APPLICATION FOR FUNDING
Applicant’s name
Applicant’s contact
details
Name of person completing this application
Address
Telephone
Mobile
fax
e-mail
website
Endorsed by (Senior
management or others)
ORGANISATION OVERVIEW
Organisation applying
for grant
Summary of
Organisation
Can the organisation
demonstrate its
charitable status?
Is the organisation
based in Fiji?
Name of the organisation making the application
(Note individuals are not eligible for the grants programme –
applications must be submitted via a registered Fiji charity or
formally constituted voluntary organisation)
Simple summary of the organisation – background, purpose, vision,
values, size of organisation, number of employees and population
served etc
Yes / No
Is it a trust / incorporated society / other (please specify)
Note: successful applicants will be required to confirm the
organisation’s charitable purpose
Yes / No
1
FINANCIAL CAPACITY OVERVIEW
Financial Capacity
Provide contact details
of the person who will
be the financial
management and
acquittal of the project?
Background of person
providing the financial
report?
Bank Account Details
Delineate the financial management capacity of your organization?
Please provide us with the contact details of the personnel who will
be responsible for project finance management and reporting.
Name
Address
Telephone/Mobile/Fax /E-mail
Financial reporting is an integral part of the arrangement to fund
Vodafone ATH Foundation projects, therefore, pleases outline the
financial competencies of the personnel who will be providing
financial reporting.
Name of the Bank:
Account Name:
Account Number: (optional)
Bank name
Address
PROJECT OVERVIEW
Project name
Purpose of application
Overall project goal and
top-line success
indicators (Key
performance indicators)
Name of the project
Why are you applying to the Vodafone ATH Fiji Foundation?
Please state the
- aim of the project
- the social need it meets – how the project will mitigate the
concerns in the communities/societies
- why the need is important
- the population served by project (age range and no of people
that will benefit)
-
Summary of Activities
Project timeline
Previous grants awarded
by Vodafone ATH Fiji
Foundation
When will the project start and how long is it going to go on for?
Please list the previous funding received, title of the project and
amount received.
2
Resources requested
from the Foundation
Other funds currently
applied for / received by
project?
Project Sustainability
Please provide activity based budget? See attached Annex 1 for
Budgeting Template
Please list project funding sources
E.g. revenue generating opportunities, spin-off of the current project,
etc
How will the project be
sustained after grant
funds have been spent?
Or closure of this
project.
Organization/Communit
y contribution
Do provide brief mention of the organization and community
contribution?
SWOT ANALYSIS OF THE PROJECT
Strength
List the strengths of the project
Weaknesses
List the weaknesses of the project
Opportunities
List the opportunities presented by this project
Threats
List potential threats or risks to the project or Vodafone and ATH
which one should be aware of.
PROJECT EXPECTED OUTCOME
Community benefits
List who will benefit and how from funding (e.g.: number of people
trained, number of jobs created, etc). Please include direct and
indirect beneficiaries
PROJECT EXPECTED OUTPUT
Community benefits
List the outputs of the project
Please include direct and indirect beneficiaries
3
ADDITIONAL INFORMATION
Publicity strategy
Evaluation
About the VATHFF
Additional information
List key elements of publicity strategy to communicate the
achievements of this project – potential audiences, and ways to
communicate with them. This information is required for
sharing/replicating of success stories for multiplier effect.
How will the project be evaluated? What is considered a successful
outcome?
Please tell us where you heard about the Vodafone ATH Fiji
Foundation – website / advertising / word of mouth etc
List any additional information that you feel is relevant e.g. why
you’d like to partner with the Vodafone ATH Fiji Foundation
Attach a brief overview if appropriate
DECLARATION
Please read the following statements before signing below.

I solemnly declare that the information provided here and on any supplementary
sheets is true and correct
That further information provided by any representative of our organisation, during
the course of assessment will be true and correct
I have the authority to commit the organisation to this application
I acknowledge that any decision made by the Vodafone ATH Fiji Foundation is final.
I accept that no reasons for such decision may be given, nor may any
correspondence be entered into.



Name
(Authorised By)
Position
Signature
Date
Privacy Statement
Any personal information provided about individuals in this application will be used
only to assist with the administration and assessment of your application. The
information you provide is restricted to the Vodafone ATH Fiji Foundation Trustees,
staff and any other parties that may need to be consulted on behalf of the Vodafone
ATH Fiji Foundation.
Completed forms should be e-mailed to foundation@vodafone.com.fj or mailed to
Vodafone ATH Fiji Foundation
4
Private Mail Bag, Suva.
Or dropped at
168 Princes Road, Tamavua
Should you require further information, please contact Foundation Executive on 3312
000.
Thank you for taking the time to complete this form. It will help us asses your
proposal and make an informed decision. Please note that due to the high volume of
applications received it may take up to a month for us to reply.
For office use only:
Grant agreed: Yes / No
Date:
Grant amount: FJ$
ANNEX 1 - PROJECT BUDGET TEMPLATE
5
NB : To include the funds requested from VATHFF ONLY.
UNITS
Act #
1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
Activity Name
Youth development Workshop
Travelling
Meals
Accomodation
Stationery
Communication
Publicity
Provide # for each line item
Others
Sub Total
2
2.1
2.2
2.3
2.4
2.5
2.6
2.7
Healthy Living Workshop
Travelling
Meals
Accomodation
Stationery
Communication
Publicity
Provide # for each line item
Sub Total
3
3.1
3.2
3.3
School IT Lab
Air condition
Computers
Internet Connection
Sub Total
4
4.1
4.2
4.3
4.4
4.5
Self Sustainable Workshop
Travelling
Meals
Accommodation
Stationery
Communication
Sub Total
4
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.9
Empowering Women
Travelling
Meals
Accommodation
Stationery
Communication
Publicity
Provide # for each line item
Others
Sub Total
e.g per mnth, event etc
per item
No.of UNITS
e.g 1, 12 3etc
12
UNIT
RATE
1599
Total
19,188.00
Activity Total
Other
Total cost of the project
6
7