Age UK Quality Award | Befriending Networks

1Contact Information

2Service Information

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sf_account_id

Project Name*

Organisation Name*

Contact Name*

First Last

Address*

Street Address Address Line 2 Town/City County Postcode Country

Email*

Phone*

Senior manager/board member name*

First Last

Senior manager/board member contact details

Website

Detail your Befriending projects eligibility criteria*

List the number of project staff and their roles*

How many combined hours do your staff work?*

How many trained befrienders do you have?*

How many befriendees do they support?*

What type of befriending does your project provide?

1:1

Group

Telephone

Other

If other, please specify*

How long has your befriending project been running?*

Has it experienced a full work cycle of recruitment, training, matching & ending?*

Yes

Does your organisation have funding in place, or a funding application submitted to support your work for the next 12 months?*

Do you have the support of your organisation’s Board/Departmental Lead etc to undertake the Quality Award?*

Yes

Does your service have enough staff hours to dedicate to completing the Quality Award?*

Yes

CQS*

We confirm that we currently hold valid certification for the Age UK CQS

We give our permission for Age UK to confirm the outcome of our CQS assessment and period of its validity with Befriending Networks

We give our permission for Age UK to inform Befriending Networks of any change to our CQS certification status during the lifetime of our Quality in Befriending certification

We acknowledge that we are responsible for ensuring that we fully demonstrate any ‘partial passport’ and non passported areas during our Quality in Befriending assessment

We acknowledge that we are responsible for paying the Quality in Befriending assessment fee

We agree that Befriending Networks can share our Quality in Befriending assessment report and outcomes with Age UK

We agree that Age UK can share with Befriending Networks any further information which it holds about our organisation which Befriending Networks reasonably requires in order to decide whether or not to award Quality in Befriending certification to our project (this could include copies of assessment reports held by Age UK evidencing whether or not our organisation meets the Age UK Charity Quality Standard)

Please tick all to confirm the statements

Consent*

By completing and returning this form you are committing to registering for the Quality Award and being invoiced the non-refundable Assessment Fee.

This field is for validation purposes and should be left unchanged.

Quality Award Age UK Application Form

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