Application form

Please provide as much detail as possible under each heading listed below. For the purposes of this application, capital schemes are defined as projects that enhance or create an asset, while all other project types should be classified as revenue schemes.

Who is the employer?

* required

Maximum 200 characters

0/200

Address and postcode of site where funding will be used

* required

Maximum 5,000 characters

0/5,000

What do you want to use the funding for (can check more than one)

* required

Infrastructure

Promotion

Training

Other (please specify)

Eg. For funding for cycle parking and the means to promote it, would check both infrastructure and promotion.

Overall Outcome/Aspiration

* required

Maximum 5,000 characters

0/5,000

High level summary of what you are hoping the project will achieve. Eg. To create a friendly and inclusive cycling culture within our workplace.

Objectives

* required

Maximum 5,000 characters

0/5,000

Brief outline of the objectives of this proposal (i.e. how will your scheme encourage more employees to participate in sustainable travel activities for work and/or leisure purposes, general promotion, raising awareness) eg. To remove the perceived barriers of cycling, put in place facilities to enable cycling for our employee commute.

Proposal

* required

Maximum 5,000 characters

0/5,000

What do you propose to do to achieve the objectives. Outline what you want to implement and how it will contribute to achieving the objectives.

Cost

* required

Maximum 5,000 characters

0/5,000

How much will it cost (broken down into materials and staff time)? Provide an itemised list of materials and staff time.

Monitoring

* required

Maximum 5,000 characters

0/5,000

How will we know if the objectives have been met? Describe how these will be measured. For uptake of cycling, using annual survey results to demonstrate an increase in cycling levels. eg. increase uptake of cycle to work scheme vouchers, spot checks of the numbers of bikes in the cycle parking areas etc.

Programme/Project Plan

* required

Maximum 5,000 characters

0/5,000

Action Plan for this project with specific timescales and key milestones. Provide an estimated implementation date upon receipt of funding.

10.

Delivered by

* required

Maximum 5,000 characters

0/5,000

Each employer will be responsible for their individual projects, with reporting progress submitted annually, as part of travel planning process, including travel survey, to the Sustainable Travel Planning Team travel.planteam@essex.gov.uk. Please indicate who the order should be placed with, including the necessary names, positions, contacts and bank details. Must carry out an snapshot survey (aided by us) when implemented, in addition to annual staff travel survey for reporting and monitoring.