Workplace Health and Wellbeing Initiative 2023-24

Criteria Checklist - Please tick the following criteria checklist that applies to you:

My business is located in the Ards and North Down Borough Council area

I agree that the proposed initiative(s) could be easily sustained by the individual or employer on completion of an expression of interest form, if approved.

I agree to source a local provider from the Ards and North Down Borough Council area where possible, or a regional charitable provider.

I will provide full details of the proposed initiative(s) and include ALL costs in my proposal below.

I understand that the grant of financial support offers up to the value of £250 per business. I understand any costs greater than £250 for the initiative will be paid my me/my company.

I agree to submit receipts and an invoice in relation to my approved initiative to enable payment on completion of the initiative.

I agree to completing the State Aid/ Subsidy Control Declaration and Evaluation upon completion of my initiative to enable reimbursed payment to be processed.

Business Contact Details

Name of Business:

Business Address

City/Town

Postal Code

Business is VAT Registered

Yes

Point of Contact Name:

Telephone Number:

Email address:

Number of Employees:

Proposed Initiative

Small grants of financial support will be provided to businesses who propose to run a health and wellbeing initiative that meet the ‘Take 5 Approach to Wellbeing’. Please tick what aspect of the ‘Take 5 Approach’ does your initiative meet (Tick all that apply).

Connect

Connect with the people around you: family, friends, colleagues and neighbours at home, work, school or in your local community. Think of these relationships as the cornerstones of your life and spend time developing them. Building these connections will support and enrich you every day.

Keep Learning

Don’t be afraid to try something new, rediscover an old hobby or sign up for a course. Take on a different responsibility, fix a bike, learn to play an instrument or how to cook your favourite food. Set a challenge you will enjoy. Learning new things will make you more confident, as well as being fun to do.

Be Active

Go for a walk or run, cycle, play a game, garden or dance. Exercising makes you feel good. Most importantly, discover a physical activity that you enjoy; one that suits your level of mobility and fitness.

Take Notice

Stop, pause, or take a moment to look around you. What can you see, feel, smell or even taste? Look for beautiful, new, unusual or extraordinary things in your everyday life and think about how that makes you feel.

Give

Do something nice for a friend or stranger, thank someone, smile, volunteer your time or consider joining a community group. Look out as well as in. Seeing yourself and your happiness linked to the wider community can be incredibly rewarding and will create connections with the people around you.

Please give full details on your proposed initiative and explain how it is in fitting with the Take 5 Approach to Wellbeing:

Please outline who your health and wellbeing initiative will benefit.

How will this initiative impact your company?

How many employees will benefit from this initiative?

What is the proportion of staff who will benefit in relation to Full-Time, Part-Time or Shift-Workers?

Full-Time

Part-Time

Shift-Workers

What is the gender proportion of staff who will benefit from this initiative?

Male

Female

Other

Costs

Please provide a detailed breakdown of ALL costs involved in this initiative(s). Please state if the cost is inclusive of VAT.

Do you currently offer any health promotion activities to your employees?

Yes

If you selected 'yes' above, please explain what your company offers to employees

Using your Personal Information

Ards and North Down Borough Council’s Environmental Health Section and Economic Development section takes your right to personal privacy seriously. Personal information you supply will be used for the purpose of the delivery of Mind Body Business Small Grant Scheme and related Mind Body Business activities in 2023-24. This information is collected and processed with your consent only and will be used for the duration of Mind Body Business project or until you contact the Council to tell it that you are no longer interested in receiving information.

Please confirm, by ticking below, that you give consent for the Council to contact you. You retain the right to withdraw your consent and can do so at any time by contacting healthandwellbeing@ardsandnorthdown.gov.uk or maura.bettes@ardsandnorthdown.gov.uk. You have a right to see and review the information held on you. If you wish to request your personal information or have a data protection query, please put your request in writing, stating clearly who you are and your query to: Data Protection Officer, Ards and North Down Borough Council, City Hall, The Castle, Bangor, BT20 4BT, email: dataprotection@ardsandnorthdown.gov.uk, Telepone: 0300 013 3333 or visit the Council’s website at www.ardsandnorthdown.gov.uk
TICK HERE TO CONFIRM YOUR CONSENT