Page of THE UGANDA CONSERVATION FOUNDATION GRANT APPLICATION FORM STRICTLY PRIVATE AND CONFIDENTIAL This form (7 pages) is designed to illustrate the minimum information required when submitting a grant application to The Uganda Conservation Foundation. Please do include copies of papers or articles you have published and any other information you feel will be of interest. You may need more space to answer the following questions fully, in which case, type out the form in its entirety with your answers. PROJECT TITLE: PROJECT SUPERVISOR: Name Address Tel. Fax E-mail Website PROJECT LOCATION: REFEREES: (Name and Contact details) DATE OF SUBMISSION: Proposal to The Uganda Conservation Foundation Page PROPOSED DURATION OF PROJECT: OTHER INDIVIDUALS/ORGANISATIONS INVOLVED: (Specify as major/minor donor/in-kind etc) INTENDED OUTPUTS: (Scientific papers, articles, reports, photographs, workshops, identification catalogues, recommendations to government and management bodies, etc) TIMETABLE FOR FIELD WORK AND WRITTEN REPORTS: of Proposal to The Uganda Conservation Foundation PROJECT DESCRIPTION: History and Background/The Problem and Method/Aims and Objectives. What is the project going to achieve/Follow-up Page of Proposal to The Uganda Conservation Foundation PROJECT DESCRIPTION:(continued) Page of Proposal to The Uganda Conservation Foundation Page of BUDGET BREAKDOWN: (please itemise) (eg Equipment/Fuel/ Educational material/ Film/ Staff/ Consultancy/ Travel expenses) Estimated Cost (US$) Item(s) TOTAL COSTS The Uganda Conservation Foundation expects to be provided with sound evidence of the use of grants, and as such the Trustees require that grants to persons or institutions accept their funds in stages. If reports are not forthcoming when the next stage is due, they will be withheld for later payment or withdrawn. Proposal to The Uganda Conservation Foundation Page of BUDGET JUSTIFICATION: OTHER GRANTS APPLIED FOR/RECEIVED: (Please include brief details of all other applications made for this and any closely related projects during the last three years) PRELIMINARY FUNDING: OTHER MONETARY SUPPORT: IN-KIND CONTRIBUTIONS: Proposal to The Uganda Conservation Foundation Page of Please summarise details of previous UCF grants received: As Supervisor of the project named: I agree to provide regular financial reports including a breakdown of how funds are actually spent and an end of year financial report for audit. I agree to provide monthly news updates for UCF to use in regular PR bulletins/newsletter and the website. I agree to ensure all associated acknowledgement is given to UCF regarding this project. I agree to ensure all PR advantage is given to UCF regarding this project. Signed: ……………………………………………………… Date: ………………………………………………………………. The Trustees of The Uganda Conservation Foundation will not approve a grant application unless fully satisfied with accuracy of the application. The UCF reserves the right to withdraw/withhold funding if the Trustees are deemed to be dissatisfied with reporting procedures.