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WORD version for training and information purposes.Your business plan template is available on the CSP portal.

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Community Services Programme

Business plan template

2018-2020

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Section 1: Organisation InformationPlease read the information below. You can change any of the details that are incorrect. Fill in any blanks.

Technical notesfor on-line form

1.1 URN(Unique Reference Number)

Prefilled and applicant cannot edit

1.2 Legal name of your organisation

Prefilled, applicant can edit.Facility to attach new governing documents

1.3 Business name of your organisation

Prefilled, applicant can edit.

1.4 What is the legal structure of your organisation?

Options : Cooperative, A Designated Activity Company (DAC), limited by shares; A Designated Activity Company (DAC) limited by guarantee; a company limited by guarantee; a private charitable trust; other

Dropdown list option; mandatory question.

1.5 Insert your organisation address

Address 1Address 2Address 3TownCountyEIRCODE

Prefilled, applicant can edit.

1.6 Organisation telephone number

(area code & number) Prefilled, applicant can edit.

1.7 Organisation website address

Prefilled, applicant can edit.

1.8 Organisation e-mail address

Prefilled, applicant can edit.

1.9 If you are a sub-group or affiliated group or outreach offiice of an organisation please provide the following information.Parent organisation name

Prefilled, applicant can edit.

Parent organisation address

Address 1Address 2Address 3TownCountyEIRCODE

Prefilled, applicant can edit.

1.10

Insert your organisation’s Companies

Prefilled, applicant can edit.

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If you have changed your legal status recently please attach your new governing documents as well as amending the details here.

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Section 1: Organisation InformationPlease read the information below. You can change any of the details that are incorrect. Fill in any blanks.

Technical notesfor on-line form

Registration Number (CRO)

1.11

Insert your organisation’s Tax Registration Number (TRN)

Prefilled, applicant can edit.

1.12

Insert your organisations Tax Clearance Access Number (TCAN)

Prefilled, applicant edit.

1.13

If you are registered with the Charities Regulator, please insert your Charities Registration Number (CRN)

New field, not mandatory question for applicants.

1.14

Insert your financial year end date

Click here to enter a date. Prefilled, applicant can edit.

1.15

Chairperson contact details

Full Name TitleFirst NameSurname

Prefilled, applicant can edit.

Telephone Prefilled, applicant can edit.

Email address Prefilled, applicant can edit.

Address Address 1Address 2Address 3TownCountyEIRCODE

Prefilled, applicant can edit.

1.16

Primary contact details for this business plan

Title:First Name:Surname:Telephone:Email address:Role within the organisation:

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Note: If you open this document as a Word document and click on any boxes which has “choose an item”, you will see the options that will be available to you on the on-line form.

2. Governance2.1 Provide details of your current board directors/members in the table below.

Name of board member Position on the board

Area of expertise

Representative of which group/organisation/sector

Free text Choose an item. Free text

Free textTable will accommodate up to 15 board members

2.2 How often does your board meet each year?

Choose an item.

2.3 Provide details of any sub-committee(s) of the board in the table below.

Sub-committee name Summarise the main purpose of each sub-committee

How often does the sub-committee meet?

Tell us the number of times each sub-committee reports to the board each year

Free text Free text Choose an item. Choose an item.

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2.4 How regularly does the board receive progress (operational) and financial reports from staff?

Type of information Who reports the information to the board

Frequency of the information to the board

Free text Free text Choose an item.

Other, please explainFree text

2.5 Provide details of any training undertaken by board directors/board members in the past two years. Include any training which has enhanced their skills to govern and manage the day to day running of your social enterprise.

Training

Accredited or not Accredited?

Insert the name of the accrediting body (if applicable)

Insert the date that training was completed

Insert the number of board directors and or board members who participated in the training

Free text

Choose an item. Free text Click here to enter a date.

Choose an item.

2.6 Provide details of any training that board directors or board members are planning to undertake within the next three years. Include any training which has enhanced their skills to govern and manage the day to day running of your social enterprise.

Training

Accredited or not accredited?

Insert the name of the accrediting body (if applicable

Insert the date that training will begin.

Insert the number of board directors and or board members who will participate in the training.

Free text

Choose an item. Free text Click here to enter a date.

Choose an item.

2.7 Has your organisation adopted the “code of governance for

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community and voluntary organisations”? For more information go to www.governancecode.ieChoose an item.2.8 If your organisation has not adopted the “governance code” is your organisation using other quality standards of governance? Yes/No. If yes, please provide details of the standards you are using. .Free text2.9 What plans has the board for the recruitment of new board directors/members and renewal of the board?

Free text2.10 Do you enable the users and beneficiaries of the social enterprise to participate in your planning and decision making? Please explain how.Free text

2.11 VolunteersIn addition to board members and directors, how many volunteers assist with the delivery of your services or facilities or activities?Enter number

What is the average number of volunteer hours per week?Insert number of hours

List the type of activities that volunteers are currently involved in.Free text

2.12 How does the board assess and monitor its own performance?Free text

2.13 Please attach your organisational chart. This chart outlines the reporting structures within your organisation.Free text box for any explanatory notes.

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Hint: Please refer to your Memorandum and Articles of Association to ensure compliance.

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3. Staffing arrangements

3.1 What arrangements are in place for the supervision of CSP supported staff?Free text

3.2. Explain the supports your board provides for CSP funded staff ?Free text

3.3 Attach the job descriptions for each of the positions currently supported by CSP.

Position supported by

CSP

Number of hours

contracted or worked per

week

Summary of the key duties

Attach Job Description

s

Attach JDAttach JDAttach JD

3.4 Has any of the positions supported by CSP, changed since you submitted your previous business plan?Choose an item.

3.5 If yes, tell us which roles have changed and the reason(s) for changing these roles.Free text

If yes, has the changed been agreed by Pobal?Choose an item.3.6 Explain the need for the number of staff currently supported by CSP within your social enterprise.Free text

3.7 Using the table below outline any training which you have planned for staff supported by CSP for the period 2018-2020.

CSP supported staff training planName of employee

Type of training

Total number of training hours

Proposed start date for training

What accreditation?(if applicable)

Free text Free text Hours Click here to Free text7

Some examples: The chairperson meets the manager on a weekly basis to discuss progress and issues. The manager meets each staff on weekly basis to discuss tasks and priorities and to deal with any concerns or issues.

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enter a date.

3.8 Provide details on the number of staff employed in your social enterprise that are funded from other sources of income. Do not include CSP staff who receive top-ups. Include for example: part-time staff funded by traded income only; from Community Employment (CE); from TUS; from Rural Social Scheme (RSS);

Position supported by other sources of funding

Number of hours contracted or hours worked per week

Summary of the key duties

Source of funding

Free text Hrs Free text Free text

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4 Financial controls, policies and procedures4.1 Select the policies and procedures your organisation has currently in place.Please note that these policies, procedure and records may be reviewed at any subsequent audit or verification visit or you may be asked to provide a copy(s) of the policies and board minutes to Pobal or the department at any time.

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Health and Safety Policy

Choose an item.

Greviance Policy Choose an item.

Payroll records

Choose an item.

Child and Child Protection Policy

Choose an item.

Employee Leave Policies

Choose an item.

Bank reconciliations

Choose an item.

Volunteer Policy Choose an item.

Staff Handbook Choose an item.

Cash and bank transactions records

Choose an item.

Equal Opportunities Policy

Choose an item.

Anti-bullying/Harassment Policy

Choose an item.

Service use records

Choose an item.

Data Protection Policy

Choose an item.

Expenses Policy Choose an item.

Facilities use records

Choose an item.

Reserves Policy Choose an item.

Risk Management Policy

Choose an item.

Petty cash records

Choose an item.

Customer Charter Choose an item.

Contracts of employment for each employee

Choose an item.

Conflict of interest policy

Choose an item.

Code of Ethics Choose an item.

Employee Personnell Files

Choose an item.

Gifts received policy

Choose an item.

Complaints Policy Choose an item.

IT/E-mail & Internet Policy

Choose an item.

Confidentiality Policy Choose an item.

Staff training policy

Choose an item.

Recruitment and selection policy

Choose an item.

Discipline and dismissal policy

Choose an item.

Whistleblower/Disclosure Policy

Choose an item.

Accounting procedures

Choose an item.

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4.2 Who has the authority to sign cheques and authorise payments within the organisation? Provide details on the levels of authority delegated by the board to staff and individual board members or directors.Free text

4.3 Which position within the organisation prepares the financial records and payroll? Please provide details on how the board supports and monitors this role(s)?

Free text

4.4 What other controls and checks has the board in place to ensure financial accountability, transparency and accruacy?Free text

4.5 Signed Annual Financial StatementsHave you already submitted a copy of your signed 2016 Annual Financial Statements to Pobal?Choose an item.

If No, please attach the signed copy or attach a copy of your draft 2016 Annual Financial Statements.Attach signed 2016 AFS or draft 2016 audited accounts

5 Past Acheivements and significant changes5.1 Summarise the key achievements of your social enterprise over the past three years. Include any significant issues which arose and how these issues were addressed.Free text

5.2 Are you planning to make any significant changes to your social enterprise in the period 2018-2020? For example changes in relation to staffing arrangements, types of services, facilities or activites.Choose an item.If Yes, please complete the table belowProposed change

Rationale for the change

As a result of this change detail any changes to the roles supported by CSP e.g. change in

Outline what difference each change will make to your social enterprise and

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job description; number of hours worked or additional FTEs required

end user or beneficiary? e.g. increase traded income; improve the quality of service (s); increase numbers using the service (s); increase accessibility to the facilities for end users;

Free text Free text Free text Free text

If yes, attach any new job descriptions if applicable.

Section 6: Service plan delivery

6.1 Describe the need that your social enterprise will address in 2018-2020 period?Free text

6.2 How did you identify the need? Detail evidence to support the needs described including any research reports, data sources and local feedback.Free text

6.3 Describe how your social enterprise through its activities/facilities/services provides a response to the needs identified.Free text

6.4 What evidence is there that the need identified is not already being met by the public, private and or community and voluntary sectors? Explain why it is not displacing any existing providers in this sector.For example: If you provide a gym in the area, describe how you are not displacing a local privately owned gym.

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Free text

6.5 Summarise the services, facilities or activities which will be provided during the next three years with the support of the Community Services Prorgamme. This statement must be succint. This summary is used for information and publicity statements.Free text6.6 List the objectives, related actions and expected outcomes for your social enterprise for the next three years. There should be no more than 5 objectives, less is acceptable.Under each objective list the key action(s) planned to achieve each objective. Identify the expected outcome for each action, for either the end user of the service or the sustainability of your social enterprise or both.Objective Actions Expected outcome1 Free text 1 Free text Free text

2 Free text Free text3 Free text Free text

2 Free text 1 Free text Free text2 Free text Free text3 Free text Free text

3 Free text 1 Free text Free text2 Free text Free text3 Free text Free text

4 Free text 1 Free text Free text2 Free text Free text3 Free text Free text

5 Free text 1 Free text Free text2 Free text Free text3 Free text Free text

6.7 Outputs. Please provide your intended outputs and results for the next three years. The outputs included in the table should correlate to the objectives and actions outlined at 6.6 Output Targe

tTarge

tTarge

tExplanatory notes

2018 2019 2020Footfall(Footfall= total number of individuals who use your centre or service per year)Number of community and voluntary groups availing of your centre each yearNumber of days open per weekNumber of hours open per weekFor strand 3 only 2018 2019 2020 Explanatory notesNumber of one to one Free text

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supports sessions provided to CSP supported staffNumber of hours per week of on the job training provided to CSP supported staff

Free text

Number of CSP supported staff progressing within the social enterprise or to new jobs

Free text

6.8 Are there any additional outputs that you have identified based on your objectives and planned actions for the next 3 years? Choose an item.

If yes, please complete the table below:Output Objective Targe

tTarge

tTarge

tExplanatory notes

2018 2019 2020Choose an item.

Choose an item.

Choose an item.

Choose an item.

Choose an item.

6.9 Risk ManagementReferring to Pobal’s guidance on risk management list any potential threats or risks and the likelihood of their occurrence (H-High, M=Medium, L=Low) and the mitigation factors that the board has in place to deal with these risks.

Risk Identificat

ion

Risk Assessment

Risk Management

Likelihood

H/M/L

ImpactH/

M/L

Details of what we are doing to address the risk

Free text Choose anitem.

Choose anitem.

Free text

Choose anitem.

Choose anitem.

Choose anitem.

Choose an

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Choose anitem.

Choose anitem.

Date to be reviewed

Click here to enter a date.

Person/Group responsible for review

Free text

Section 7: Finances and sustainability7.1 Download the cash-flow statement from the Pobal website. Complete offline. Attach here.7.2 Attach you price list or pricing policy.7.3 Attach your reserves policy.

7.4 How does your social enterprise intend to grow your traded income over the next three years? For example: By price increases or providing a different service or generating more customers. For each growth area tell us:(a) the level of growth anticipated(b) the basis for the level of growth(c ) what steps will you take to achieve the growthFree text

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7.5 Describe any factors that will have a positive or negative impact on your financial income over the next three years.Free text

7.6 Outline what other income sources (other than traded income) for your social enterprise over the next three years.

Income source

TotalAmount

Purpose of the funding

Type of funding

Grant end dates (if

applicable)Free text Currency Free text Choose an item. Click here to

enter a date.

8. Additional information.If you think that there is other relevant information that we have not asked for in the form, please provide the details here.Free text

9 Disclaimers

A. Disclosure under the Freedom of Information Act

Under the Freedom of Information Act 1997 to 2003 the information in the application form and its’ attachments is released on request to third parties. If you believe any of your information is sensitive you need to tell us and provide a reason(s) for the sensitivity. You are consulted about sensitive information before a decision to release is made.

Please outline the sensitive information and the reason(s) for the sensitivity in the text box below.

Text box (maximum 1,500 characters). Optional.

B. Data Protection

Pobal has a requirement to process, collect and use data (information) for a variety of purposes in relation to the administration of the Community Services Programme. Data

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protection is the safeguarding of the privacy rights of individuals in relation to the processing of personal data. The Data Protection Acts are designed to ensure that both manual and electronically held records of a personal or sensitive nature, retained by an organisation are:• Obtained and processed fairly.• That this is done within a secure environment.• They are retained for the purposes specified at the time.  In compliance with the provisions of the Acts, all application forms and personal information submitted to Pobal will be kept only for purposes relating to the administration of the Community Services Programme. Personal data should not be disclosed within this application form for any reason incompatible with the purpose for which funding is sought. Furthermore, any personal data submitted within this application form must have the individuals consent. By submitting this application form you are confirming consent has been obtained from any individual whose personal data is disclosed within the application form.

Further information relating to Pobal’s Data Protection Policy can be viewed here.

10. SUBMISSION OF BUSINESS PLAN

Please read carefully before submitting your business plan.The board of directors or management committee by submitting this business plan:

Confirms that the business plan and attached documents is submitted on their behalf;

Declares that the information provided in the business plan and attached documents are true and accurate;

Accepts that Pobal may contact funding organisations or departments to discuss this business plan and previous funding awarded, as part of the appraisal process;

Accepts that the Department of Social Protection and or Pobal shall not be liable to the applicant or any other party in respect of any loss, damage or costs of any nature arising directly or indirectly from:

a) The business plan or the subject matter of the business plan;b) The rejection for any reason of the business plan.

Accepts that the Department of Social Protection or Pobal, their servants 16

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or agents, shall not any time in any circumstances be held responsible or liable in relation to any matter whatsoever arising in connection with the development, planning, construction, operation, management and or administration of individual project.

Name

Position on the Board

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