Opening School Facilities Agreement

Congratulations the OSF Panel has identified your project to receive funding. To receive your funding, you will need to:

1. Complete this form by 15th July 2021 or prior to purchasing any resources or starting delivery whichever is the earliest. Completion of this form serves as our 'Service Level Agreement' with your school.

2. Adhere to any conditions set by the panel as confirmed in your 'agreement' email.

3. Invoice Energise Me for the allocated funds by 30th July 2021.

4. Spend all the grant by 31st August 2021.

5. Agree to monitor impact of the funds on the young people involved.

If you find your project is unable to be delivered prior to 14th September or you need to alter your project or how the funding is spent, please ensure you contact Sarah Taylor (sarah.taylor@energiseme.org) for authorisation.

School Name*

School DfE URN*

Contact Name (for liaison with this project & monitoring)*

Contact Email (for liaison with this project & monitoring)*

Project Title*

How many young people do you expect to access this project prior to 14th September 2021?*

Please highlight the priority groups this project is aimed at (tick all that apply)*

Please let us know what priority group(s) this project is aimed at*

Who is your target age/year group?*

When will this activity run (tick all that apply)*

After School
Evening
Weekend
Holiday
Lunchtime
Before school

What facilities will you use whilst delivering your activity (activities). Tick all that apply.*

Grass pitches
School hall
Sports hall
Fitness suite
Swimming pool
MUGA
Astro
Other (please list)

Please list what other facilities you will use.*

Please tell us about any links this project has with other community groups/sports clubs or other projects (if any).

Expected short term (prior to 14th September) impact on these pupils.*

Expected longer term impact on these pupils*

How will you ensure these pupils remain active next academic year?*

How will you monitor impact on these young people? If you have more than one project please provide an outline for each. We expect this to reflect the project and scale of funding awarded.*

How will you share this evidence (impact of this project(s) on young people) with us? We expect this to reflect the project and scale of funding awarded.*

Breakdown of Costs

PLEASE PROVIDE A BREAKDOWN OF YOUR PROPOSED USE OF FUNDING AGAINST THE HEADINGS BELOW.

This should match those outlined in your application or agreed post panel. (List specifc items and related cost).

Alternatively you can email a spreadsheet breakdown to sarah.taylor@energiseme.org

Staffing (we cannot fund teachers & TAs during term time)*

CPD*

Facility Hire costs*

Sports Equipment (we cannot fund capital costs or any items that are permanently fixed to the ground or walls)*

Storage Costs*

Covid Specific Equipment/Measures (we cannot fund capital costs or any items that are permanently fixed to the ground or walls)*

Total Costs*

Compliance

We, the school agree to use the allocated funds to implement the proposed project, in line with the funding breakdown provided and the details of the guidance documentation. We will seek authorisation from Energise Me if we need to alter our project or how funding is spent.*

Yes

We agree that no funding will be used to pay for school teachers and teaching assistants to deliver activities during term time including after school.*

Yes
No

We agree that this funding will not be used to double fund delivery of the DfE funded Holiday Activities & Food (HAF) programme.*

Yes
No
We are not delivering a holiday project

For schools in receipt of the PE & Sport Premium: We agree that the school has allocated PE and Sport Premium funding (funded by DfE) for 2021/22 and any underspend from previous years and this project(s) funded through the Opening Schools Facility fund are not part of this plan and/or will not be written into the plan.*

Yes
No
We do not receive PE & Sport Premium funding

Payment and Reclamation of Funding

Funding will be paid to the School upon receipt of an invoice to Energise Me Westgate Chambers Staple Gardens Winchester SO23 8SR and email to: jake.hitchcock@energiseme.org

I understand the school is responsible for payment of suppliers and deliverers, ensuring procurement policies are followed and providers are adequately qualified and insured. (We may request evidence of this for audit purposes).*

Yes

I understand where payment is made to the School and a project has not been delivered, Energise Me retain the right to claim back funding.*

Yes

Monitoring and Evaluation

We, the school, will provide Energise Me with information relating to the impact of the funding, and how opportunities for young people and the community have improved.*

Yes

Acknowledgements

We, the school, agree to use the Energise Schools logo on marketing materials related to the investment and DfE, Sport England & Energise Me should be acknowledged in any public relations. I understand Energise Me are permitted to promote the investment and use the school in a case study were appropriate.*

Yes

Opening School Facilities Agreement