Red Umbrella Fund 2014Application Form

RED UMBRELLA FUND –2014APPLICATION FORM

Please make sure to respond to all questions. Incomplete application forms will not be taken into consideration. Applications are accepted in English, Spanish, French and Russian only.

1. CONTACT INFORMATION
A. GROUP INFORMATION
Full name of your group:
Short name (if applicable)
Address (where mail can be received)
Street, City, Postal code:
Country:
Telephone:
E-mail:
Website, Facebook, Twitter:
B. CONTACT PERSON
First name:
Last name:
Positionwithin the group:
E-mail:
Telephone:
Skype name (ifavailable):
C. REFERENCES
Give the names of 2 people in your professional network that we may contact for reference about the work of your group.IMPORTANT: At least one of the references has to come from another sex workers’ group that knows about your work.
Reference 1
(from a sex workers’ group – you cannot list your own group!) / Reference 2
(from any organisation)
Full name:
Position:
Organisation:
Address, country:
Email:
Telephone:
2. MISSION
a. Overall mission of your group:
b. Main issues your group is working on:(for example human rights, health, etc.)
c. Main strategies of your group to achieve your mission:
d. Does your group mostly work at local, national, or international level?Please explain.
e. List the most important partners and allies that your group works with:
3. GOVERNANCE AND STRUCTURE OF YOUR GROUP
a. When was you group created?
b. Does your group have legal registration? If yes, since when?
c. Is your group sex worker-led?Please explain in detail(see the definition in the Guidelines)
d. Please explain how sex workers are involved in thedecision making of your group?(Representation in Board, General Assembly, management team, etc.)
e. What percentage of people involved in decision making are sex workers?
f. If your group has a membership, describe your membership and indicate how many members you have.
g. Please explain how else sex workers are involved in your group? (for examplevolunteers, staff, advisors, spokespersons)
4. CONTEXT(maximum 200 words per question)
a. Situation- Explain the situation that your group wants to change in the long term.
b. Who do you reach- Please describe the focus groups that you work with and for (for example female, male or trans sex workers;street based sex workers; migrant sex workers;HIV positive sex workers; etc.).
c. Successes- Give examples of 2 successes of your group so far.
5. FINANCIAL SITUATION OF YOUR GROUP
A. CURRENT YEAR (2014) If your group has no money, please put 0.
List all the sources of (expected) income of your group (include membership fees, fundraisers, full names of donors) / This funding is (put an X in the correct column): / Amount in EURO
Expected / Secured
1. / €
2. / €
3. / €
4. / €
5. / €
TOTAL (expected) INCOME FOR 2014IN EURO / €
B. PREVIOUS YEAR (2013) If your group had no money, please put 0.
List all the sources of income of your group for 2013 (include membership fees, income generating activities, fundraisers, full names of donors, etc). / Amount in EURO
1. / €
2. / €
3. / €
4. / €
5. / €
TOTAL INCOMEFOR 2013 IN EURO / €
6. GRANT REQUEST INFORMATION
a. Describe how you intend to use the grant from the Red Umbrella Fundand how it will contribute to change the current situation that you described in question 4a.(maximum 250 words)
b. How do you plan to spend the money?
All grants are core funding grants for two years(December 2014– December 2016). See the Guidelines for information about available grant sizes.
Categories / Short description of your planned costs: / Amount (in Euro)
A) Costs for the group to function
Can include, for example, costs related to volunteers, staff, rent, equipment, communications, board meetings, finance, training of staff or membership, membership meetings. / €
B) Costs for activities
Can include, for example, costs for campaigns, workshops, public events, publications, research. / €
C) Other costs
Anything that does not fit in the above two categories. Please explain in the description. / €
TOTAL BUDGET REQUESTED IN EURO / €
7. COMMENTS: Space foradditional information that you wish to share with us.
Please send the fully completed application formbefore 3 August 2014 (23:59 CET) by email to:

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