Section B Eligibility

6. I What is the legal status of your organisation? Please tick all relevant box(as)Registered charity (quote charity number) I 1064620Company Limited by Guarantee (quote company number) 2701526

Community Interest Company

I Unregistered community organisationOther (please specifiy and quote relevant number)

7. Does your intended programme benefit mainlyLewisham residents f85%+ of your recipients Yes J Nolive in Lewisham)

Section A

Main Grants Programme 2015 - 2018Funding Application

jj 22iAN 2015Contact Details

1. Name of your organisationIndo-China Refugee Group. Chinese Community School. Indo-Chinese Self-help Project2. Address and ward where your organisation is based and where activities are carried out.

Please list wards your activities cover. If all Lewisham, please put borough-wideAddress: Ward based: Evelyn33, Clyde Street, Deptford, LewishamLondon SE8 5LW.

Ward(s) served: Whole Borough

3. Name of KEY contact person(s)Mr Van Cuong Truong MBE

4. Daytime Tel: 020-8692-2772 Mobile Tel:

Website: www.indochinese.co.uk Email address: empIoymentindochinese.co.uk

5. Address where official correspondence should be sent if different from address above

I

8. Does your organisation currently receive maingrant funding from Lewisham Council.* Yes ‘ No

8a. If you answered yes, and any of your Documents’ been updated.governing documentslpolicies/procedureshave recently been updated, please state them

-

here.

* If you have answered no to question 8 above please ensure that you complete Section F below.

Section C Partner profile

Main grants recipients will be expected to work with the council as active partners; and applicationswill be assessed on what they can bring to such a partnership. Please refer to the guidance forfurther information on what areas you need to address in each of the following questions.

9. Local intelligence: your understanding of local need

Our S.H project will serve the Indo-Chinese community members in the Borough of Lewisham: Chinese &Vietnamese, as an ethnic minority with the refugee background, we’ve been providing services for ourcommunity members in the past three decades. We’ve a very strong connection with the members ofcommunity via the channels of our community services & Saturday school and organisational servicesbooklets & leaflets etc. have been distributed.

10. Transformation: Your ability to transform the way you work to better meet needs.

The S.H project have been working partnership with local social services Dept. Housing neighbourhoodoffices, Education authorities, Waldron Health Care Centre, Police and Welfare agencies in order toprovide multiple comprehensive services to the Indo-Chinese community members who can enjoy ourservices without fear and feel confident to live in a warm & harmony environment.

11. Collaboration: your track record of working in partnership

As mention in item 10. The S.H project have been successfully operating to develop several projects forthe needs & demand of lndo-chinese community such as Home care services, Day centre services,training & employment scheme, bi-lingual day nursery and Saturday school etc. Due to the good locationof the community centre and the comprehensive services provided. Lewisham has become one of twothe most concentrate places of Indo-Chinese community in London.

12. Resources: your track record of attracting resources both financial and human.

Saturday community school, whole day Saturdays 930am — 3.3Opm and Kung Fu & Dancing classesafter school time — cater for 205 pupils from the age 4% till 1 8yrs old. 14 staffs, involved generating anincome of £50k yearly.

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Elderly Home care services & Day centre services average 350 Home care hours and 30 Day centreservices day services per week to serve. 18 staffs involved it generates 280k yearly.

Bi-lingual Day nursery services which looks after 52 children from the age 6 months to 4% years old. 16staffs involved it generates 250k yearly.

Training & employment scheme. Co-operates with training agencies, it provides N.V.Q level 2 & 3 trainingcourses and Health care trainings for all our health care & day nursery workers.

12a. What is your reserve policy and current reserves status? Please explain how yourorganisation is financially viable.

Our reserve policy is to maintain the operation of service projects currently it allocates 500k for thebuilding maintaince fund. The rest of 1.4 million is for the future Elderly Shelter Housing Development.In the past 15 years we have got contracts of Health care services from S.E London councils and otherservices of community Saturday School. Day nursery have extracted a large number of parents topurchase the services.

13. Shared values: demonstrating your commitment to these (London Living Wage, equalities,and sustainability) and plans to improve on this.

As a charity non-profit making if having enough income from the councils, London living wage should beapplied to all our workers because our service is specialised language is most important to communicatewith our users whose mother tongue is non English. Therefore workers must be able to speak ourlanguage in order to deal with them & our organisation has developed an environmental protection rulesand procedures to request all staffs within the organisation members of management committee, servicesusers to fulfil their responsibilities.

14. Quality and Effectiveness; demonstrating your track record of quality delivery. Whatevidence do you have of delivering high quality, effective services? How do you measurequality?

• Every 5 weeks projects’ staff meeting.• Every 6 weeks supervision staff meeting.• Every 4 months home visit to the home care/day care users.• Staffs attend quarterly M.C meeting.• Users feedback & questionnaires.• Annual appraisals of staffs.• To organ ise / send staffs & workers to take part in appropriate training courses.

3

Section D Your proposed programme

We ask you to indicate a theme strand below that is the primary theme you areapplying to. You may choose to apply to additional themes and will need tocomplete Section D for each theme you apply to.

15. Please mark (with a 1) which main grant theme you are applying for as your primary theme.Please mark with 2, 3 etc each additional theme you wish to apply to. You will need tocomplete Section D separately for each theme you are applying to.

I Strong and cohesive communities

Ia Borough wide

lb Neighbourhood

2 Communities that care

2a IJ Connecting and supporting2b Transport

2c Advocacy

2d Provision for vulnerable adults

2e Support for families with disabled children and young carers

3 Access to advice

3a Generalist social welfare advice services

3b Client specific advice services

3c Specialist advice services

4 Widening access to arts and sports

4a Widening access to arts

4b Widening access to sports

16. Please outline (in detail) the programme of activity that you pràpose to deliver, ensuring itmeets the criteria of the theme(s) you have indicated above. Please refer to the guidanceto ensure you answer all the relevant requirements for each individual theme.

1. Welfare, Housing, Education, Health advices & form fillings. 400 members are served.

2. Mother tongue education & culture study. 205 pupils attended. Dance & Kung Eu classes afterChinese tuitions.

3. To operate the elderly services & luncheon club. A Day centre for disable & wheel chairs users.Cultural celebrations are organised as well. 260 members are served.

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4. Home care services. 30 frail elderly members are served for domiciliary & personal cares etc.

5. Youth activities. 200+ members attended.

6. To provide the employment services & training services (only for our own staff & workers) for thewhole borough of Lewisham. 450 families will benefit from it.

7. Outing & summer play scheme & cultural activities. 2350 people benefited.

8. Day nursery centre. 52 children from 6 months to 5 years old.

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19. User profile. The Council must adhere to the Equality Act 2010 in its provision of funding.Any organisation that is grant funded by the Council must strive to ensure their services areaccessible and available to everyone. The impact that the grants programme has will beassessed across all the protected characteristics in the Equality Act 2010. In order to enableus to make this assessment please tell us more about who your proposed programme willbenefit

PROTECTED CHARACTERISTIC PLEASE TICK q FURTHER DETAILAge

Disability

Gender 1Gender reassignment

Marriage & civil partnershipPregnancy & maternityRace Chinese & Home Care Day Centre. Nursery open to all.

VietnameseReligion & beliefSexual orientation

tiz. How many people do you expectI to benefit from your activities in Existing users 620 New users 20L 2015116?

18. Outline the key risks associated with the programme you are proposing and how you willminimise their impact.

lithe project has not been funded enough, we need to find other resources to cover the shortfall in orderto ensure the project running properly,

19a. If your proposed programme will be aimed exclusively at one specific community pleaseexplain the reasons for this.

As an Indo-Chinese refugee community back ground, the services are designed to serve our owncommunity members, due to the cultural diversity & language barrier. Only home care & day centre, daynursery services can be extended to other communities.

20. I Key milestones in delivery of programme in Year 1 from July 15 to March 16.1. To provide advices on Welfare, Housing, Health, Education etc & form filling.

2. To provide interpretation & translation services.

3. To co-ordinate & manage I monitor the operation of organisations’ projects: Home Care to providehome care services for direct payment users in SE London. Day centre, Luncheon club & culturalactivities.

4. To run a Saturday Chinese school with GCSE training courses, Summer play scheme, Youth club,Mini library & traditional dance group, worship place etc.

5. To support and develop the Day nursery centre.

6. To be in charge of the community development

6

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7

Section E Budget (1 July 2015 — 31 March 2016)

22. One year funding profile: Please provide details of the estimated income and expenditure for theorqanisation for I July 2015 —31 Match 2016. Please add additional lines as needed.

Total Income ()

22a. Income ForecastJuly 2015 — March 2016

Main Grant Programme

Amount requested under your primary theme for July 15 to March 16

Amount requested under your secondary theme if applicable

Amount requested under your third theme if applicable

Other Lewisham Council Grants (please specify):

Other funding (please specify):

Earned Income (e.g. sales, fees):

Membership

Private income (eg donors, sponsorship):

Donations

Our own reserves contribution

£35316

:

£432

£550

£3750

£40048

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2b. Expenditure ForecastJuly 2015— March 2016

EXPENDITURE FOR PRIMARY THEME

Staff costs (please specify)

Salary of the centre manager £26775

N.IC £3695

Activity costs (please specify)

Chinese new year celebration £525

Running costs (please specify)

Office contribution £5250

Auditor remuneration £278

For school running fund £2250

Other costs (please specify)

Advice quality standard £375

Insurance premimum £900

SUB TOTAL OF EXPENDITURE RELATED TO PRIMARY THEME

ADDITIONAL COSTS FOR ADDITIONAL THEMES please include abreakdown of expenditure for each additional theme you are applyingfor.

ANY OTHER EXPENDITURE please include here any expenditure thatis not specifically related to this application.

_______

Total Expenditure () £40048

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Total income £40048

£40048

Forecast22c. Funding profile summaryJuly 2015 — March 2016

Total expenditure

Surplus I deficit

23. If the summary above shows a surplus or deficit please explain why this is the case and whatyou intend to do about this.

Nil

£

£

£

Value

25. Banking arrangements. Successful grant recipients will have their grant paid directly into theorganisation’s bank account. Please give details of the bank or building society that grant should bepaid into.

Account number 10-516-376Branch sort code 20-80-57Account name Indo-china refugee group, self-help project.Bank name and full address Barclay Bank, Rotherhithe, Surrey Dock Branch.Organisation name and/or 1. Plough Way, London SEI6 2LSaddress (if different fromSection A)Email address forremittance (if different fromSection A)

N/A

Item

Rent

Repairs & Maintenance

Item

Other (specify)

Rate Relief

24. I What other non-financial support does your organisation receive?Value

0%£

Utilities £

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Section F About your organ isation

If you answered NO to question 8 (i.e. you are not currently main grant funded by Lewisham) pleasecomplete this section. If you answered YES to question 8 please ensure that you have previouslysubmitted up to date copies on the documents in question 36 and then proceed to section G.

28. How many people are involved in your organisation?

Committee members Other members

Paid staff Volunteers

29 I Please give details of the members of your management committee

;Illname Position Held Date elected Term of office

Chairperson

Secretary

Treasurer

30. When was your committee last elëáted?/ /

26. Please give a brief description of your organisation, including stating your organisation’s aimsand objectives and when the organisation was formed.

27. Is the organisation currently compliant with filing requirements? Please state when annualdetails were last filed with the Charity Commission/Companies House. If returns are outstandingølease state why.

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31. I Are any staff or committee members related to each other? If yes please detail.

32. Please outline what quality assurance system your organisation has in place, level attained (ifrelevant) and how long this is valid for?

33. Has your organisation been funded by Lewisham Council within the last 3 years? Please tickas appropriate.

Yes

____

No

____

If yes, please tick which fund(s) and specify date(s) received:

Local Assembly Funding

Small and Faith Fund

Sports Small Grant

Arts / Festival Fund

Public Health grants

Youth commissioning

Supporting People grant

Other (please specify)

34. Please describe the financial management controls within your organisation, including howmany people are required to sign cheques and I or make online transactions.

35. Please describe the opportunities and threats (risks) which face your organisation over thenext three years and what plans you have in place to deal with them.

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36 Your application must be accompanied by the following documents. Please note your. application_may_not_be considered if these_are_not_provided.

Enclosed with applicationItem(q)

Organisation’s constitution or governing document

Audited accounts for 2013/14

Equalities and Diversity policy and procedures

Health & safety policy

Volunteers’ policy (if applicable)

Child protection and vulnerable adults safeguarding policy (if applicable)

Evidence of CRB / DBS checks and disclosures — reference number anddate (if applicable)Public liability insurance (if applicable)

Section G Further information and declaration

37. In the space below write any points you want to bring to the attention of the Council.

As the council does not fund enough resources to the S.H.P each year we need to find resources to coverthe shortfall. The project does fund a PIT community welfare worker (l4hrs) it cost an extra £13000 peryear. Mean while the project has totally generated approximately 600k from the elderly Health Care,Saturday school & Day Centre services etc. from those services, the S.H project is not only to cater for theneeds of services users, also has provided employment opportunities for more than 40 staffs. It is really avalue for money project.

Declaration

This application must be signed by the Chair or by a member of the managementcommittee. Scanned copy of signature will be accepted.

The information given in this application is correct. The organisation was neitherestablished for profit nor is conducted for profit. We will inform the relevant officer atLewisham Council of any changes in the organisation’s circumstances that wouldaffect this application or the use of any grant funding relating to it. We agree to abideby the requirements of the Equalities Act.

Name in block capitals: Say Phu Sam

Signature:

______________________________

Date: i / t’Position Held in Organisation: Chair

Name of organisation: Lewisham Indo-Chinese Community & Chinese School

The information you have provided us with will be used in accordance with the DataProtection Act 7998 and other relevant legislation. We have a duty to make sure you know

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what we intend to do with your information and who it will be shared with or disclosed to.

The council may share the information you have provided us with amongst its owndepartments, this is to improve working practices and the delivery of sen’ices. We may alsouse it to contact you from time to time.

We may pass your information to other agencies or organisations as allowed or required bylaw, for example to enable them to carry out their statutory duties or where it is necessary toprevent harm to yourself or other individuals.

_____

Please tick here if you do not wish to be contacted by the Council.

Please check that you have answered all questions on this form as only fully completedapplications can be assessed.

Closing dates for applications: 4th February 2015. Forms returned after this deadline date maynot be assessed.

Please return the form to:

By email: main.grants(lewisham.gov.ukBy post: Grants and Information Team, Culture and Community Development Service, LewishamCouncil, 2nd Floor, Laurence House, Catford, SE6 4RU

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