The Violence Prevention Learning Center

Application for Effective Violence against Women Prevention Course: Dimensions of Prevention

Thank you for your interest in becoming a partner and taking one of our coursesin our series on Effective Violence against Women(VAW) Prevention: “Dimensions of Prevention," held from 13th-16thOctober 2014.

To apply, please fill out the following form in its entirety. Once completed, submit it to no later than 1st September 2014. Please note that only complete applications will be considered.Please note that only short-listed applicants will be contacted by September 15th 2014.

What is the Effective VAW Prevention course Series?

The Effective VAW Prevention courses are designed to increase the impact of any VAW prevention programming. These courses explore fundamental concepts that underlie effective prevention work and how these concepts translate into practice. A broad range of participants deepens the learning, exposing the group to a diverse spectrum of perspectives and program models.The Effective VAW Prevention Courses are for organizations who can commit for up to a year of partnership. The course will take four days in Kampala and comes with technical assistance for up to one year for integrating the concept into programming. If your application is accepted, your organization will be entitled to send two participants to the Course.

What is "The Dimensions of Prevention"?

How is understanding power important to prevention? What are effective ways to engage multiple sectors in your work? “The Dimensions of Prevention," held at Raising Voices from 13th-16th October, 2014, aims to answer these and other questions by examining core principles of effective VAW prevention and helping participants to identify untapped opportunities in their programing. Gain deeper understanding of the types of prevention, prevention strategies and the ethical principles of effective prevention- linking all of these to practice for greater results.The course comes with Technical Assistance to support you integrate what you have learned into your programing.

Learn more about the courses at the Violence Prevention Learning Center and the technical assistance packages at

Section One:Organization Profile

Name of Organization:
Type of Organization (choose one):
Community-based Organization
National NGO
International NGO
Faith-based Institution
UN Agency
Other/Specify:
-Academic/Research
-Professional Association
-
Organizational Contact information
Physical Address: / PO Box:
Telephone:
Fax:
Email:
Organization’s Website (if any):
Registration number and legal status:
Organization’s Director/ Representative
Name:
Title: / Email:
Phone No:
Organization’s Contact Person (if different from the Director)
Name:
Title: / Email:
Phone No:
Administrative Details
# of program staff at your organization: Women Men
# of administrative staff at your organization: Women Men
No. of years the organization has been operating:
No. of years (if any) that the organization has worked on VAW prevention:
No. of years (if any) that the organization has worked on HIV prevention:
Names and titles of staff who would participate in the Effective VAW Prevention courses (two staff participants required per organization):
1.Staff Name: Position /Title:
2.Staff Name: Position /Title:
Current Year Annual Budget:
Actual (funds received):
Projected (funds expected):
Current organizational funding earmarked for VAW prevention:

Section Two:Programmatic Information

  1. What are the goals and objectives of your organization? (200 words max)
  1. What are your organization’s key program areas? (250 words max)
  1. In your organization’s perspective what is Prevention?
  1. Has your organization designed/ implemented VAW prevention activities before? Yes No

-If yes, please describe (300 words max)

-If no, please explain why your organization is interested in doing so at this time? (300 words max)

  1. From your organization’s perspective, what is the root cause of VAW? (250 words max)

Section Three:Effective VAW Prevention Courses

  1. How did your organization learn/hear about the Dimensions of Prevention? (100 words max)
  1. Why is your organization interested in taking this course? (200 words max)
  1. Please list two reasons why you think this course will be useful in your organization/program? (200 words max)
  1. Please tell us how you intent to use the learning to make adjustments in your programmingand describe how senior management within your organization will provide support for this?(200 words max)

Section Four:Organizational Commitments

  1. What are your expectations of this partnership with Raising Voices? (Include perceived benefits, responsibilities, expectations, etc) (200 words max)
  1. If selected, how will senior management within your organization support the integration of key concepts into programs? (200 words max)
  1. If selected, is your organization able to commit the same staff members (or positions, if there is staff turnover) to the partnership for the duration of the program? Yes No
  1. If selected, is senior management able to participate in an annual skype/phone call to review progress of the partnership and programming? Yes No

Section Five:Supporting Documents

The following supporting documentation is necessary for the application to be considered complete and to be eligible for the course:

  1. Proof of NGO registration
  2. Current strategic plan/proposal (if available)

Section Six:Course Participation Costs

A limited number of partial scholarships are available for local and national organizations only who demonstrate serious financial need. All organizations are required to contribute something to their participation in SASA! courses.

Please tick only ONE box below for Option 1 or Option 2, indicating how your organization will cover the costs of participating in the course. If you select Option 2, please answer all of the questions in that section to be considered for a scholarship.

Option 1: Self-sponsorship

Your organization agrees to cover all related costs in full including:

  1. Course fee of $600 per person per course (which covers participant’s accommodation, breakfast, lunch, and airport transfers in Uganda)
  2. Round-trip transportation (bus/air ticket) to/ from Kampala
  3. Visa fees (if relevant) and airport transfers in your home country
  4. Per diem (dinners and incidentals)
  5. Additional expenses approved by your organization

*NOTE: all participants are required to stay at the designated hotel, no exceptions.

Option 2: Application for Scholarship

Your organization is applying for one of the few, partial scholarships that are available for local and national organizations that meet the selection criteria and provide a statement of need (see below).

  1. What is your organization able to contribute to the cost of the course (please tick all that apply:

Course fee of $600 per person per course (which covers participant’s accommodation, breakfast, lunch, and airport transfers in Uganda)

Round-trip transportation (bus/air ticket) to/from Kampala

Visa fees (if relevant) and airport transfers in your home country

Per diem (dinners and incidentals)

Other (please describe)

  1. Please write a statement of need in the space below as to why you/ your management feels your organization should receive this financial support. (350 words max)

Section Seven:Commitment Statement/ Signatures

Organizations accepted aspartners will sign a one-year partnership agreement following the first course. The partnership agreement details the following mutual commitments. Your organization’s director or senior management is required to review these commitments and indicate their acceptance by signing below.

>Dedicated staff

The organization will identify two staff persons who will be the primary collaborators for the length of the partnership agreement. This includes being (1) the course participants, (2) the primary recipients of technical assistance, and (3) lead the integration of concepts intoprograms and implementation (specifying the staff time available for these purposes).

>Full course participation

The identified staff will actively participate in all of the sessions for the course for which they have been accepted.

>Action planning

The organization will develop and implement an action plan for incorporating learning into existing or new programs within two months of course completion.

>Technical assistance

The organization will receive technical assistance for one year after course completion to support the integration of all learning into practice. Technical assistance will be customized to the organization’s program contextand specified within the partnership agreement. The organization will avail staff time, organizational support, and resources to technical assistance processes to ensure their relevance and impact.

>Collaboration commitment

Registration and participation in any future Courses at the Violence Prevention Learning Center will be contingent on adherence to the commitments within the partnership agreements.

I have read and understand the mutual commitments of thepartnership and if accepted, will ensure my organization’s adherence to these commitments (to be further outlined in a partnership agreement).

Signed by Organization’s Director/ Senior Management:

______

Name

______

Title

______

Date

Section Eight:Submission Information

Before submitting, please make sure your application is complete by reviewing the following checklist. Have you…

Checked the course deadline to ensure timely submission?

Filled out Sections 1-7 completely?

Obtained a signature from your organization’s director on the Commitment Statement?

Attached all required documents?

Once your application is complete, please submit this application form along with all required documents toby 1September 2014.

All applicants will receive an email confirming receipt of their application within two weeks of its submission. Shortlisted applicants only will be contacted by September 15, 2014.

Thank you for your commitment to preventing violence against women and HIV!

ApplicationForm / Become a SASA! Partner / Violence Prevention Learning Center 1