this application form contains - Multi Agency Grants Initiative

1. INFORMATION ABOUT MAGI
Purpose:
The Multi-Agency Grants Initiative (MAGI) is a developmental grant-making
initiative. MAGI’s primary role is to contribute towards strengthening the
active voice and agency of local communities in shaping their own
development, alongside other critical role players in government and civil
society. MAGI’s purpose is to provide small grants to community-based
organisations and to support the development of their capacity, so that the
voice and agency of marginalised communities is strengthened and
democracy is deepened.
Criteria:
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Groups applying for funding must be properly constituted;
It should be clear that the project meets a definite need. The benefit to
the community must be clearly defined;
The community must contribute to the project, through time, materials
and/or financially;
The role that women play in the project must be clearly shown, both in
terms of how they participate in leadership and decision making and in
how they benefit and are empowered;
MAGI will
support:
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Institutional costs
Capacity building and training
Direct programme and activity costs
Workshops, events, exchange visits, peer learning
Small infrastructure development and small items of equipment.
MAGI will
NOT support:
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Bursaries
Early childhood development / education institutions
Individual entrepreneurs and enterprises
Home-based care
Loans and seed funding
Funding
periods:
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Grants are usually made for a specific event of activity or else for a 6
month or 12 month period, depending on organisational assessment.
Apply to:
The deadline for submission of applications is Monday, 25 July
2016. No late applications will be accepted. Email to:
[email protected] or post to 25 Owl Street, 7th Floor, Milpark,
Johannesburg, 2109. Fax: 011 726 5576
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2. ADMINISTRATIVE INFORMATION
1. Date of submission of
application:
2. Organisation name:
3. Name and position of contact
person:
4. Province:
5. Phone number:
6. Fax number:
7. Email:
8. Physical address:
9. Postal address (if different to
the physical address):
10. In no more than five sentences,
what does your organisation
do? For example, what type of
organisation is it, what is your
core business, and who are the
people you serve?
11. NPO number (if there is one):
12. When was the organisation
established?
13. How did you hear about the
Multi-Agency Grants Initiative?
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3. REQUEST FOR FUNDING
CONTEXT AND PROBLEM STATEMENT
14. Describe the context in which
you work. For example,
urban/rural, demographics,
main form of employment,
biggest challenges faced by the
community, etc.
15. What is the specific issue this
project seeks to address? Please
describe the issue, how it affects
the community, what its main
causes are and why it is
important to address it.
16. Why are you applying for this
specific funding? What links this
project to the call for proposals
and MAGI’s focus?
PROJECT DESCRIPTION
Please use this section to give a short overview of the
project. You can give more information in the Activity Plan
(Appendix).
17. What is the overall goal of the
project? (What is the main thing
you want to achieve?)
18. In relation to this goal, what
specific results or changes do
you want to achieve? Please list
no more than three.
1.
2.
3.
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19. In no more than three
sentences, what will you do in
order to achieve these results?
20. a. How many people will benefit
from this project?
Women
Men
Other
b. How will they benefit?
21. How does your community
contribute to the project?
Please describe the role the
community plays (for example
through volunteering, materials
and/or financial support).
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4. ABOUT THE ORGANISATION
STAFF, MANAGEMENT AND GOVERNANCE
22. Please list your staff and
volunteers, and indicate for
each person their position, their
gender, whether they are a staff
member or a volunteer, and
whether they are part-time or
full-time.
Name
23. a. Please list your management
team.
Name
Position
Gender
Name
Position
Gender
Position
Gender
Staff/
volunteer
Parttime/
full-time
b. Briefly describe how the
management structure of the
organisation works.
24. a. Please list your board
members.
b. Briefly describe the role of the
board in your organisation.
25. What skills do the staff and
board bring to the organisation?
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Please mention any
training/mentorship that
individuals or the organisation
have had.
26. How often does the organisation
meet? Please mark the correct
box.
Never:
Daily:
Sometimes:
Weekly:
Monthly:
MEASURING PROGRESS AND IMPACT
27. How do you measure progress
and impact in your work?
NETWORKING, COLLABORATION AND COMMUNITY SUPPORT
28. How do you collaborate and
network with others (for
example, other civil society
organisations, government
departments)? Please give some
examples.
29. Please give the names of two
people respected in your
community who know about
your work and who can be
contacted to support your
application. They should not
work for or receive anything
from your organisation.
Organisation/group
How you collaborate
Name:
Name:
Position:
Position:
Telephone number:
Telephone number:
FINANCIAL INFORMATION
30. Contact details for your
Treasurer or Bookkeeper if you
have one:
Name:
Contact number:
31. Bank details of the organisation:
a. Name of the bank
b. Name in which the account is
registered
c. Branch name and code
d. Type of account
e. Account number
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32. Please describe the financial
systems and procedures you
have in place, if any:
33. Do you have any documents or
guidelines describing how
finances must be managed?
Please describe these.
34. Do you have audited financial
statements?
Yes:
No:
35. Do you have an annual plan and
budget?
Yes:
No:
36. Have you received money before? If yes, complete the table:
Received from (funder)
Amount
Purpose (for
what?)
For what period of
time?
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APPENDIX: ACTIVITY PLAN AND BUDGET
ACTIVITY PLAN
Instructions: Please complete the table using the overall goal and results you developed in questions 17 and 18. For each result, please list the activities you propose to
do to help you achieve that result.
Overall project goal:
Main result 1:
Activities
Target groups
Timeframe
Budget
What is it, when will it take
place, who will be involved,
how long will it be for etc.
Who will be targeted by each
activity?
When the activity will
happen
For each activity, indicate how
much you are budgeting for it
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Main result 2:
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Main result 3:
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BUDGET
Item
Amount budgeted (ZAR)
Programme costs (e.g. venue hire, catering, travel and accommodation, etc.)
Subtotal:
Salaries and stipends
Overhead costs (e.g. bank fees, utilities, rent, etc.)
Subtotal:
TOTAL:
What other resources do you currently have? Please describe.
Volunteers
Other money
Venue
Training
None
Other (explain)
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