SmallGrants Project Application Form
Please read the grant guidelines(CSUDP/SG/LUF-01)and instructions at the end of this application form before completing it (Please type all information in provided areas)
SECTION A:THE LOCAL URBAN FORUM1. Name of LUF
Including acronym or abbreviation (if any)
2. When was the LUF established? Including month and year
3. Full namesand contacts of current Officials of the LUF
Including title (Dr/Mr/Mrs/Ms/Rev)
4. Full postal and physical address of the LUF
5. Briefly outline how the project promotes the collective LUF agenda
You may include a separate brief if necessary
SECTION B: THE PROJECT ORGANIZATION
1. Name of organisation
Including acronym or abbreviation (if any)
2. When was the organisation established?Including month and year
3. Full name of contact person
Including title (Dr/Mr/Mrs/Ms/Rev)
4. Full postal address of organisation
5. Full physical address of organisation (if different from postal address)
6. Telephone number
Including postal codes
7. Email/s(Note that Most contact from CSUDP will be through email)
8. Website (if applicable)
9. Main aims and objectives of the organisation
a) What does the organisation exist to achieve?
b) Who are the key target groups the organization works with?
c) Vision, mission or values statement (if applicable)
10. What significant projects have been carried out by the organisation in the last three years?
Year / Project title / Budget in KSHS / Source of funding
11. Has the organisation had previous funding from Sida / CSUDP?
If yes, please give details including dates, amount of funding, project title and reference number (if applicable)
12. How does the organisation fund its activities?
Please include other donors and local contribution (if applicable)
13. What is the annual turnover of the organisation in KSHS?
If successful CSUDP may request the submission of your Annual Report and Accounts. / Turnover in Kshs for the last two years
Year / Annual turnover
14. What is the structure of the organisation?
Please describe the management structure including information on the governing/trustee body (if applicable), and number of staff.
Please include gender breakdown
15. How would you describe the organisation?
(please tick all relevant boxes) / Non-governmental organisation (NGO)
Faith-Based organization (FBO)
Community-based organisation (CBO)
Self-Help Group
Other (please specify)
16. Please supply detailsof two external referees
e.g. other/previous donors, director of a partner organisation. Please ensure that these people are not directly connected with the organisation but are able to give an independent reference.
First referee / Second referee
Name
Organisation
Job title
Phone number
Including country and city codes
How does this person know theorganisation?
How long have they known you for?
17. How long has this organization been a member of LUF?
18. Mention any major contributions that the organization has made in advancing the LUF agenda in the last two years.
SECTION C (should not exceed 8 pages)
1. Title of project - The title should tell the focus of the project. Please keep it brief and simple.
2. Area of implementation (Give brief and concise explanations)
a) Specify thetarget area
b) Explain why this area was selected
3. Brief summary of the project in less than 200 words- Please explain the main features of your project
4. Methodology and approach
a) What methodology or approach will be used?
b) What expertise does your organisation have?
c) What evidence do you have that this will work?
d) How does your project support local urban development and How does the project relate with the LUF activities?
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SmallGrants Project Application Form
5. Project Logical Framework- Complete the project framework below demonstrating how the different aspects of the project are linked together as shown in the diagram. Please add more lines as necessary
Objectives / Measurable Indicators (Measurable evidence of change occurringas a result of the objectives being met) / Means of Verification / Key Assumptions / Activity Areas (Please list the activities that will take place in order to meet the objectives and indicate when they will take place and their cost)
Goal
Purpose
Specific Objectives
(Intended achievements or outputs
of the project) / 1.1
1.2
1.3
1.4
2.1
2.2
2.3
3.1
3.2
3.3
3.4
4.1
4.2
4.3
- Etc ......
5.2
5.3
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SmallGrants Project Application Form
6. Identification of the needa)Was the project needs assessment conducted?
b) When was this done?
c) Who participated?
d) How does this link to the existing plans of the County / Urban area?
7. Beneficiaries
a) Please describe the intended beneficiaries of this project
8. Will other organisations in the LUF be involved in this project?If yes, how?
9. How will the impact of this project be sustained?
Explain how the project or its impact will continue after the funding period has ended.
10. Monitoring and evaluation
Monitoring is the process of ensuring that the project meets its objectives and the activities are carried out on time and within the resources available. Evaluation is the process of measuring the effectiveness and impact of the project and the achievement of the intended outcomes.
a) Who will be responsible for monitoring and evaluation?
b) What specific activities will take place to evaluate the progress towards the outcomes of the project?
c) How will this information be used to benefit your organisation and the LUF?
11. Contribution of project as continuation of an existing project?
a) How does this project build on the ongoing one?
b) What lessons learned have been incorporated in the current proposal?
c) Is there any evaluation report from the previous project?(Please do not attach, this will be requested if required)
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SmallGrants Project Application Form
SECTION D–Activity Implementation workplan
Please provide sufficient detail on the Activities
GoalPurpose
Indicator of Measure / Q1 / Q2 / Q3 / Q4
Objective 1
Output 1.1
Activity 1.1.1
Activity 1.1.2
Activity 1.1.3
Output 1.2
Activity 1.2.1
Activity 1.2.2
Activity 1.2.3
Output 1.3
Activity 1.3.1
Activity 1.3.2
Activity 1.2.3
Objective 2
Output 2.1
Activity 2.1.1
Activity 2.1.2
Activity 2.1.3
Output 2.2
Activity 2.2.1
Activity 2.2.2
Activity 2.2.3
Output 2.3
Activity 2.3.1
Activity 2.3.2
Activity 2.2.3
Objective 3
Output 3.1
Activity 3.1.1
Activity 3.1.2
Activity 3.1.3
Output 3.2
Activity 1.2.1
Activity 1.2.2
Activity 1.2.3
Output 3.3
Activity 3.3.1
Activity 3.3.2
Activity 3.2.3
SECTION E- All amounts should be in Kenya Shillings
Please provide sufficient detail on the costs associated with the project and howfunds will be used.
BUDGET - please add more lines as necessaryExpenditure items / Quarter 1 / Quarter 2 / Quarter 3 / Quarter 4 / TOTAL
Activity Costs[1] Relating to Objective 1
Activity 1
Activity 2
Activity 3
etc
Total Activity costs objective 1
Activity Costs Relating to Objective 2
Activity 1
Activity 2
Activity 3
etc
Total Activity costs objective 2
Activity Costs Relating to Objective 3
Activity 1
Activity 2
Activity 3
etc
Total Activity costs objective 3
TOTAL BUDGET
Co-Funding from other sources[2]
Funding Source: / Source 1 / Source 2 / Source 3 / Total
Amount Kshs:
Local contribution (if any)
Amount sought from
CSUDP
Authorised by
Position:
Date:
Please note that CSUDP receives large number of applications and is able to approve only a limited number in accordance with our GrantsCriteria, our strategic priorities and funds we have available. Therefore, under no circumstances should you undertake expenses or make promises to beneficiaries or partners prior to written notification that your proposal has been successful and funds are available.
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[1]Activity costs relate to the objectives and attendant activities as outlined in the logical framework.
[2]Please give details of other funding sources that are supporting similar activities.