Region9
Translation/ProjectsFUNDAPPLICATIONFORM
TheOARegion9Translation/ProjectsFundexiststoprovidefinancialassistancetoservicebodieswithinRegion9inrealisingvariousprojectsthathelptheOAprogramgrowintheirarea(theseprojectscaninvolvethetranslation/printingofOAapprovedliterature,PublicInformation(PI),PublicOutreach(PO),etc).
ALLfieldsshouldbefilled.
Incaseyourapplicationisfortranslating/printing,pleasefillinthe
TRANSLATIONASSISTANCEAPPLICATIONFORM
Pleasefillinthisformifyouwishtobeconsideredforfinancialassistancefortranslation/printingcostsofOAConferenceApprovedLiterature.
Pleasenote;
A)PrioritywillbegivenfirstlytothoseServiceBodieswhocurrentlydonothaveanyliteraturetranslatedintheirlanguage,secondlytothosewhohaveasmallnumberofpamphletstranslated,andthirdlytothosewhowishtotranslateTheTwelveStepsandTwelveTraditionsofOvereatersAnonymous.
B)ServiceBodiesrequestingsuchfundswillneedtoincludeintheapplication,alistofmaterialthathavealreadybeentranslatedinthatlanguage.
C)Youwillneedtomakeasubstantialcontributiontothecostandgivedetailsintheapplication.
NameofCorrespondent/TreasurerIntergroup,National/Language/ServiceBoard
WSORegistrationNumber
Address
Emailaddress:
NameofServiceBodyBankAccount
IBANNUMBER
BIC/SWIFTNUMBER
Provideadetaileddescriptionofyourproject:
Region9canonlyassistfundingtranslationsofBoardApproved,orConferenceApprovedliterature,thathasreceivedLicense#1fromOvereatersAnonymousInc. Thislicensegrantsapprovaltotheserviceboardtocommencethetranslationprocess.
Haveyouappliedforthislicenseforthisproject? Haveyoureceivedityet?Ifyouhavealreadyreceivedthislicense,(pleaseattachacopyofittothisapplication).Ifnot,pleaseletusknow – WECANHELPYOU! Pleaseadvisethestatus:
PleaseestimatecostsinEurosORPoundsSterling
Breakdownofcosts: / Amount(€) / Amount(£)TotalCost:
Owncontribution:
TotalAmountrequested:
WhichitemoritemsofOAliteraturewillbetranslatedinthisapplication?
Intowhatlanguagewilltheliteraturebetranslated?
Howmanycopiesofeachitemdoyouplanonprinting?
Itemofliterature / Numberofcopies- HasyourservicebodyreceivedR9fundsinthepast5years?
No Yes
IfYes,inwhichyearsdidyoureceivefunding?
- AreyouapplyingfortranslationassistancefromWSOaswellthisyear?
No Yes
IfYes,whatamounthaveyourequested?euros.
Uponmakingthisapplication,we,therequestingservicebody,understandthatweareexpectedtoupdatetheRegion9Boardofprogressinthisproject,andtosendthemafinalreport.Wealsounderstandthat,ifforsomereasonwedonotusethefundswithin6(six)months,wewillreturnthefundstoRegion9.
Name:
Signature:______(Pleaseprintandsign)
Pleasesubmitthisform,notlaterthan1stFebruary or1stJulytotheRegion9Treasurer.
Email:
YouwillbecontactedinMarchorSeptember,ifyouaretoreceivefundingandpaymentwillbemadeintoyourservicebodiesOAbankaccountassoonafterthatdateascanbearrangedbutinanyeventbeforeendofAprilorOctober.
Incaseyourapplicationisforprojects,pleasefillinthe
PROJECTSASSISTANCEAPPLICATIONFORM
Pleasefillinthisformifyouwishtobeconsideredforfinancialassistanceforprojectcosts.
Pleasenote;
A)PrioritywillbegivenfirstlytothoseServiceBodieswhocurrentlydonothavesuchaprojectintheirowncountry.
B)ServiceBodiesrequestingsuchfundswillneedtoincludeintheapplication,alistofprojectsundertakeninthatcountrypreviously.
C)Youwillneedtomakeasubstantialcontributiontothecostandgivedetailsintheapplication.
ALLfieldsshouldbefilled.
NameofCorrespondent/TreasurerIntergroup,National/Language/ServiceBoard
WSORegistrationNumber
Address
Emailaddress:
NameofServiceBodyBankAccount
IBANNUMBER
BIC/SWIFTNUMBER
Provideadetaileddescriptionofyourproject:
PleaseestimatecostsinEurosORPoundsSterling
Breakdownofcosts: / Amount€ / Amount
£
TotalCost:
Owncontribution:
TotalAmountrequested:
Provideinformationaboutprevioussimilarprojectsundertakeninyourcountry:
- HasyourservicebodyreceivedR9fundsinthepast5years?
No Yes
IfYes,inwhichyearsdidyoureceivefunding?
- AreyouapplyingforprojectsassistancefromWSOaswellthisyear?
No Yes
IfYes,whatamounthaveyourequested?euros.
Uponmakingthisapplication,we,therequestingservicebody,understandthatweareexpectedtoupdatetheRegion9Boardofprogressinthisproject,andtosendthemafinalreport.Wealsounderstandthat,ifforsomereasonwedonotusethefundswithin6(six)months,wewillreturnthefundstoRegion9.
Name:
Signature:______(Pleaseprintandsign)
Pleasesubmitthisform,notlaterthan1stFebruary or1stJulytotheRegion9Treasurer.
Email:
YouwillbecontactedinMarchorSeptember,ifyouaretoreceivefundingandpaymentwillbemadeintoyourservicebodiesOAbankaccountassoonafterthatdateascanbearrangedbutinanyeventbeforeendofAprilorOctober.
R9 Projects Translations Assistance Fund Application Form 1Mar2017 locked.doc 1