Community Education and Development Trust
Community Education
and Development Trust
FUNDING APLICATION FORM
Sustainable Development is good chemistry
Community Education and Development Trust
A. ORGANISATIONAL DETAILS
1. CONTACT DETAILS
Name of organisation:
Physical
address
Postal address
Postal
code
Name of
contact
person
Postal code
Telephone
number
Fax number
Cell/mobile
number
Email address
Position in the
organisation
2. REGISTRATION DETAILS
2.1 Is the organisation registered as a (tick the one applicable to your organisation)
Non-profit organisation (NPO) in terms of the NPO Act
Non-profit company (NPC) in terms of the Companies Act
Trust in terms of the Trust Property Act
Educational institution
Other (Please specify)
Please attach registration certificate to the form.
2.2 Is your organisation also registered as a
Public benefit organisation (PBO) in terms of the Income Tax Act?
Yes
No
Yes
No
If yes, please provide registration number
Section 18A organisation in terms of the Income Tax Act?
If yes, please provide registration number
Please attach registration certificate to the form.
Community Education and Development Trust
3. B-BBEE STATUS:
Does the organization have B-BBEE Status?
No
Yes
If yes, please provide the B-BBEE Certificate
4. THE BOARD/GOVERNING BODY
Please complete the details of the board/governing body of your organisation. Tick the appropriate box for
gender and race per member.
Full name
ID number
F = Female M = Male
FN= Foreign Nationals
Gender
F
M
AF = African C = Coloured AS = Asian
AF
C
Race
AS
W
FN
W = White
5. AUDITORS
Name of auditing firm
Telephone
number
Email address
Name of contact person
6. STAFF
Please complete the table below with details of the organisation’s staff complement:
Total
number
of staff
Please indicate breakdown of staff
Please indicate breakdown of staff
members per job category
members per gender and race
CEO/
Manage Admini Field
Gender
Race
stration workers/
Director/ ment
officers/
Principal
trainers
F
M
AF
C
AS W
FN
Permanent
Part time
Volunteers
TOTAL
F = Female
M = Male
FN= Foreign Nationals
AF = African C = Coloured AS = Asian
W = White
Community Education and Development Trust
7. THE DIRECT BENEFICIARIES OF THE ORGANISATION
Please provide details of people who benefitted directly from the services of your organisation in the last
financial year.
Total number of beneficiaries
Please provide breakdown of the number of people:
Children
(Vulnerable)
Children
(Orphans)
Youth
(18-35
years)
Adults
(36-59
years)
Race
African
Coloured
White
Asian
Number of
beneficiaries
Gender
Male
Female
Age
Elderly
(60 years
and Older)
Number of
beneficiaries
Number of
beneficiaries
Beneficiaries with Disabilities
Number of
beneficiaries
8. DISCLOSURE
Has the organisation ever faced charges of fraud or corruption?
Y
If yes- please provide details:
Has the organisation ever received funding from or had any dealings with AECI or any of its operating
companies? (see list of companies below). If yes, please provide details.
N
Community Education and Development Trust
9. FINANCIAL INFORMATION
9.1
Financial statements
What is the organisation’s financial year (e.g. 01 January to 31 December)?
Does the organisation have audited financial statements for the past two financial
years?
Yes
No
Year 1
(ZAR)
Year 2
(ZAR)
If yes, please attach to the application form.
If no, please complete the table below.
ITEM
Income:
Expenditure:
Surplus / Deficit:
Current assets:
Current Liabilities:
Cash:
9.2 Income/funding sources
Please provide details in the table below of the organisation’s three primary funding sources (i.e. donors or income
generation activities) for the current year and last two financial years. Insert years in the spaces provided.
Year
2013
Name of donor / income generation
activity
1.
2.
3.
1.
2014
2.
3.
1.
2015
2.
3.
Name of project/ programmes
/operations funded
Amount (ZAR)
Community Education and Development Trust
9.3
Other financial matters
Does the organisation have a tax clearance certificate for the last financial year?
Yes
No
Yes
No
If yes, please attach to the application. If no, provide reason
Does the organisation have any reserves (funding) or other sustainability measures in place?
If yes, please provide details of how much and how this has been accumulated
10. ORGANISATIONAL PROFILE
Please attach a narrative description of the organisation including information on the following (maximum 2
pages):

History and background

Aims and objectives of the organisation

Programmes and how these are monitored and evaluated

Current achievements and challenges

Partnerships and plans for growth

References (provide 3 referees with contact details i.e. name of organisation, contact person, telephone
number and email address)
Community Education and Development Trust
B. PROJECT FOR WHICH FUNDING IS REQUIRED
1. PROJECT DETAILS
Name of project
Programme area
Education
Skills
Development
Water for
tomorrow
(environment)
Overall project
aim
Specific project
objectives
This project/programme aims to achieve the following objectives:
Intended primary
beneficiaries
e.g. 50 learners to be trained as welders
Geographical
coverage and
project site
Where will the beneficiaries located and where will the intervention/project be situated
Duration of the
project
How long will the project take – from preparation to closing
Impact the
project will have
on the
beneficiaries
Secondary
beneficiaries
Any other people who are likely to benefit from the project
What impact will this project have at the community level
Total project
budget
Page 11 of 12
Community Education and Development Trust
2. PROJECT DESIGN
Please indicate how you intend to implement the project from beginning to end using this guideline below:
Step
Planning
- Who is the project targeting
directly?
- How will the project
participants be selected?
- How will you ensure that they
meet the programme criteria?
Narrative
Implementation
- What are the key
interventions/services that
must be rendered in this
project to realise the planned
outcome?
- How many and how often will
we render these interventions?
- What materials and tools do
we need to have in place in
order to deliver?
- Who is going to be involved in
the delivery of these
interventions/services?
- How much time do we need or
have to implement the project?
- Where are we going to
implement the project?
- How will we monitor and
evaluate the project?
Closure/after care
- What will happen to the
participants after training?
- How the participants be
tracked?
Page 11 of 12
Community Education and Development Trust
3.
PROJECT TARGETS
Please outline performance indicators that you will use to measure the success of the project. Refer to the
overall indicators of the programme to ensure that the project support these indicators. In addition, set
targets against these indicators and indicate the sources of evidence that you will use to prove
achievement of these targets.
Performance
indicator
Baseline (previous
achievement)
Project targets
Year 1
Year 2
Year 3
e.g. Number of
learners who will be
trained in welding
In the previous project we
were able to train 20
learners within 6 months.
We have the capacity to
train 50 learners per trade
in one year
50
50
50
Source of
evidence
Registration and
attendance forms
Page 11 of 12
Community Education and Development Trust
4. BENEFICIARY TARGET
4.1 Total number of direct beneficiaries targeted:
4.2 Please provide details and breakdown of direct beneficiaries who will benefit from the project for which you
are requesting funding. Please refer to the target group specification of the programme in which this
project falls:
Children
Age
Youth (18-35
years)
Adults (36-59
years)
Elderly (60
years and
Older)
Number:
Race
African
Coloured
Male
Female
Asian
White
Number
Gender
Number
Persons with
Disabilities
Number
5. PROJECT BUDGET
Please provide an itemised budget for the project.
- Please indicate how much is being requested from AECI and how much will be contributed by your
organisation (partner 1) or other partners if and where applicable.
- Also give a breakdown per budget item
ITEM
TOTAL
BUDGET
AECI
CONTRIBUTIONS
Partner 1
Partner 2
Administration
Programme/Project activities
Stipends**
Capital expenditure
Other
TOTAL
** Stipends will only be for Skills Development programmes which involve the placement of
learners)
Page 11 of 12
Community Education and Development Trust
6. PROJECT PLAN
-
-
Please develop a plan for the project breaking it down into quarterly targets and based on the duration of the
project. For each quarter, please indicate the outputs (what you expect to have in place after implementation of
activities), allocated budget for the quarter (this must be linked to activities to be performed) as w ell as the
performance target that you would have achieved through these activities.
Please bear in mind that this plan will form part of your agreement with AECI should the application be approved.
Funds will be disbursed in tranches and in line with the agreed project plan.
Activities
Outputs
Allocated
budget
Performance
target
Source of
evidence
- Recruitment process
R50 000
- 5o learners are
- Registration forms
- Enrolment report
- Agreements/letters
Quarter 1
e.g. - advertisement of the artisan
programme to potential learners
- Receipt and screening of
applications
- Interviewing and assessment of
applicants against set criteria
- Enrol successful applicants on the
SETA database
- consultation/negotiations with
companies in the area for placement
of learners after training
completed
- Registration process
completed
- Placement
agreements with
companies in place
- Enrollment of
learners with the
SETA
selected in line
with the
beneficiary
targets i.t.o age
and equity status
- 50 learners to be
enrolled and
registered for the
artisan
programme
- At least 20
companies are
consulted for
placement of
learners
of commitment
from companies
Quarter 2
Quarter 3
Quarter 4
Page 11 of 12
Community Education and Development Trust
AECI COMPANIES
Please stipulate if the organisation or its staff has any links to AECI or its operating companies (see below)
COMPANY NAME
INDICATE WITH CROSS
1
Acacia Real Estate
2
AEL
3
Chemfit
4
Chemical Initiatives
5
Chem Systems
6
Crest Chemicals (JV)
7
ImproChem
8
Industrial Oleochemical Products
9
Lake Foods
10
Experse
11
Nulandis
12
Senmin
13
Speciality Minerals SA
CHECKLIST
CHECKLIST
Please ensure that the following documents are submitted with the application form. Tick the relevant
forms that are attached.
1. Organisation/company registration certificate
2. PBO registration (if applicable)
3. Section 18A certificate (if applicable)
4. B-BBEE certificate (if applicable)
5. Tax clearance certificate
6. Financial statements for the last 2 financial years
7. Organisation profile
8. Accreditation certificate, if offering training programmes (Skills Development)