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Application form

A standard application and negotiation control process exists within the HSE Governance Framework for Non-Statutory Agencies. This process is utilised in situations whereby the HSE decides to provide funding to a voluntary/non-statutory agency in relation to health and personal social services. Two relevant standard processes need to be worked through by HSE Managers depending on whether or not the funding to an organisation is above or below €50,000.

Documentation has been prepared to support these control processes including Flowcharts, Guides and accompanying Forms. These are available for download below.

Application form for renewal of funding re an existing Grant Aid Agreement  (version September 2023)
This is the standard HSE application form to be completed by nonstatutory organisations applying to the HSE for renewal of funding in relation to the delivery of health or personal social services.

Application form for new funding re Grant Aid Agreement and Service Arrangement (version September 2023)
This is the standard HSE Application Form to be completed by nonstatutory organisations applying to the HSE for the first time re funding in relation to the delivery of health or personal social services.

Supplementary Information Staffing Template
This is an Excel template used to capture detailed staffing information relevant to a proposed service.

Governance Self Evaluation Questionnaire
This questionnaire provides an overview of a broad range of governance issues relating to a proposed service and provides the organisation with a tool to assess the adequacy of it's governance structures and processes.