Application Form for Small Grants Proposals to Facilitate Civil Society Engagement with the Private Sector on the United Nations Convention against Corruption (UNCAC) and its Review Mechanism

Partnering with the private sector in the fight against corruption is crucial in preventing and fighting this global scourge. This application form targets Civil Society Organizations (CSO) that were trained on, or have a good knowledge of, the UNCAC and its review mechanism. If your organization corresponds to the following criteria and requires financial support to develop an innovative way to approach small and medium-sized enterprises and social enterprises for anti-corruption activities, please fill out this application form providing you meet the below requirements.

1) Criteria for CSO selection:

a)  CSO based in Africa;

b)  Experience of CSOs in conducting monitoring, legal analysis, report drafting, working with the private sector, advocacy, and the organization’s potential to make useful contributions to the review process and follow up activities;

* Other elements such as membershipoftheUNCACCoalition, geographical balance across the continent, diverse ideological and professional backgrounds of the CSO, gender, ethnic and social diversity will also be considered in the final selection of grantees.

2) Only Civil Society Organizations (CSOs) can apply. CSOs are defined as not-for-profit organizations including Non-Governmental Organizations (NGOs), community groups, trade unions, indigenous groups, charitable organizations, faith-based organizations, professional associations and foundations. Business is not included in this category.

3) Please note that only one small grant of up to USD 5,000 can be distributed per selected CSO. Exceptions may be made on a case by case basis.

4) The form should be returned at the latest 27 September 2013, to the following email address in a PDF or Word format.

Application Form for Small Grant

Full Project Proposal

The following template shall be used for the elaboration of the full project proposal. Please complete ALL sections below. Please consider the following before completing the project proposal:

Be clear about what you want to achieve and how you propose to do it

Write clearly and accurately

Ensure the budget relates to outputs listed

1. APPLICANT INFORMATION

Organization Name:
Registration Number with your Government:
Representative’s Details:
First and Last Name:
Full Address:
Contact information (tel, email, etc.):
Position in the organization:
Languages spoken:
1.1. Describe the organization’s activities and your representative’s expertise in the anti-corruption area, particularly UNCAC (Please attach the CV of the person who will be the focal point of the project and a link to your organization’s website)
Please give details about your experience with the private sector, legal analysis, report writing and/or advocacy (max 300 words)

2. PROJECT INFORMATION

2.1. Relevance of the project activities to the specific needs of the target group
(Please describe the needs and constraints of the target group and how the project activities relate to them)
2.2. Expected impact of the activities planned
(Please explain what the expected impact of the proposed project will be on the social and economic situation of the beneficiaries and other persons involved)
2.3. Specify who the beneficiaries and the target groups are and state if you are working in cooperation with other organizations (if yes, which organizations, what sector, how do you cooperate etc…)
(Please explain how your planned activities will affect beneficiaries and target groups. Also explain how (if at all) you are cooperating/or plan to cooperate with other organizations in your planned activities.)
2.4. Describe in detail the main objective and purpose of your project and what activities will be undertaken to implement the project
(Please describe the objectives of the project and state which innovative ideas, methods and activities will be used to address the problems)
2.5. Describe what are the expected results of your project and how the success will be measured.
(Please describe what outcome you expect from your activities and the project as a whole. More specifically, describe how you intend to gain visibility, support and the leverage needed to achieve the impact you seek )
2.6. Monitoring and Evaluation
(Please explain how your organization will monitor the performance of the project)
2.7. Sustainability
(Please describe what the prospects are for the benefits of the project being sustained after the funding ends)
2.8. Added value and cost-effectiveness
(Please describe the added value of the proposed project and its cost-effectiveness)
2.9. Resource mobilization
(Please describe any planned activities to attract additional funding for your organization/ project)

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3.  LOGICAL FRAMEWORK FOR THE PROJECT (max. 2 pages)

Project Proposal / Indicators / Verification / Assumptions and Risks
Overall Objective / What is the overall objective to which the project will contribute? / What are the key indicators related to the overall objective? / What are the sources and means of information for these indicators?
Specific Objective(s) / What specific objective will the project achieve to contribute to the overall objective? / What indicators clearly show that the objectives of the action have been achieved? / What are the sources and means of information that exist or can be collected? / What factors and conditions outside the project’s responsibility are necessary to achieve that objective? (external conditions)
Which risks should be taken into consideration?
Expected Results / What are the expected results? / What are the indicators to measure if and to what extent the project achieves the expected results? / What are the sources and means of information for these indicators? / What external conditions must be met to obtain the expected results on schedule?


4. WORKPLAN (max. 2 pages)

Expected Results / Main Planned activities / Implementation period
Months / Responsible party / Amount
in USD
1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 2013
UNODC / Others

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5.  BUDGET

Budget Line / Planned Expenditure 2013 (USD)
1. Administrative Costs
1.1. Travel in Project
1.2. Project Personnel
1.3. Administrative Support Personnel
TOTAL ADMIN. COSTS
2. Expenditures related to Planned Activities
2.1. Communication and advocacy material
2.2. Trainings
2.3. Meetings
2.4. Other Expendable Equipment[1]
2.5. Non-Expendable Equipment[2]
2.6. Premises[3]
TOTAL COSTS RELATED TO ACTIVITIES
3. Miscellaneous[4]
3.1. Any other costs the organization might have
TOTAL COSTS OF PROJECT

6.  BANK INFORMATION

Bank Name
Bank SWIFT Code
Bank Address
Account Holder
Account Number
International Bank Account Number IBAN

7.  ADDITIONAL DOCUMENTS

Please provide, along with your application, the following documents:

·  A copy of the Certificate of Registration from your organization;

·  A copy of your last audited financial statement;

·  A CV of the person who will be the focal point of the project.

Signature :

Date (dd/mm/yy):

N.B. Selected CSO will only be disbursed an amount determined by the United Nations. Expenses beyond these amounts will be the sole responsibility of the participant.

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[1] Such as food, textiles, paper products, and other materials and goods

[2] Such as office machinery, acquisition of communication equipment, acquisition of audio visual equipment, acquisition of computer hardware

[3] Such as rent, custodial and cleaning services

[4] Such as maintenance, licensing of hardware and software, telephone charges, postage and pouch, stationery, publications, audio visual productions, printing, translation costs, insurance, bank charges, storage, legal fees, security-related costs, personal security measures etc…