London M&E application form

1. Section A: Application and contact details

IMPORTANT: Please do NOT navigate away from the form once you have started your application. Your details will not be saved unless you complete the form in full.

Please fill in the application form, please be as detailed as possible so we can assess your application and ensure those that need this support receive it.

SPACES ARE LIMITED. You are strongly encouraged to apply as soon as possible.

MBF will be in touch to confirm your place and offer you possible training dates.

For more information on the programme please contact George Morris, Monitoring and Evaluation Coordinator for London:

Email: george.morris@mandbf.org
Tel: 0203 286 0937
Mob: 07539 358 675

Many thanks and we look forward to welcoming you onto the programme.

Question Title

* 1. Please enter the name and address of the organisation submitting this application

Organisation: *

Address 1: *

Address 2: *

City/Town: *

Postal Code *

Email Address:

Phone Number: *

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* 2. Prospective Participant’s details

This should be the person in your organisation who will attend the programme in full. He/she should be engaged in M&E activities in your organisation. Each organisation is allowed one person only due to limited space.

Name: *

Position *

Email Address (if different from above):

Phone Number (if different from above):

Question Title

* 3. How long have you been involved with mentoring or befriending?

less than a year

1-2 years

2-4 years

4-5 years

5 years and over

Comments

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* 4. SECTION B

Which sector do you operate in (note: organisations operating in schools or other education institutions are not eligible)?

Crime and justice

Health and social care

Community cohesion

Work and employment

Other

Other (please specify)

Question Title

* 5. What type of mentoring and befriending service does your project provide your clients?

One-to-one

Group mentoring or befriending

E-mentoring / telebefriending

Other (please state):

Other (please specify)

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* 6. Please answer the following to best of your ability:

What are your project's aims?

What is your main source of funding?

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* 7. Please answer the following

How many years has the project been running?

What is the average cost of running your project per year?

How many service users does your project currently have?

How many volunteers does your project currently have?

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* 8. Do you have a member of staff who has specific responsibility for monitoring and evaluation?

Yes

Unsure

Comments

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* 9. Has your organisation ever been externally evaluated? If yes, could you tell us a bit more about it?

Yes

If yes, please tell us more about it...

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* 10. Are you already involved in any other monitoring and evaluation support or training at present?

Yes

If yes, please tell us more about it...

Question Title

* 11. What types of monitoring and evaluation activities are currently in use at your organisation? Please include types of data collection tools you are using and how you use collected data...

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* 12. Please indicate any barriers that you face when measuring and reporting on project outcomes?

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* 13. What are the skills and knowledge you aim to improve/gain by the end of the training programme?

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* 14. Participants must be free for a TWO DAY training course on either the...

10/11 September
17/18 September
24/25 September
or
1/2 October

Please select which TWO DAY course you are available to attend (NOTE: Dates are provisional):

	Available	Not Available
10/11 September	10/11 September Available	10/11 September Not Available
17/18 September	17/18 September Available	17/18 September Not Available
24/25 September	24/25 September Available	24/25 September Not Available
1/2 October	1/2 October Available	1/2 October Not Available

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* 15. Do you have any access/dietary requirements?

Yes

If yes please specify

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* 16. Participant’s Declaration:

If my application is successful, I can confirm that we will participate in the project for the full duration to August 2014. This will include:

- Initial training (2 days) and follow up training (1 day)
- Submitting my outcomes monitoring and evaluation plan for review
- Collecting and analysing data in accordance with said plan
- Developing a final outcomes report

Electronic signature *

Date

Question Title

* 17. Senior Management Signature

Position

Electronic signature

Date

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* 1. Please enter the name and address of the organisation submitting this application

Question Title

* 2. Prospective Participant’s details This should be the person in your organisation who will attend the programme in full. He/she should be engaged in M&E activities in your organisation. Each organisation is allowed one person only due to limited space.

Question Title

* 3. How long have you been involved with mentoring or befriending?

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* 4. SECTION BWhich sector do you operate in (note: organisations operating in schools or other education institutions are not eligible)?

Question Title

* 5. What type of mentoring and befriending service does your project provide your clients?

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* 6. Please answer the following to best of your ability:

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* 7. Please answer the following

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* 8. Do you have a member of staff who has specific responsibility for monitoring and evaluation?

Question Title

* 9. Has your organisation ever been externally evaluated? If yes, could you tell us a bit more about it?

Question Title

* 10. Are you already involved in any other monitoring and evaluation support or training at present?

Question Title

* 11. What types of monitoring and evaluation activities are currently in use at your organisation? Please include types of data collection tools you are using and how you use collected data...

Question Title

* 12. Please indicate any barriers that you face when measuring and reporting on project outcomes?

Question Title

* 13. What are the skills and knowledge you aim to improve/gain by the end of the training programme?

Question Title

* 14. Participants must be free for a TWO DAY training course on either the...10/11 September17/18 September24/25 Septemberor1/2 OctoberPlease select which TWO DAY course you are available to attend (NOTE: Dates are provisional):

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* 15. Do you have any access/dietary requirements?

Question Title

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* 17. Senior Management Signature

* 2. Prospective Participant’s details

This should be the person in your organisation who will attend the programme in full. He/she should be engaged in M&E activities in your organisation. Each organisation is allowed one person only due to limited space.

* 4. SECTION B

Which sector do you operate in (note: organisations operating in schools or other education institutions are not eligible)?

* 14. Participants must be free for a TWO DAY training course on either the...

10/11 September
17/18 September
24/25 September
or
1/2 October

Please select which TWO DAY course you are available to attend (NOTE: Dates are provisional):