COMMUNITY ORGANIZING INCUBATOR FUND APPLICATION FORM
GENERAL REQUIREMENTS
This template is to be used when applying for the Community Organising Incubator Fund. All information is required
The Project Proposal should be as brief as possible. The Proposal should be submitted in typed form. The ash font texts in this template are guidance and explanation. Additional attachments may be submitted, including documents certifying the status of the organisation, endorsements of the proposed project, funding commitments or other indicators of participation and support from other institutions, and evidence of support and participation.
SECTION 1: INFORMATION ABOUT THE LEAD APPLICANT
Please specify if you are an
Organization Individual / Social Movement
If you are an organisation
Name of the Organisation | |
Country and City | |
Website | |
Date of Creation | |
Name and title of Contact Person | |
Email Address and Phone Number of Contact Person |
Organisation’s Mission and Vision Statement
Organisational history (Not more than 100 words)
If you are an individual/Social Group/Activist
Provide your name
Gender: Male Female Other Country and city
If you are a social group, please provide the date of establishment Describe yourself and your motivation (Not more than 100 words)
Tell us about your area of work and recent achievements (Not more than 100 words)
Email Address and Phone number (Including website and social media pages for the group or individual, if any)
Indicate which organising class/cohort you participated in:
Provide the following information from your organising class/cohort:
Name of the training | |
Year | |
Location of the training |
Team member 1
Provide the following information about members of your Team:
Full name | |
Contact details (phone number and email address) | |
Country/State of residence | |
Gender (Male or Female) | |
Name, year and location of organising training attended |
Team member 2
Provide the following information about members of your Team:
Full name | |
Contact details (phone number and email address) | |
Country/State of residence | |
Gender (Male or Female) | |
Name, year and location of organising training attended |
Team member 3
Provide the following information about members of your Team:
Full name | |
Contact details (phone number and email address) | |
Country/State of residence | |
Gender (Male or Female) | |
Name, year and location of organising training attended |
SECTION 2: INFORMATION ABOUT THE PROJECT
Project Title
Project location (Country and city)
Project Priority Area
Project Finance
Financial sources | Local Currency | USD Currency |
Total fund request from the Community Organising Incubator Fund | ||
Total funds from other funding | ||
Total Project Cost |
Description of your project and justification (Not more than 500 words)
Description: Please provide a summary of the project, including context, rationale and objectives.
Justification: Please describe the challenges that the project intends to address and how the project will be contributing to promoting and advancing democratic values, principles, and norms in your country or at the regional level.
Project activities and output
Please describe the project framework and implementation plan by completing the table below, which can be replicated if there is more than one objective:
- Primary objective
- Project results or outputs (Please describe measurable changes which will have occurred by the end of the project as a result of the planned intervention)
- Project Activities
Primary objective One (1) |
Output 1:……….. |
Activity 1.1: …….. |
Activity 1.2: …….. |
Output 2: …… |
Activity 2.1: …….. |
Activity 2.2: ……. |
Activity 2.3: …… |
Gender, Diversity and Inclusiveness (Not more than 50 words)
Please describe how the project takes into consideration: the participation of both men and women (with a special focus on women), and other social inclusion groups.
Impact and Innovation – Sustainability, Scale-up and Replication (Not more than 100 words) Please describe the sustainability of the project impact in the medium/long term. Outline possible steps to be taken before, during, and at project completion to ensure that the project impact will continue after the project ends. Additionally, please describe innovative aspects of the project. This may include a new way of thinking, a new form of organising and mobilising people, including the use of technology, new approach and ways to connect with stakeholders, improvements of existing partnership, etc
Knowledge Management and opportunity for learning
Please describe the plan to capture, share and disseminate the knowledge, lessons learned, and good practices gained through the implementation of the project. Please specify the knowledge products to be generated by this project.
SECTION 3: BUDGET
Please provide project budget according to the template below
Budget line items for core project activities such as training, media engagement, advocacy and campaign related activities must not be less than 80% of the total budget while non-project activities such as stipends and logistics must not be more than 20% of the total budget.
Activity | QUANTITY | UNIT | UNIT RATE | TOTAL IN USD | ||
Total | ||||||
Please provide any supplementary documents about the project and the organisation/individual including certificate of registration, if any.
SECTION 4: SUBMISSION
Dear applicant,
Please submit your proposal in Word / PDF document to africaprogram@yiaga.org
You will receive an email confirming the submission of your application in the email provided. The status of the application will be communicated after the review process.
Thank you
Yiaga Africa