World Toilet Day Commemoration Fund
FIRST SECTION: Proposal Submission
1)The proposal must consist of an activity or event to be organised in Octoberand/or November to commemorate World Toilet Day (WTD). The WTD is commemorated on 19 November worldwide after the United Nations adopted it in 2013. For more details about WTD, visit
2)Please verify all required fields are completed prior to submission. The form must besignedand stamped.We reserve the rights to reject any incomplete form.
3)20 preschools/schools will be awarded the fund capped at $250.00.The Restroom Association (Singapore) will work closely with the awarded preschools/schools to provide assistance and mentoring upon request.
4)Please submit your form to the Restroom Association (Singapore) as follows:
By Post To: Blk 2, Balestier Road, #03-679, Singapore 320002
Or FaxTo: 6297 9825
Or Email To:
A: Particulars
Name of Preschool / School:
Address of Preschool / School:
Level: Pre-primary Primary Secondary
B: Applicant
Name & Designation of contact person:
E-mail address:
Tel (Office): Tel (Mobile):
Name & Designation of alternative contact person (if any):
E-mail address:
Tel (Office): Tel (Mobile):
C: Proposal of Activity / Event(Multiple selections allowed)
Cleaning attendants’ appreciation include minimum $50 vouchers (Compulsory)LOO (Let’s Observe Ourselves) Awards
Environmental cleaning (includes toilet cleaning)
Exhibition/Carnival
Poster/Song/Videocompetition
Learning journey e.g. toilet visit hosted by Restroom Association (Singapore)
Public toilet inspections
Outreach to other preschools/schools or other community establishments
Others:
Estimated Date(s) of Occurrence / Description of Activity / Event / Participation
(e.g. Whole preschool /school, class level, club members) / Scope
(Within preschool /school, Out of the preschool /school) / Projected Learning Outcomes
19 November (Example) / Cleaning attendants’ appreciation / Whole school / Within school / Grocery vouchers and student-made thank-you cards presented to cleaning attendants. The school community learnt to experience the strenuous work of the cleaning attendants and thus better appreciate their work.
Declaration
By submitting this application, I hereby declare that all the information given is true and complete, and that any attempt to withhold or falsify the necessary information would disqualify my fund application.
*
Signature of contact person / Date
*
Stamp
*Mandatory fields
SECOND SECTION: Completion Report
- The completion report shall consist of the activity or event organised in October or November. This report has to be submitted within three months after completion of the activity or event.
- For fund disbursement, the completion report, activity or event photographs/videos and soft copy of the receipt(s) must be emailed to . Receipt(s) with date(s) after the activity will not be accepted. The original receipt(s) and original completion report have to be submitted by post to the Restroom Association (Singapore) at Blk 2, Balestier Road, #03-679, Singapore 320002.
- Please verify all required fields are completed prior to submission. The form must besigned and stamped. We reserve the rights to reject any incomplete form.
A: Completion Report of Activity/ Event
Date(s) of Occurrence / Description of Activity / Event / Participation(e.g. Whole preschool /school, class level, club members) / Scope
(Within preschool /school, Out of the preschool /school) / Learning Outcomes
Achieved
19 November (Example) / Environmental cleaning including toilet cleaning / Whole school / Within school / The school community learnt to experience the strenuous work of the cleaning attendants and thus better appreciate their work.
Declaration
By submitting this application, I hereby declare that all the information given is true and complete, and that any attempt to withhold or falsify the necessary information would disqualify my fund application. I am also agreeable to the activity and event photos/videos sent to the Restroom Association (Singapore) to be publicised in any form of online and print media including its own publicity materials.
*Signature of contact person / Date
*
Stamp
*Mandatory fields
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