  • Adults: with a learning disability, mental health problem, involved in the criminal justice system, in crisis in some way.
/ YES / NO
If yes please explain how informed consent will be sought by your organisation and arrangements for both the student and participant to have safeguards in place for data collection/activities and debriefing arrangements following data gathering/activities?
Explain the arrangements for ensuring the student is fully briefed regarding health and safety.
Explain the arrangements for ensuring the student is fully briefed regarding safeguarding procedures and policies regarding disclose and confidentiality.
Please note all projects have to receive ethical approval from the University of Liverpool Ethics Committee.
The Committee will be very concerned that appropriate procedures have been followed for the above groups.

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