Low Carbon Lake District Grants Expression of Interest FormDATA PROTECTION AND FREEDOM OF INFORMATION ACT STATEMENT“We need to store your data on our database in order to give you the full assistance under this scheme. All information given will be held for a period of 7 years and only used in line with the Data Protection Act 2018 and the General Data Protection Regulations 2016. As a requirement of our grant funding, we will need to share your information with our funding providers, the Ministry of Housing, Communities and Local Government, the European Court of Auditors, the European Commission Auditors and the National Audit Office (and if required to their auditors). It may be necessary to share your information within the Low Carbon Lake District project partnership which includes your Local Authority, in order to offer the full support service.Whilst we will use our best endeavours to ensure that commercially sensitive information remains confidential, you should be aware that some information relating to this public funded project may be declared to third parties under the Freedom of Information Act 2000.Agreement for us to hold and share your information.* I acknowledge and agree that the LDF need to hold and share information provided in this form. Please note that if you do not agree to us sharing your information, we will be unable to offer you full assistance under the scheme.PRIVATE AND CONFIDENTIAL1. BUSINESS / ORGANISATION INFORMATIONBusiness / Organisation Name*Address* Street Address Address Line 2 City ZIP / Postal Code Name* First Last Position in Organisation:*Phone*Email* Brief Description of Proposed Project(s):*Will the proposed project take place inside the Lake District National Park* Yes NoWill the proposed project take place on a Listed Building* Yes NoPlease select the District Council where the project will take place* Allerdale Barrow Carlisle Copeland Eden South Lakeland2. PRE-QUALIFICATION QUESTIONSIf the answer to any of the following is no you will not be able to continue to the Full Application stage.1. Does the project create carbon savings* Yes No2a. Will the project create savings within the Lake District National Park* Yes NoIf you are unsure, please get in touch to discuss2b. Please tell us how*3. Is the project spend eligible capital spend with ESIF Priority 4b, i.e. Promoting energy efficiency and renewable energy use?* Yes No4. Is the total project cost below £25,000*If eligible we can support up to 60% of the total project cost. For single projects over £25,000 significant procurement rules and restrictions will apply, please contact us via [email protected] to discuss. Yes No5. Will the project complete delivery within the programme timescales (by March 2023)?* Yes No6. Can you provide before and after utility bill data or other such evidence of energy or carbon saving?* Yes No7. Can you demonstrate one or more of the following: The project will not happen without this support, the project will go ahead sooner with this support, the project is larger with support, the project will happen within the Lake District rather than elsewhere with support* Yes No3. PROJECT SCORINGYour project will need to score more than 40 to proceed to the Full Application stageCarbon Savings* Savings above 2 tonnes per year per £5000 invested - 30 points Savings above 1 tonnes per year per £5000 invested - 15 points Savings below 1 tonnes per year per £5000 invested - 0 pointsLocation* All savings within Lake District National Park - 10 points Some savings within Lake District National Park - 5 pointsIs the project match funding confirmed?* All confirmed - 15 points More than 50% confirmed - 10 points Identified but not confirmed - 5 points Not identified or confirmed - 0 pointsCommencement anticipated* Less than 3 months - 10 points Less than 6 months - 5 points More than 6 months - 0 pointsCompletion anticipated* Less than 6 months - 10 points Less than 12 months - 5 points More than 12 months - 0 pointsPayback period* More than 4 years - 10 points Between 2 and 4 years - 5 points Less than 2 Years - 0 pointsPhoneThis field is for validation purposes and should be left unchanged.