German BACKUP Initiative Education in Africa

German BACKUP Initiative – Education in Africa

Additional Form forCivil Society Organisations or Coalitions

a - APPLIcant Organisation

1.Type of organisation

Application Form – CSOPage 1 of 4

Regional civil society education network

National education coalition (NEC)

National civil society organisation and member of the National Education Coalition

National civil society organisation, but not member of the National Education Coalition

Other

Application Form – CSOPage 1 of 4

2.Is your organisation a member of the Global Campaign for Education and/or ANCEFA? Please specify:

3.Level of intervention:

national regional

In case of regional request, how many countries will benefit from the proposed activity?

List all countries here:

4.Link to the Civil Society for Education Fund (CSEF):

Regional education network receiving CSEF funds

National Education Coalition is applying for a CSEF grant

National Education Coalition implements CSEF grant

Please provide details (amount in US$ and date/year of (planned) approval, grant period, etc.)

Not applicable

The proposed measure is independent from CSEF funding

The proposed measure complements the CSEF funding

Required: If the proposed measure is linked to a CSEF grant, attach the CSEF (approved) proposal for the current CSEF grant and the latest CSEF biannual progress report.

5.List all partner organisations involved in the preparation of this application:

B - Financial management(fill out only if applying for Project Mode)

6.Legal registration

Please attach a proof of registration stating the legal registration number

Applicant organisation:

If the legal registration number is not available, please indicate the reasons:

7.Please provide a list of your regular funding sources over the past three years:

8.Please attach the latest external audit report. If the external audit report is not available please attach the internal audit report.

If neither audit reports are available, please indicate the reasons:

9.Please attach evidence that your organization is a non-commercial entity.

10.Please provide your latest annual financial statement.

C - Information about your organisation

11.Attach your organisational chart. If this chart is not available, briefly describe the governance and management structure of your organisation/coalition here:

12.Is your organisation membership based?

Yes No Not applicable

If yes, briefly describe your membership:

13.Please list organisations and institutions with whom you cooperate regularly:

14.Please list your priority areas of engagement in the education sector(max. 5):

D - Supporting Documents

Overview of Supporting Documents
(Please submit the latest/current version of the documents.)
Attached / Not attached / Will be submitted until: / Not
applicable
CSEF (approved) proposal
Legal registration
Evidence that your organization is a non-commercial entity
Latest external audit report
Latest internal audit report
Organisational chart
Mission statement
Organisation’s strategy
Latest annual report/progress report
A recently published education advocacy or policy report/paper
Annual financial statement

Application Form – CSOPage 1 of 4