City of Cape Town Winter Readiness Program –“Making a difference in the lives of people living on the Street”
The City of Cape Town seeks to significantly respond to the needs of homeless people during the winter of 2015 and to reduce the number of
homeless persons on the streets. The City of Cape Town has procured top-up foods, toiletries and bedding, and wants to partner with
organisations by supplementing NGO resources and enable more indigent people to benefit. It is not intended that NGO’s create any
permanent beds.
The Program is to be implemented for the period 1 June 2015 to 31 August 2015.
Please complete application form and submit to Cornelia.Finch@capetown.gov.za by Friday, 16 May 2015 at 4pm.
APPLICATION FORM
Name of the Shelter / Organisation: ……………………………………………………………………….………………………………………………………………..
Manager : ……………………………………………….............................Cell No :………………………………………………………………………………………..
Office No: ……………………………………………………………………...
Chairperson : …………………………………………………………………Cell No : ………………………………………………………………………………………
Office No: ……………………………………………………………………..
NPO No: ………………………………………….. PBO No: …………………………………………………… Company Registration No: …………………………
Physical Address : ………………………………………………………………………………………………………………………………………………………………
Phone No: …………………………………………………………………….
Please indicate the size of floor space available for laying mattresses on the floor: ……………………………………………………………..meter square
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Our shelter currently has ………………formal beds and we can create ………………….. mattress space from 1st June 2015 till 31 August 2015. If
assisted, we undertake to provide the City of Cape Town Social Development and Early Childhood Development – Street People Programme
with :
1. Daily update on the utilisation of mattress space by 10am
2. Monthly consolidated reports 30 June 2015, 31 July 2015 and 31 August 2015
3. Closing out report details as set out below by 30 August 2015
NB: All applications will be perused as per the set criteria.
Signature of Chairperson: ………………………………………………. (Name and Surname): ……………………………………………………………………..
Signed at: …………………………………………………………………... Date: …………………………………………………………………………………………..
For Office Use
Application Form received on : …………………………………….. Approved/Declined: …………………………………………………………..
By: …………………………………………………………………………………….
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Please complete the list below:
Item List
Details of ADDITIONAL people assisted (over and above the formal beds)
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Quantity required
No.
Name and Surname
Criteria
1. Be registered as a NGO or NPO
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Age
Sex
Entry Date
Departure
Date
Previously slept
Comments
2.
3.
4.
5.
Have facility where people can overnight
Be compliant with Population Certificate
Comply with all Health and Safety regulations
Site inspections will be done before approval
Documents to be attached to application
1. Copy of your current Constitution
2. Copy of your latest AGM minutes
3. Names of members of your board, indicating office bearer
4. Your latest Annual Report
5. Copy of your NPO certificate
6. Your PBO Registration number
7. Your latest external Auditors report
8. The names and designations of your management team
9. Your postal and physical address
10. Your telephone and fax numbers
11. The email address of the contact person of this grant
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