Application Form - End Violence Against Children

The Fund to End Violence Against Children
Call for Proposals 2016 - Application Form
*All applications must be submitted online using the application portal*
1. Organization Information
Organization Information
Organization name
Organization address
Primary contact person name
Primary contact person telephone
Primary contact person email
Second contact person name
Second contact person telephone
Second contact person email
Type of organization




Government
Civil Society Organization
UN Agency
Other
(if a CSO) is CSO legally registered in the country
of operation?
What is your annual organizational budget?
(in USD)
Have you previously received funding from
(Y/N)
the 15/16 WePROTECT/UNICEF OCSE
programme?
Please describe the organization’s mission and/or vision statement
Please describe the organization’s main focus area of work as well as major projects implemented by the
organization over the past 5 years.
2. Project Focus
Project focus
Primary level of proposed project intervention
Country(ies) of Implementation
 National
 Transnational
3. Essential Criteria
Essential Criteria - Applications operating in one country only
Have you received commitment from the government of the
country in which your project will operate through a named
national champion or senior responsible owner?
 Yes
 No
Please provide details:
Has the country of operation signed the UNCRC Optional
Protocol on the sale of children, child prostitution and child
pornography?
 Yes
 No
Has the country of operation signed up to the WePROTECT
Statements of Action?
 Yes
 No
Has the country of operation completed or committed to
carrying out a national assessment in line with the
WePROTECT Model National Response?
 Yes
 No
Does your organization have a child safeguarding policy or in
the process of developing one?
 Yes
 No
Essential Criteria - Applications with transnational activity
Has your organization signed up to the WePROTECT
Statements of Action?
 Yes
 No
Does your organization have a demonstrable track record of
successfully delivering activity to prevent and tackle online
child sexual exploitation?
 Yes
 No
Does your proposed activity enhance regional or
international capacity to develop at least one of the
capabilities within the WePROTECT Model National
Response?
Will the activity co-ordinate with others working to develop
capacity in the same capability of the Model National
Response? (please make sure you articulate this in the following
sections)
Does your organization have a child safeguarding policy or in
the process of developing one?
 Yes
 No
 Yes
 No
 Yes
 No
4. Project Details
Project Details
Title
Duration (in years)
Project Start Date (DD/MM/YYYY)
Project End Date (DD/MM/YYYY)
Total amount requested from Fund (in USD)
Please list your implementing partners and/or
participating agencies.
5. Project Description
Project Description
When completing this section, applicants are strongly advised to take note of the review criteria outlined in
the Call for Proposals. These are: (1) Demonstration of contextual challenges and the need to intervene (2)
Level of co-ordination at the national or transnational level (3) Likelihood of Impact and Results (4) Alignment
with the WePROTECT Model National Response. Max word count: 500
Justification
Justify why your proposed project, referring to the evidence gaps, issues and needs identified through assessments or
research.
Results
Describe the results your proposed project is aiming to achieve
Strategy
Describe the strategies that will be employed to achieve the intended results, including a theory of change.
Sustainability
Describe how the project will ensure sustainability beyond the funding window.
Evidence
How do you know that the project is likely to work?
Risks
Outline both the macro and micro risks of the project and the strategies that will be adopted to mitigate them.
6. Documentation
Documentation to be submitted with all applications
Project budget
Results Framework




Yes
No
Yes
No
Child safeguarding policy or evidence that one is in place
 Yes
 No
Any other supporting documentation
 Yes
 No
If a CSO
Legal registration in country of operation
Financial audit report for the previous three fiscal years
Reference from a partner, preferably a previous or current
donor
 Yes
 No




Yes
No
Yes
No