ASPIRE CORONATION TRUST FOUNDATION 2020 GRANT …

[Pages:4]ASPIRE CORONATION TRUST FOUNDATION 2020 GRANT APPLICATION FORM

2/10/2019

This document should be read in conjunction with The Aspire Coronation Trust Grants Programme 2019?20 Call for Applications. Please be as clear and succinct as possible and ensure that any acronyms and technical terms are fully explained.

ACT Foundation provides funding support to non-profit organization and social enterprise only through its annual grant application process. Unsolicited application or proposal for funding will not be considered. The grant application process is an online process therefore email application, hard copy application or any form of funding request will not be accepted. We advise that you read the grant guideline & Eligibility criteria carefully prior to completing the form.

Non-Governmental Organizations (NGOs), community groups/ community based organization, charitable organizations, and faith-based organizations/foundations.

? The form should be submitted no later than 11:59pm, October 31st 2019 ? Applications submitted after the deadline will be automatically rejected ? Please note that only successful organization will be contacted.

PART 1. GENERAL INFORMATION

Name of Organization in full: Date of registration: Brief Organizational Profile (Not more than 200 words) Permanent Office address: Location of Orginsation: Contact details of CEO/ED/CD Full Name: Email address:

ACT Foundation 2020 Grant Application Form

Telephone Number: Contact person:

Social media handles:

Phone Number: Email: Website:

TIN Number:

Reg Number:

Total Number of full staff:

Total Number of Volunteers:

Names and Details of Board Members: 1. 2. 3.

Names and Details of Management Team: 1. 2. 3.

PART 2. PROJECT INFORMATION Please complete all sections below. Kindly consider the following before completing the project application section

Be very clear about what you want to achieve and how you proposed to do it: Write clearly and accurately: Ensure the budget relates to the project output:

Project Title : (Not more than 100 words)

Project Start Date :

Project End Date :

Project Location(s) :

Focus Area (s): eg. Health, Environment, Entrepreneurship and Leadership Project Goal: e.g To training 1,000,000 out of school leaver within the age 16 ? 20 years in 10 low-income

communities in Lagos state.

Project Summary : (Not more than 500 words)

Project status: New project?

Continued project?

Core project activities to be implemented:

ACT Foundation 2020 Grant Application Form

Proposed target audience:

Number of direct beneficiaries:

How do you intend to sustain this project after the first year of grant:

State how you intend to monitor the program/project: 1. 2. 3.

Give a brief detail of expected outcomes:

PART 3. FINANCIAL RECORDS

Total cost of the project:

Grant Amount requested:

Provide all funding sources and amount received during the past 5 years

1.

2.

3.

Do you have an Audited Financial statement: YES

NO

ACT Foundation 2020 Grant Application Form

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