Environmental Support Grant Application

PACT was formally established in January 1996 with the passing of the Protected Areas Conservation Trust Act, No. 15 of 1995, creating the institution as a Statutory Board. The functions of PACT are to encourage and promote, for the benefit and enjoyment of the present and future generations of the people of Belize, the provision, protection, conservation and enhancement of the natural and cultural resources of Belize. The PACT is managed by a Board of Directors that is comprised of Government agencies, non-government organizations and individual experts.

Grants Programme

Environmental Support Grant Application

Environmental Support Grants provide financial assistance to eligible organizations, associations, groups and schools, to develop and implement projects, activities or initiatives that promote conservation and preservation of Belize’s natural and cultural resources. Maximum funding is $10,000.

Note:

1. Please read the PACT Environmental Support Grants Eligibility guidelines before completing this application.

2. Please attach any additional information and supporting statements.

3. Please type or print legibly, illegible applications will be returned.

4. Please be as clear and transparent as possible, justifying your objectives

5. Please make sure that your project reflects a strong conservation focus.

6. The signature required at the end of the application should be that of the Executive Director of the organization or equivalent.

7. Applications must be completed in full.

1. Applicant Contact Details

Name of Organization: ______

Address of Organization: ______

Project Contact Person: ______Alternate Project Contact Person: ______

Telephone______Email______Telephone______Email______

2. Description of Project, Activity or Event

Please describe the proposed project, justify the need for it, and how it will be achieved (No more than 75 words):

______

How will the project benefit and involve the residents in your organization’s area? (No more than 75 words)

______

What are the anticipated commencement and completion dates of the project?

Estimated Start date: ______Estimated End date: ______

Will the project be carried out in partnership with other relevant organizations?

Yes No

If YES, who is involved and what will their role/contribution be?

Name of Organization / Contact Person / Role/Contribution

3. Publicity and Promotion

How will you promote your activity, event or project?

______

How will PACT’s contribution to this project be acknowledged? (e.g. use of PACT logo, invited to launch)

______

4. Documentation and Evaluation (if applicable)

What are the expected outcomes/results of your project, activity or event and how do you plan to evaluate them?

______

If applicable, please describe how the work will be sustained after the completion of the Project (No more than 75 words).

______

5. Financial Aspects of Proposed Project

What is the total cost of the proposed project? $______

What is the amount sought from PACT $______

What is your contribution? (Cash or in-kind contribution) $______

Other co-financing secured (Cash or in-kind contribution) $______

Could your project proceed if only partial funding was received from PACT?

Yes No

Please explain (no more than 75 words): ______

6. Previous Grants received from PACT

Please list any grants received from PACT within the last 3 years.

Amount / Date Received / Program, Project, Activity
1.
2.
3.

7. Brief Description of Organization applying for grant

What are the Aims and Objectives of your Organization or Group? How is your organization established and governed? (Please attach certificate of registration, articles and memorandum of association if your organization is a first time applicant. If the above are not applicable to your organization, please submit the document (s) which outlines the structure by which your organization is governed.)

______

Address Documents to: For information please phone, fax, or

Tel: +501 822 3637

Executive Director Fax: +501 822 3759

Protected Areas Conservation Trust (PACT) Email:

P.O. Box 443

#3 Mango Street, City of Belmopan

Belize, Central America

DECLARATION OF APPLICANT

I hereby confirm that the information contained in this application form is true and correct to the best of my knowledge.

______

Date of submission Authorized signature on behalf of the organization applying for grant/Contact Person

______

Executive Director of Organization

Budget Template

Activity / Total
($) / PACT
Contribution / Counterpart Contribution / In-kind Contribution
Act 1.1
Act 1.2
Act 1.3
Act 1.4
Grand Total

*Include more rows were necessary

**Please completed the budget template attached and provide a break down for the entire project budget including your organization’s contribution and that of other organizations that are contributing.

Eligibility Criteria for Environmental Support Grants

To be eligible for an Environmental Support Grant from PACT, organizations and groups, and the activity for which funding is sought, must meet the following criteria:

· The funds must be used for activities or events that promote the appreciation, enhancement, and protection of Belize’s natural resources;

· The targeted activities or events must promote community awareness, information sharing, and training related to the appreciation and management of Belize’s natural resources;

· Only organizations which have not received an Environmental Support Grant from PACT within the last six months will be eligible to receive a grant;

· Grants are not awarded to the same organization for a previously funded activity or activities within the same year.

· Applicants need to demonstrate the continued ability to maintain and operate the resources obtained with PACT funds