ࡱ> CF@AB 2bjbjqq 8Heel.^ //WWWkkk8\k{ #:###&B& ' { { { { { { {} {iW +&&" + + {//##u{"222 +d/#W# {2 + {22l T6r#0}kp+n<z{<{o0a4,^ax6r,br4aWr`'+(2()''' { {/@'''{ + + + +a''''''''' :  Rural Development Programme for England (RDPE) Expression of Interest Form Fens Adventurers Local Action Group This is an Expression of Interest (EoI) form for projects seeking less than 100,000 of Rural Development Programme for England (RDPE) grant. Please refer to the EoI guidance notes and make sure that you answer all of the questions when you complete this form. You will also need to refer to the RDPE prospectus  HYPERLINK "http://www.eeda.org.uk/rdpe" www.eeda.org.uk/rdpe for further information. The form collects information so that we can advise you on: the eligibility of your business/organisation and your proposed project. whether your project meets RDPE regional objectives. whether there are funds available to support your project whether to proceed to a full application and what you have to do to make a full application for RDPE grant support. Completed forms should be sent by email to the Fens Adventurers Programme Manager Mike Carter at mike.carter@cambsacre.org.uk. The Fens Adventurers will acknowledge receipt of your Expression of Interest within 5 working days and will aim to respond to your Expression of Interest within 10 working days if you have completed each section of this form. Please note that we cannot process incomplete EoI forms so please make sure you answer all sections, putting N/A where a section does not apply to you. Section 1 This information will help us to give an initial assessment on whether you and your business can apply for RDPE funding. 1 Project name 1.1 Please give the name of the person completing this form and your relationship with the business submitting this EOI. 1.2 Name and address of the business that is planning to undertake this project. Please indicate the location of the project if different to the postal address.Name Address Post code Telephone Email Location of the project 1.3 Which of the following best describes your business ? FORMCHECKBOX  Sole trader FORMCHECKBOX  Partnership FORMCHECKBOX  Limited Company FORMCHECKBOX  Limited Liability Partnership FORMCHECKBOX  Company Limited by Guarantee  FORMCHECKBOX  Registered Charity FORMCHECKBOX  Social Enterprise FORMCHECKBOX  Farmer controlled business (e.g. co-operative) FORMCHECKBOX  Local Authority FORMCHECKBOX  Formally constituted community group FORMCHECKBOX  Other (please specifyWhen was your business set up?  1.4 Briefly describe your current business and what it does. Which sector do you operate in? Please describe your business and describe what it does. Which sector do you operate in? FORMCHECKBOX  Food and farming FORMCHECKBOX  Forestry FORMCHECKBOX  Tourism/sport FORMCHECKBOX  Hi-tech creative industries FORMCHECKBOX  Manufacturing FORMCHECKBOX  Environmental / renewable energy FORMCHECKBOX  Commercial services FORMCHECKBOX  Community services FORMCHECKBOX  Other (please specify)  For farming or horticultural businesses please provide your sources of income here (please see guidance notes):  1.5 Please provide basic financial information about your business How many staff are currently involved in the business (including Directors and owners)? What is the total annual turnover (total income) of your business ? What was the business profit in the last three years? What is the total value of the business assets at todays values (the current balance sheet total)? Is this business linked with or owned by any other business or organisation? If so, what is the nature of the link and ownership?  1.6 Have you or your business received any support from a public sector body within the last3 years? Support can be funding, grants, loans or subsidised advice from a public sector body. If so, please give brief details including the amounts received. 1.7 Please answer yes or no to this question. In the last 5 years have you or your business had money withheld by the Rural Payments Agency or any other public body for breach of scheme rules or incorrect declarations? If you have answered Yes please provide further details.  Section 2 This information will help us to advise you on the eligibility of your proposed project and the availability of RDPE funds to support the project. 2.1 Project name 2.2 Explain what you plan to do.Briefly describe the project What do you intend to purchase and what are the costs? If the project requires planning approval, licences or landlords approval when do you expect to receive them? What are your expected start and finish dates for the project?  2.3 Briefly explain why you want to undertake this project and the benefits you think it will deliver to your business and potentially to other people in the locality. Please explain how you think the project fits with RDPE objectives?  2.4 Project costs and fundingPlease state how much of the funding for the project will come from the following sources Source of funding: Own cash Commercial loan Sale of assets Private loan Landlord contribution Other (please state) Amount of RDPE sought To what extent is this funding secure? For example, if you need to obtain a loan, have you secured this loan?  Why do you need RDPE funding to carry out your project? 2012/13 2013/14 total Total Project CostsThe amount of RDPE grant that you are requestingRDPE grant % you are requestingNote our more usual level of support is between 30-40% Where did you hear about the Rural Development Programme for England (RDPE)? 4. RDPE DATA PROTECTION CONSENT please read and consider this consent The personal information you provide will be used by the Department for the Environment, Food and Rural Affairs (DEFRA) to enable it to monitor and evaluate project and programme activities. DEFRAs statutory purposes are to further economic development and regeneration, to promote business efficiency, investment and competitiveness, to promote employment, to enhance development and application of skills relevant to employment and to contribute to sustainable development in England. The information you provide will be used by DEFRA for the purposes of administering benefits, grants and loans, information and databank administration, keeping accounts and records, statistical and performance reporting and evaluation, research, audit and detecting or preventing fraud. DEFRA may share your information with other organisations for these purposes including the Rural Payments Agency and the Department for Business Innovation and Skills and their auditors, and also member organisations of Local Action Groups (for projects funded under the European Agricultural Fund programme). DEFRA may also share your information with its business support partner organisations. Unless you tick the appropriate box below, you consent to DEFRA or its business support partner organisations contacting you by mail, telephone, fax or email from time to time to give you information that may be of interest to you. Please tick this box if you do not wish to receive such information from DEFRA  FORMCHECKBOX  Please tick this box if you would not like DEFRA to pass your details to its business support partners  FORMCHECKBOX  To enable DEFRA to monitor and evaluate funded activities, you may be approached by DEFRA, its partners or contractors to take part in surveys by mail or phone. Please tick this box if you do not wish to be contacted in respect of surveys and research  FORMCHECKBOX  [To make sure we follow your instructions correctly and to improve our service to you through training of our staff, we may monitor or record your communications with us.] I confirm that I have read and understood this form and that I agree to the processing of my personal data, including sensitive personal data* where given, for the purposes set out above. Signature: Name (printed): Date: *sensitive personal data is defined under the Data Protection Act as: (a) Racial or ethnic origin, (b) Political opinions or persuasion, (c) Religious Beliefs or other beliefs of a similar nature, (d) Trade Union membership or affiliation, (e) Physical or mental health or condition, (f) Sexual life, (g) Commissioned or alleged commission of offences, (h) Any proceedings for any offence, committed or alleged, including any sentencing decisions made by the Court. 5. Declaration and undertaking this must be signed. The declaration below must be signed by the applicant named at Section 1. If there is anything in this application form which you do not understand, please get in touch with the DEFRA RDPE Team before signing. I declare that: I have read and understood the guidance given in the Notes for Guidance; The details provided in this form and in the attached project proposal, are correct and I/we accept full responsibility for them; I agree to any disclosure or exchange of information about this Expression of interest (including the content of any declaration or undertaking) to or with other organisations or consultants which the DEFRA RDPE team considers appropriate for the administration, evaluation and monitoring of the RDPE programme; I have received no previous financial support for the investments proposed in this expression of interest. Signature Date Date Name in BLOCK CAPITALS WARNING If you knowingly or recklessly make a false statement to obtain aid for yourself or anyone else, you risk prosecution (which could result in imprisonment, a fine, or both) and the loss of all aid paid to you through this programme. This Expression of Interest should be sent by email to  HYPERLINK "mailto:rdpe@eeda.org.uk" mike.carter@cambsacre.org.uk  6. For completion by Fens Adventurers  Eligibility assessment Criteria Comments Pass/Fail Business/organisation eligibility (refer to guidance notes)  FORMTEXT        FORMDROPDOWN  Indicate which RDPE measure is most appropriate for funding this project.  FORMTEXT        FORMDROPDOWN  Eligibility of the proposed project in relation to the measure requirements (refer to guidance notes).  FORMTEXT        FORMDROPDOWN  Eligibility of the proposed items of expenditure (refer to guidance notes)  FORMTEXT        FORMDROPDOWN  State aid issues  FORMTEXT        FORMDROPDOWN  Funding issues Criteria Comments How well does the project fit with RDPE objectives and EEDA objectives and regional initiatives?  FORMTEXT       Are the proposed benefits of the project realistic and worthwhile?  FORMTEXT       Are there RDPE funds available to support this project?  FORMTEXT       Do the other funding sources appear to be realistic and likely to be available? Is the match funding eligible?  FORMTEXT       Is the requested grant amount and grant % rate appropriate and do they fit within the scope of the measure?  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 FORMTEXT       Recommendations and rationale  FORMTEXT       Comments to be passed to applicant. This should include eligibility issues, a statement of which funding measure applies if they make a full application, issues to address in a full application, whether the applicant should supply a full commercial business plan or something less (e.g. a partial budget), or a non-commercial business plan. See section 3.6 and appendices 1, 2 & 3 of the application guidance notes.  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