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
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