Initial Application for Funding

Section A: Brief Summary of Project

Name or title of project: *

Please fill in the name of the specific project to be funded. If it is the same as the name of the Applicant, fill in the name of the Applicant

One paragraph description of the project’s goals: *

In a few short sentences, describe the specific practical goals of the project.

One-paragraph description of project activities: *

In a few short sentences, describe exactly what actions you will take to reach the project’s goals. Please be as specific as possible.

Section B: Basic Applicant Information

Applicant Information

Name of applicant(s): *

Please fill out the name of the group or individuals carrying out the Project described above.

Applicant address: *

Please provide a complete mailing address for the organization or individual(s) applying.

Telephone:

Fax:

Email:

Web site:

Year founded:

What year was the applicant organization founded (if applicable)?

Contact Person

Please provide contact information if it is different from that above.

Contact person's name:

Contact person's address:

Contact person's telephone:

Contact person's fax:

Contact person's email:

Sponsoring Organization

Parent/sponsoring organization (if any):

Is the Applicant part of a larger organization or sponsored by another organization?

Sponsoring organization's address:

Sponsoring organization's telephone:

Sponsoring organization's fax:

Sponsoring organization's email:

Sponsoring organization's web site:

Names of officers/officials (if any):

If the Applicant has a formal structure, please name all responsible officials from the Applicant organization.

Section C: Detailed Project Information

How does your project relate to Freedonia’s program goals?: *

Using Freedonia’s Mission Statement and current funding priorities (available on this website) as a guide, please tell us how your project helps to advance Freedonia’s mission.

Strategy(ies) and activity(ies) of project:

In detail, please describe what specific activities the Applicants will engage in to reach the Project goals.

Timeline of project:

Using the activities set out in "strategies" as a guide, please set out a realistic timeline for beginning and completing major project activities. Set out project milestones which will allow you to chart your progress.

Completion date:

Estimated date for project completion

Are there any similar projects already being carried out?:

Please tell us about other projects which you are aware of, if any, that address similar goals or attempt similar activities, and why your project is different or complementary.

Why is your organization/group best qualified and able to undertake this project?:

Please describe any specific resources, skills, or qualifications the Applicant possesses which make the Applicant the ideal party to carry out this project.

Geographical region/scope of project:

Where will the project activities described take place?

Who will benefit from the project?:

As specifically as possible, please identify the individuals, groups, geographical areas or other identifiable beneficiaries that the project will impact.

How will you involve the project’s beneficiaries and communicate with them?:

Project evaluation:

Please describe how you will determine the effectiveness and impact of the project? Will there be an evaluation process? Who will be involved? How will you measure success and identify lessons? How will you share these lessons with others?

Section D: Project Budget Requirements

Budget details:

Please provide a detailed budget for the project. This may be submitted as an attachment at the bottom of this form.

Total cost of the project:

Amount requested from Freedonia:

Other funding sources for the project (if any):

Will you raise funds from other sources, and if so, how? From whom?

Has the Applicant received funding from Freedonia in the past?: *

Yes

If yes, in what year(s)?:

For what project?:

Section E: Additional Applicant Information

Aim/mission of organization/group:

Please describe the general aims of the Applicant organization. If these are the same as the aims of the Project as described in section A (i.e. the Project is the same as the Applicant), please leave this section blank.

Other group activities:

Please describe other projects or activities in which the Applicant has been involved.

How does your structure and mandate support Freedonia’s mission statement?:

Using Freedonia’s mission statement and funding goals as a guide, please identify the ways the Applicant’s organization (as opposed to the specific project) furthers these goals in its everyday activities. If you have already answered this question in section C (i.e. the Project is the same as the Applicant), please leave this section blank.

Other relevant information that will help us assess your application::

Please feel free to include attachments, but please limit the number of attachments to those that are strictly necessary to assess your application. Where possible, please send URLs (internet links) instead of attachments.

Attachments

Attach any other documents such as budgets that may help us assess your application.

Attachment 1:

Attachment 2:

how to apply

Initial Application for Funding