Section 1 – Contact Information

To be completed by Applicant / Office use only
1.1 / Organisation Name and Address
1.2 / Brief description of the organisation – (max 150 words)
i.e. mission, services, target group/s, staff/volunteers, geographical remit
1.3 / Contact Person – Name, Address, Contact Number, Email

Section 2: Description of the project

To be completed by the applicant Office use only
2.1 / What is the title of the initiative?
2.2 / For what setting is the initiative intended?
Urban
Rural
Virtual
2.3 / Please complete the Logic Model contained in Section 4.
If you wish to include additional information in relation to any of the headings contained in the logic model please use the section headed ‘Additional Information’ to do so.
Guidance on completing the Logic Model is included at the end of this document.
2.5 / Please identify the proposed partners (interagency working) for participation in this project?
Please identify their respective roles? (max 300 words)
2.6 / Use of Communications and Marketing Tools? (max 150 words)
Outline how you will profile the initiative through the use of communication and marketing tools available to your organisation.
2.7 / What time investment is proposed?
(e.g. number of sessions/ time per session/weekly/monthly/once off etc)
2.8 / What is the evidence in support of this chosen initiative? (max 400 words)
i.e. has it been evaluated?
Has it been used in similar/other settings/other organisations?
If so, please indicate by whom and any findings/learning identified?
2.9 / Methodology (max 200 words)
What methodology/ies will be used?
How appropriate are the methods for achieving the outcomes?
2.10 / Consideration of diversity (max 200 words)
How will this initiative take consideration of diversity (e.g. gender, Traveller culture, ethnicity, sexual orientation, disability, young parents, young carers, young people involved in the juvenile justice system, young people who are not in education, employment or training, young people who are homeless, young people who are geographically isolated?
In content?
In methods?
In language?
2.11 / Planned around young people's needs and interests? (max 300 words)
Please describe how this initiative relates to the identified needs and/or interests of the target group?
2.12 / Good practice (max 200 words)
Please indicate which principles of good practice you will be adhering to in relation to this project.
2.13 / Budget
Please use the accompanying template overleaf to give a detailed breakdown of proposed budget headings and associated costs in relation to this project.

Section 3:

Budget template: To be completed by the applicant

INCOME
Amount Sought from Scheme
TOTAL INCOME
EXPENDITURE
Project/Event Costs
Administrative /Support Costs
Other Costs
TOTAL EXPENDITURE

Section 4:

Program: _____(name)______Logic Model

Inputs/Resources
What are you investing in the programme?
E.g. Staff/volunteer time, equipment etc. (Excluding anything already identified in the budget above.) / Outputs / Please identify outcomes that are
Short- term
i.e. changes you expect to result for participants in terms of learning such as changes in awareness, knowledge, attitudes, skills, behavioral intent etc.) / Please identify outcomes that are
Medium-term
i.e. changes you expect to result for participants in terms of action such as changes in behavior, decision-making, skills, relationships etc.) / How will you monitor and evaluate any progress in relation to the identified outcomes and how will you record this information?
Activities
What will you do? / Participation
Who will you reach?
(Profile of those to whom you will deliver this programme – your target group)

Additional notes:

Notes on completing the Logic Model

What is a Logic Model?

A Logic Model is a depiction of a programme/initiative showing what it will do and what it will accomplish.

In its simplest form a logic model takes account of

Inputs Outputs Outcomes

Inputs, otherwise known as resources, are defined as what you invest in the programme/initiative and include:

·  Budget

·  Staff/Volunteer time

·  Materials

·  Venues

·  Partnerships etc.

Outputs comprise of two areas, i.e. Activities and Participation

Activities are what you do and consist of the numbers and types of programmes and other activities you deliver to your target groups.

Participation is about who you reach and is about identifying the numbers and profiles (including gender, age, background) of your target group.

Outcomes are the changes or benefits for individuals, groups, organisations or communities etc. that result from a programme or intervention.

Outcomes may be short-term, medium-term or long term. Due to the nature of this funding application, applicants are asked to focus on short and medium term outcomes.

Short-term outcomes focus on learning, identifying changes in areas such as awareness, knowledge, attitudes, skills, etc.

Medium-term outcomes focus on action, identifying changes in areas such as behaviour, decision- making, policies, etc.

Monitoring and evaluation in relation to identified outcomes should indicate to you what has changed for programme participants as a result of this programme. This will involve identifying monitoring and evaluation methodologies appropriate to the target group as well as data collection and recording mechanisms.

For further guidance on logic models, please refer to:

·  W. K. Kellogg Foundation http://www.wkkf.org/Pubs/Tools/Evaluation/Pub3669.pdf

·  Charities Evaluation Services (2010). Assessing Change. Developing and using outcomes monitoring tools

http://www.ces-vol.org.uk/NR/rdonlyres/0105995A-AA36-4333-A18E-F1A78F852D9F/0/assessingchange740748.pdf

·  Community Tool Box. http://ctb.ku.edu/en/table-of-contents/overview/models-for-community-health-and-development/logic-model-development/main

Community Toolbox. Section 5: Collecting and Analyzing Data.

http://ctb.ku.edu/en/table-of-contents/evaluate/evaluate-community-interventions/collect-analyze-data/main

2 Ibid.

Supporting Documents for the completion of the application process: Applicants may wish to draw on some of the information contained in the documents listed below in support of the application.

·  Department of Health (2013). Healthy Ireland – A Framework for Improved Health and Wellbeing 2013 – 2025.

http://www.dohc.ie/publications/pdf/HealthyIrelandBrochureWA2.pdf?direct=1

·  Young Men and Suicide Prevention – A report on the All Ireland Young Men and Suicide Project. (January, 2013). Richardstown, R. Clarke, N. Fowler, C. HSE, HSC Public Health Agency, IPH, Institute of Technology, Carlow, Men’s Health Forum in Ireland.

http://www.mhfi.org/ymspfullreport.pdf

·  Well being in Post Primary Schools – Guidelines for Mental Health Promotion and Suicide Prevention. (2013). Department of Education and Skills/Health Service Executive/Department of Health

http://www.nosp.ie/Well_Being_PP_Schools_Guidelines.pdf

·  Exploring community resilience in times of rapid change. (2011). Carnegie United Kingdom Trust.

http://www.carnegieuktrust.org.uk/carnegie/media/sitemedia/Publications/ExploringCommunityResiliencedownload.pdf

·  Social Capital, Health and Wellbeing, A planning and evaluation toolkit. (Edinburgh Health Inequalities Standing Group)

http://www.scdc.org.uk/media/resources/what-we-do/mtsc/Social%20Capital%20Health%20and%20Wellbeing%20toolkit.pdf

·  Health Quality Mark Support Manual, (2011). National Youth Health Programme. National Youth Council of Ireland.

http://www.youthhealth.ie/sites/youthhealth.ie/files/HQM_Support_Manual_2011.pdf

·  My World Survey (2012). Dooley, B. Fitzgerald, A. Headstrong – The National Centre for Youth Mental Health, Dublin, UCD School of Psychology, Dublin

http://www.headstrong.ie/sites/default/files/My%20World%20Survey%202012%20Online.pdf

·  40 Developmental Assets (1997, 2007) Search Institute

http://www.search-institute.org/content/40-developmental-assets-adolescents-ages-12-18

OUTCOMES:

• The changes or benefits for individuals, groups, organisations, communities etc. that result from a project, programme or intervention.

• Outcomes answer the very important question, “So what?”

So what difference are we making?

• An outcome is a change in a target group’s skills, attitudes, knowledge, behaviours, status, or life condition brought about by experiencing a programme/project or intervention.

• Outcomes fall along a continuum from immediate (initial; short‐term) to Intermediate (medium‐term) to final outcomes (long‐term), often synonymous with impact.

KEY QUESTIONS TO HELP IDENTIFY OUTCOMES4:

• What are you trying to achieve with your clients/participants?

• What does success look like, for your clients/participants?

• If you are successful, how will your clients/participants be different after the programme than before?

• What kinds of changes do you want to see?

4 Adapted from Patton: Utilization-focused Evaluation in http://www.yourunitedway.org/sites/uwaygrp.oneeach.org/files/Guide_for_Logic_Models_and_Measurements.pdf