Closing date for applications: 15.10.2016 / To be completed by the Foundation EVZ:

Foundation “Remembrance, Responsibility and Future”
Ms Leonore Martin
Lindenstrasse 20–25
10969 Berlin
Germany / Eingang:......
Aktenzeichen:......

Application for the funding programme

call for applications: FORGOTTEN victims of National Socialism

(Working) name of the project

1. Information on the applicant

Name of the organisation
Street
Post code and town/city

Telephone

/
Fax
Email / Website
Contact person for the proposed project: (name, function, telephone, email)
Official representatives according to the statutes: (name, function, telephone, email)

2. Details of the organisation

Tasks, objectives and main activities of the organisation (max. ten lines)
Financing
What main target groups do you reach?
What experience do you have so far in history or historical-political education work?

3. Information on the project partner

Cooperation partner (name of organisation, contact person, address, tel., fax, email)
Tasks and objectives of the project partner (max. ten lines)
Financing
Experience to date in history or historical-political education work
What role has the cooperation partner played in developing the project idea?
What tasks is the cooperation partner to perform in the project?

4. Project outline

Proposed term (from ... to... – the projects cannot start before 01.04.2017!)
Brief description of the project

Please describe your project taking the following questions into account:

a)  To what victim group of National Socialist injustice does your project relate?

b)  What questions are you addressing in your project and how are you going to examine the theme from different perspectives?

c)  What objective are you targeting with the project?

d)  What target group does your project address?

e)  What are the main activities and forms of work?

f)  What milestones can you specify?

g)  What justification is there for establishing your project? Why is this project necessary?

h)  What project results or products are you targeting? How will these be used further?

i)  How will you reach the public, and what do you want to achieve with the public?

j)  How can you measure the success of your project?

k)  Where do you see the main challenges and risks for your project?

Please draft your outline here and answer questions a) to k) - about 2–6 pages:

5. Proposed costs and financing of the project

(You can add further lines to the document if you wish)

Description / Total costs
(Total of your own financing, third-party funds and funds applied for from the Foundation, EVZ) / Own financing / Third-party funds / Applied for from the Foundation EVZ
Personnel costs
Current non-personnel costs
One-off non-personnel costs
Total

Please provide as much detail as possible in the costs and financing plan.

·  You must state the relevant basis for calculation. (e.g. per person, per day.)

·  Enter the costs (including third-party funds and financing provided by your own organisation) for each item in your application.

·  In the case of third-party funds, state whether they have been applied for or already firmly pledged.

·  Administrative costs are current non-personnel costs and can be applied for as a lump sum. We understand these to cover costs of project administration such as office materials, telephone, postage, internet, and expenditures for bookkeeping, furnishing evidence of use of funds and maintaining contact with the Foundation.

·  Please note that input contributions, such as free use of rooms, equipment, or the working time made available to the project do not belong in the costs plan. Please enter these items under the following point.

Brief explanations of the calculation and description of any input contributions (volunteer work or provision of rooms / technical equipment)

Place and date Signature of the official representative(s) (according to the statutes)

Please note that this form must be signed by the official representative(s) of your organisation. This is not necessarily the project manager!

Please submit the following with this project application:

  Your statutes

  Your current extract from the Register of Associations and the notice of exemption from the tax office

  If appropriate a power of attorney if the signatory is not the official representative

  If appropriate image materials showing your organisation or its partners

  If appropriate copies of grant approvals from the providers of third-party funds

Foundation EVZ: Application form “Forgotten victims“ 2015/16 Page 4