Danish Disability Fund

APPLICATION

To be filled in by DPOD
Disability Fund ref. no.
Date received

C: major development project(up to DKK 5 mill)COOPERATION Project (UP TOdkk 2 mill)

D: PROJEcT OF MORE THAN dkk 5 MILLION

1.Cover page

Grant modality
(insert X) / C: Cooperation project between several org. / C: Major development project / D: Project of more than DKK 5 million
Danish applicant organisation (financially responsible):
Contactperson for the project: / Name:
Email:
Phone:
Other Danish partner(s):
(if relevant)
South partner(s):
Project title:
Country(ies): / Country’s GDP per capita:
Project period: / Commencement date: / Completion date: / Total number of months:
Total amount applied for:
Is this a new project? / [ ] A. Yes, a new project.
[ ] B. A project in extension of a project that has been supported (by the Danish Disability Fund or others), indicate Disability Fund ref. no. if it applies: ______
Is this a re-submission? / (i.e. a revised version of a previously submitted application).
[ ] No
[ ] Yes, date/year of previous application:
Do you want a response letter in / [ ] Danish or
[ ] English
Insert synthesisof the project in Danish
(max. 200 words. This will be used as a presentation of the project on DPOD’s website)
Date / Person responsible (signature)
Place / Person responsible and position (block letters)

2. Application text

  1. WHAT IS THE CONTEXT AND THE PROBLEM?

1.a The overall context

1.b Specific challenges faced by those groups of persons with disabilities, or their organisations, for whom the project aims to bring about change

1.c General response to the challenges - who has done what until now?

  1. WHICH EXPERIENCE AND RESULTS DOES THE PROJECT BUILD UPON?

2.a Previous cooperation experience with the partner

2.b Results

2.c Challenges

2.d Assessment of partner capacity

2.e Learning of relevance to this application

2.f Preparatory process

  1. WHAT CHANGE WILL THE PROJECT ACHIEVE AND HOW?

3.a Change

3.b Stakeholder analysis(which stakeholders are relevant to involve in the project and how?) and target groups (among whom will you achieve change?)

3.c Objectives and indicators

3.d Strategy

3.e Risks

3.f Monitoring, documentationand learning

3.g Information work

3.h Setup –division of roles and responsibilities between partners

3.i The budget explained

  1. WHAT ARE THE PROSPECTS AFTER THE PROJECT? (

4.a How to ensure sustainability

4.b New phases and future cooperation

3. Budget summary

Main budget items: / Financing plan
Full amount / Of this, from the Disability Fund / Of this, from other sources
  1. Activities

  1. Investments

  1. Expatriate staff

  1. Local staff

  1. Local administration

  1. Danish project monitoring

  1. Evaluation

  1. Information in Denmark (max. 2% of 1-7)

  1. Total project expenses (budget line1-8)

  1. Budget margin (min. 6% and max. 10% of 9)

  1. Disability compensation

  1. Auditing in Denmark

  1. Subtotal (budget line 9-12)

  1. Administration in Denmark(max. 7% of 13)

  1. Total (budget line 13+14)

Note: Exchange rate used: ______

4: Cross-cutting issues

Cross-cutting issues addressed by the project applied for as percentages of budget spending

Gender / Environment / Good governance and human rights / HIV/AIDS / Reproductive, maternal, neonatal and child health (RMNCH)
Weight (%) / Weight (%) / Weight (%) / Weight (%) / Weight (%)
% / % / % / % / %

5. Annexes

  1. OBLIGATORY ANNEXES
  1. Updated ‘Partner Profile’ (for South partner(s))
  2. Stakeholder analysis
  3. LFA
  4. Possibly a risk assessment(only required in the case of D applications)
  5. Possible Terms of Reference for activity-specific assistance.
  6. Budgetformat
  1. SUPPLEMENTARY ANNEXES

Annex no. / Annex title:
G.
H.
etc.

1

Application – C: Major development project /Cooperation project – DANISH DISABILITY FUND (Oct. 2015)

D: Project of more than DKK 5 million– DANISH DISABILITY FUND (Oct. 2015)