CLE Application form Step 1 of 6 16% I have read and understood the Guidance Notes for applicants(Required) Yes Please refer to the Guidance Notes on the previous page.Applicant Organisation Details OrganisationAddressContact namePositionPhoneEmail Contact of exchange partnerEmail of exchange partner Details of Planned ActivityIs this a virtual or face to face exchange?Please selectFace to faceVirtualCovid-19 My organisation takes full responsibility for ensuring covid guidelines permit the visit and any associated travel to take placeAll visits must comply with Covid-19 guidelines. SCA will not take any responsibility. Date of Proposed Activity DD slash MM slash YYYY Who is your exchange partner/s and how did you find them?I can confirm that exchange partner/s is/are community based: (e.g. charity, social enterprise, community interest company etc) Yes Three learning outcomes that have been agreed for the exchange: Please keep a record of these as they will be required within the evaluation form.Benefits you hope this learning exchange will bring to organisations and communities.Number of people planning to attendNumber of organisations represented in the visiting party (if more than one). Please name below if known CostsWhat format do you plan to use? Webinar Video call Podcast Video Virtual tour Other Please detail how your virtual exchange will take place & the breakdown of your costs based on a maximum of £200 per day CostsTravelPlease detail which form(s) of travel you will use and provide an approximate breakdown of costsAccommodation & SubsistencePlease provide an approximate breakdown of costsHost feeIf you are visiting more than one host, please provide the total fee per host.Total Information about the Endorsing Network OrganisationEndorsing Network Organisation Name(Required)Please select from the drop down listInspiralbaSURFCEMVOCoastal Communities NetworkCommunity Energy ScotlandCommunity Health Exchange (CHEX)Community Land ScotlandCommunity Transport AssociationCircular Communities ScotlandCommunity Woodlands AssociationDevelopment Trusts Association ScotlandGetGrowing ScotlandNourish ScotlandPlanning DemocracyRural Housing ScotlandScottish BeaconScottish Communities Climate Action NetworkScottish Communities for Health & WellbeingScottish Community Tourism NetworkScottish Islands FederationScottish League of Credit UnionsScottish Men’s Sheds AssociationScottish Rural ActionSocial Enterprise ScotlandSocial Farms and GardensSocial Firms ScotlandTraditional Arts and Culture Scotland (TRACS)Creative LivesName of Contact(Required) First Last Endorsing Contact Email(Required) I consent to my application being shared with the name contact above.(Required) I consent Declaration I confirm that all the information provided in this application is to the best of my knowledge accurate and correct at the time of writing.SignedType your name On behalf of (organisation)Date MM slash DD slash YYYY
