Kenya Community Development Foundation,
4th Floor Morningside Office park - Ngong road,
P.O Box 10501-00100,
Nairobi
Email:
Website: www.kcdf.or.ke
INSTRUCTIONS
Please read carefully through the attached (enclosed) Guidelines before filling out this grants application form. The Guidelines explain the eligibility criteria, selection process and other important details. In addition, read the short instructions at the top of each section of this application form and do your best to adhere. Be brief and to the point without losing important information or ideas. Answer all questions as best you can. Remember, any incomplete applications will automatically be disqualified. Total submission may not exceed 13 pages (must be typed and in font size 11 or 12) excluding the Annexes. Please email your application to before the deadline (5th February, 2014) stating RfP No. KCDF/WG/FS/R3/2014 in the email subject line. Applications delivered outside the deadline are automatically disqualified.
This application form has 2 sections:
Section I – Information on the Applicant
Section II – Project Details
This part when filled out should not exceed 3 pages.
1. Contact Information of applying organization
Name of your organization / Name of contact personPostal Address / His/her current position
Organization Phone
number / Phone of contact person
Website address (if applicable) / E-mail address
2. Type of applying organization Please refer to the guidelines
Type of organization; / Yes / No / Yes / No- Non-governmental / - Faith based Organization
- Non-partisan / - Not for-profit
Other(specify)
Type of registration (tick as appropriate) / □SHG □ CBO □ NGO □ PSO □ Trust □ Society
- Organization is legally registered / □ Yes □ No
-When registered (month, year)
-Registration number
3. Vision, Mission/structure of the applying organization
Briefly state Vision, Mission and description of your organization and its objectives / Vision:Mission:
Organizational profile and key objectives .
Key past achievements.
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4. Grants management history
a) In the table below, provide information of a maximum of 4 past/on-going grants you have managed/are managing as an organization, starting with the most recent.
Name of donor and contact details / Grant amount provided in Cash (Kshs) / Grant period / Objective of grant / County(ies) targeted / Type of beneficiaries reached/targeted / No. of beneficiaries reached/targetedMale / Female
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b) Have you received funding before from KCDF before? □ Yes No □
c) If Yes in (b) above;
Year of funding / Grant amount received (in KES) / Intervention supported / Was the project successfully completed?Yes □ Ongoing □ No □
Yes □ Ongoing □ No □
Yes □ Ongoing □ No □
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Instruction: This part when filled out should not exceed 2 pages.
5. Project Title
6. In not more than 100 words kindly give a brief of your project
7. Project Area
In which county, constituency and ward in Kenya is your project going to be implemented?
8. Project Duration
9. Estimated total project cost in KES
______
10. Requested resources from KCDF in cash ( xx % of the total project cost)
______
11. Your organizations contribution in cash ( xx % of the total project cost)
______
12. Your Target Groups
Targets for KCDF grant: In this section, you are required to indicate the population that you intend to reach through the project for which you have asked KCDF to support.
Type of beneficiary (Mark with an ‘X’ where appropriate) / Number targeted / Type of beneficiary (Mark with an ‘X’ where appropriate) / Number targetedHouseholds □ / Children (15-17 years old) □
Schools □ / Orphans and Vulnerable Children (OVC) □
Grass-root organizations □ / People with Terminal Illness □
Specify:______
Youth ( aged 18 – 35 years) □ / Marginalized and pastoral population □
Women □ / Drug users □
Men □ / Commercial Sex Workers □
Children (0-6 years old) □ / Teachers □
Children ( 7- 14 years old) □ / Farmers □
How will your proposed project impact on the targeted beneficiaries?
Instruction: This part when filled out should not exceed 3 pages.
13. Problem definition:
b. What issues/challenges/needs do these target groups face which the project will address?
c. How did you identify these issues and needs?
14. Project idea:
b. How will it address the problem described above?
c. How will it impact on the target community?
d. How do you intend to contribute to the cost of implementing this project idea?
e. How shall your project engage with government at different levels?
15. Project objectives
b. What concrete results (specific objectives) would it have? Please list 3-4 key measurable results: / Result 1:
Result 2:
Result 3:
Result 4:
16. Implementation:
Step 2:
Step 3:
Step 4:
Step 5:
17. Innovation:
a. Monitoring - What are the indicators you intend to use to measure the success in implementation of planned activities? (Match your indicators with the activities presented in section 14)
b. Evaluation – What are the indicators you intend to use to measure the outcomes of your intervention? (Match your indicators with the results presented in section 13)
c. Sustainability – What strategies will you put in place to ensure that the benefits of this project continue to be felt beyond the period of KCDF support?
d. Risks - What are the main risks associated with the proposed project and how will you mitigate them? List at least 2.
e. Reliability and Scaling-up – What is the possibility of implementing your project elsewhere and what is the potential for this project to be expanded on a larger scale?
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Outcome Objectives / Planned Outputs / Activities / Indicators / Means of verification / Timeframe /1.
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Key Activities / Detailed Description of Cost Category (consultancy fees, trainings, equipment etc) / Sub Totals / TotalKey activity 1
Key activity 2
Key activity 3
Key activity 4
Total Direct Cost
General Administration/ Overhead (max. 10% of Total Direct Cost)
Total Project Expenditures
Grant requested from KCDF
Other funds (contributed by your organization/ fundraised locally/ in Kenya)
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Please provide all the following documents.
1. Copy of registration certificate
2. A copy of organizational constitution or Articles of Association.
3. A list of; ordinary members and committee members (if a SHG), board members (if a CBO/NGO/FBO/PSO), trustees (if a Trust), board members and trustees (if a Foundation).
4. Your most recent financial report (must be from a certified auditor if applying organization is an NGO, FBO, PSO or foundation)
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