Closing date for application:15.10.2016 / To be completed by the FoundationEVZ:

Foundation “Remembrance, Responsibility and Future”
Mr Martin Bock
Lindenstr. 20–25
DE-10969 Berlin
/ Eingang:......
Aktenzeichen:......

Application for the funding programme

call for applications for remembrance of forced labour under national socialism – project funding

(Working)nameof the project

1.Information on the applicant

Name of the organisation
Street
Post codeand town/city

Telephone

/
Fax
Email / Website
Contact person for the proposed project: (name, function, telephone, email)
Official representativesaccording to the statutes: (name, function, telephone, email)

2.Details of the organisation

Tasks,objectives and main activities of theorganisation(max. ten lines)
Financing
What main target groups do you reach?
What experience do you have so far in history or historical-political education work?

3.Information on the project partner

Cooperationpartner(name of organisation, contact person, address, tel., fax, email)
Tasks and objectives of the project partner (max. ten lines)
Financing
Experience to date in history or historical-political education work
What role has the cooperationpartner played in developing the project idea?
What tasks is the cooperation partner to perform in the project?

4.Projectoutline

Proposed term (from ... to... – the projects cannot start before01.04.2017!)
Brief description of the project

Please describe your project taking the following questions into account:

a)What aspect of forced labour under National Socialism are you addressing in your project?

b)What questionsare you addressing in your project and how are you going to examine the theme from different perspectives?

c)What objective are you targeting with the project?

d)What target group does your project address?

e)What are the main activities and forms of work?

f)What milestones can you specify?

g)What justification is there for establishing your project? Why is this project necessary?

h)What project results or productsare you targeting? How will these be used further?

i)How will you reach the public, and what do you want to achieve with the public?

j)How can you measure the success of your project?

k)Where do you see the main challenges and risks for your project?

Please draft your outline here and answer questions a)to k) - about2–6 pages:

5.Proposed costs and financing of the project

(You can add further lines to the document if you wish)

Description / Total costs
(Total of your own financing, third-party funds and funds applied for from the Foundation, EVZ) / Own financing / Third-party funds / Applied for from theFoundation EVZ
Personnel costs
Current non-personnel costs
One-offnon-personnel costs
Total

Please provide as much detail as possible in the costs and financing plan.

  • You must state the relevantbasis for calculation. (e.g. per person, per day.)
  • Enter the costs (including third-party funds and financing provided by your own organisation) for eachitem in your application.
  • In the case of third-party funds, state whether they have been applied foror alreadyfirmly pledged.
  • Administrative costs are current non-personnel costs and can be applied for as a lump sum. We understand these to covercosts of project administration such as office materials, telephone, postage, internet,and expenditures for bookkeeping, furnishing evidence of useof funds and maintaining contact with theFoundation.
  • Please note thatinput contributions, such as free use of rooms, equipment, or the working timemade availabletothe project donotbelong in the costs plan. Please enter these items under the following point.

Brief explanations of the calculation and description of any input contributions(volunteer work or provision of rooms / technical equipment)

Place and dateSignature of the official representative(s) (according to the statutes)

Please note that this form must be signed by the official representative(s) of your organisation. This is not necessarily the project manager!

Please submit the following with this project application:

Your statutes

Your current extract from the Register of Associationsand thenotice of exemption from the tax office

If appropriate a power of attorneyif the signatory is not the official representative

If appropriateimage materialsshowing your organisation or its partners

If appropriatecopies of grant approvals from the providers of third-party funds

Foundation EVZ: Application form “Forced labour” 2015/16Page1