Please estimate the approximate total value of Comic Relief funds received by this organisation xx,xxx,xxx
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1 International Project Grant Application Full Application Form Please refer to the guidance notes before completing this form. Please also resend your application budget using the format supplied for your Summary Application. This can be amended. Please ensure the income section of your budget states how much you are requesting to receive from this application. Please complete this form and this with your budget and the documents listed at the end of this form to before 12 noon on the xxth xxx Glossary of terms Please define any critical abbreviations and acronyms that you intend to use throughout this application (2100 characters entry limit) Part A About your organisation Name of the applicant organisation Part B About the local organisation(s) this application would support Please complete this section for each local organisation that this application would support Name of local organisation What year was this organisation founded? Please briefly describe how this organisation came to be formed and how this process has influenced its values and objectives (700 characters entry limit) Has this organisation been funded by Comic Relief in the past? Yes No Please state the year this funding began xxxx Please estimate the approximate total value of Comic Relief funds received by this organisation xx,xxx,xxx Please list the Comic Relief grants that have previously funded this organisation Part C About your application Please give a brief title for your application (70 characters entry limit) Provide a summary of your application. Please describe; what is the problem? What is the project going to do? What will the result be? (1400 characters entry limit)
2 How long will this application last for (in months)? XX When would you like it to begin? DD/MM/YYYY How much is the total budget for this project? How much are you applying for from us? XX,XXX,XXX X,XXX,XXX How many people in total do you estimate will directly benefit from this application? Which country(ies) will this application support work in? Part D About how your application was developed Briefly describe the key contextual issues, including the policy and operational environment (including, if relevant, HIV/AIDS prevalence rates), that are relevant to this application and the problem that this project is aiming to address. This should include past, present and anticipated issues (2800 characters entry limit) What consultation research, evaluation or baseline studies have you undertaken to develop this application? Who was involved? When was this done? What did you learn and how have you applied what you have learned in preparing this application? (3500 characters entry limit) Programme Specific Question (2100 characters entry limit) TRADE How have you assessed the economic sustainability or business case for the changes you are trying to bring about? Street & Working Explain how the specific groups of children to be reached have participated in developing your application. How did you consult with others such as employers and families of children HIV Describe how the views of people with HIV are represented in your organisation and how they have been consulted in the development of your application. If your proposal includes HIV prevention activities, what evidence do you have to support your planned activities and target groups? Women & Girls What is your understanding of the unequal relations between women and men, girls and boys, and how have you applied this knowledge to your application? What is your understanding and analysis of the rights of women and girls and how have you applied this knowledge to your application Slums Please, explain how the area(s) covered by the proposed project fit UN-Habitat's definition of an urban slum? CONFLICT What learning or evidence is the application drawing on in relation to the conflict context of the project? Please explain how you have applied this learning to address issues specific to the needs and rights of children and / or young people affected by conflict. How have you sought to identify more vulnerable/marginalised groups within your target groups and what do you understand of their needs? (1400 characters entry limit) Part E About the people your application will directly benefit
3 Please describe the target groups that your application intends to reach, using a separate section to describe each one Please give a brief name for this group Please describe this group (700 characters entry limit) Which one, if any, of the target groups listed within the programme you are applying under, does this group relate to? From Programme Lists (defined by selection of programme above?) Country(ies) where this group is located (350 characters entry limit or could this be by pick lists?) Please estimate the total number of people in this group who will directly benefit as a result of this application x,xxx,xxx Please estimate a breakdown this total Proportion that is Male Proportion that is Female Total Proportion that is Under 18 % % % Proportion that is Over 18 % % % Total % % %
4 Part F The change the application aims to make Please summarise the overall aims of this application (700 characters entry limit) Please define the outcomes that you expect to achieve as a result of this application, using a separate section to describe each one Please give a SMART definition for this outcome (700 characters entry limit) Which organisations supported by this application will deliver this outcome? Who else will be critical in effecting this outcome (350 characters entry limit) Please identify each target group that will benefit from this outcome (either multiple entries, or multiple pick list defined by previous entries solution here needs discussion) Country(ies) where you intend to effect this change (350 characters entry limit or could this be by pick lists?) Please select which, if any, of these programme outcomes, this outcome will support (multiple pick list defined by selection of programme above?) Please estimate the total number of people who will directly benefit as a result of this outcome X,XXX,XXX Please estimate a breakdown this total Proportion that is Male Proportion that is Female Total Proportion that is Under 18 % % % Proportion that is Over 18 % % % Total % % %
5 Please explain how you believe this application will bring about the expected changes, referring to the chains of actions, relationships and external factors which are needed for change to occur, and how these link together (2800 characters entry limit) Please describe the contribution you think your project will make towards the achievement of broader national and international policies in the country(ies) where you are working (2800 characters entry limit)
6 Part G The activities the application would support to bring about change Please describe the activities that will support the delivery of your outcomes For each organisation involved in the application please describe the activities they plan to undertake Name What activities will this organisation undertake? (2100 characters entry limit) What activities will be jointly undertaken by a number of organisations? (1400 characters entry limit) How do you plan to influence government and other key stakeholders to achieve your outcomes? (2100 characters entry limit) Programme Specific Question (1400 characters entry limit) HIV How will the views of people with HIV be taken into account during the implementation of the proposed activities? SLUMS Explain how people living in the slum(s) you are targeting will be driving the changes you are proposing? SWCYP Explain how you will address the protection of children in your work? Conflict How are your activities conflict sensitive? How will your project reach the most marginalised children and youth and ensure their protection and involvement during the work? Small and Diaspora led organisations only How do you plan to assess and build the capacity of your organisation? Are there any other important elements of good practice relevant to your work that you will adopt and that you would like to highlight in this application? (1400 characters entry limit) Part H About the different roles people will undertake Describe the roles and responsibilities your organisation will hold in this project. How might these roles and responsibilities change over time? (1400 characters entry limit) Describe the roles and responsibilities the local organisation(s) will hold in this project. How might these roles and responsibilities change over time? (1400 characters entry limit) If your application includes multiple organisations, please describe the added benefit of including multiple organisations in this plan. What steps will your organisation and other local organisations take to ensure you all work effectively with each other? (1400 characters entry limit) Part I About how you will evaluate and learn from the work you plan to undertake Describe the processes and approaches you will use to monitor and evaluate progress towards your planned outcomes and learn from your work. How will you collect, store and analyse the information you need? How will local people participate in this process? (2100 characters entry limit)
7 Programme specific (1400 characters entry limit) TRADE specific Explain how you plan to monitor social and financial change HIV Specific How you will measure changing levels of stigma and discrimination as well as changes in gender relations? Women & Girls specific Explain how you will measure changes in the rights of women and girls and changing gender relations. Slums specific Explain how you will measure improvements to the living conditions of people living in the slum(s) in question. Street and working specific Explain how you will go about measuring changes in individual children s lives and life skills. If relevant explain how you will go about demonstrating impact of work in reducing vulnerability of children who are at high risk of drawn to street living or doing harmful work. Conflict specific Where relevant, please explain how you will monitor and measure changes your project is making in government policies, legislation or practice on issues relating to children and young people both in relation to addressing the causes and the effects of conflict Please describe how you will share lessons learnt within your organisation, with the local organisations and communities with whom you work and other interested parties (1400 characters entry limit) How will you go about applying learning, both to inform your future plans, as well as to influence the policy and programmes of others? (1400 characters entry limit) Part J Financial Management check sheet On your organisation Does your organisation have a financial procedures manual? Yes No Does your organisation have an established policy describing a segregation of financial duties and setting out authorities to approve expenditure? Yes No Does your organisation track and maintain a register of risks? Yes No Does your organisation have an established conflict of interest policy? Yes No Does your organisation have an annual budget and reporting system? Yes No How frequently does your organisation generate management accounts for your Director/Chief Executive and board (350 characters entry limit) Do your management accounts include a cash flow forecast? Yes No Do your management accounts differentiate between restricted and unrestricted funds? Yes No What software package do you use to record financial information? (350 characters entry limit) Does your organisation s accounting system differentiate income and expenditure by donor?
8 On the local organisations that this application is intended to support Do you have a standard partnership agreement or Memorandum of Understanding that you will use with the local organisations that you intend to support? (If so, please attach either the actual agreement(s) or an example) Yes No How frequently do you intend to require financial reports from and disburse funds to the local organisations that this application will support? (350 characters entry limit) Please describe any financial assessment you have conducted of local organisations included in this application. Please mention any capacity building needs you intend to address in part G above (700 characters entry limit) Have you established for all local organisations included in this application How local organisations implementation plans and budgets will be agreed Yes No How local organisations implementation plans and budgets can be amended Yes No How all assets will be used post-project Yes No How segregation of duties and limits to authority will be maintained in local organisations Yes No How local organisations will maintain internal controls on spending Yes No The format in which local organisations will make financial reports to your organisation Yes No Please describe how your organisation will verify the financial reports made to you by local organisations. (700 characters entry limit) I am an authorised representative of the organisation making this application Yes No Name Job Title
9 If available please attach scanned documents to the with your application and budget, otherwise send hard copies of the following documents to Comic Relief, International Grants Department, 89 Albert Embankment, London, SE1 7TP Please confirm whether these documents have been sent Information about your organisation (Sent yes/no, As hard copy yes/no) Your organisation s equal opportunities or diversity policy Yes No Yes No If your application intends to work with children under the age of 18 then please send your organisation s child protection policy Yes No Yes No Your organisation s HIV in the workplace policy Yes No Yes No A copy of the standard partnership agreement or Memorandum of Understanding that you agree with the local organisations that you support Yes No Yes No For applications with a significant trading component, one copy of your Business Plan including clear analysis of cash flow and projected profit and loss Yes No Yes No One copy of relevant information such as external evaluation reports, this is essential information if your application is for continuation funding from Comic Relief. Yes No Yes No Information from your local organisation(s) One copy of the most recent annual report or similar information from each major local organisation you will work with. Yes No Yes No One copy of the most recent set of audited accounts for each major local organisation you will work with. Yes No Yes No One copy of a letter from each major local organisation you will work with, confirming they have read and agreed to the application and total budget. This requirement does not apply to local organisations that are small community groups. Yes No Yes No
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