Application for funding by ifa – Institut für Auslandsbeziehungen (zivik Funding Programme) through funds provided by the German Federal Foreign Office Funding period 2016 (Support for international measures in the fields of crisis prevention, peacekeeping and conflict management / Individual conflict management projects by German and international NGOs) Projects can only be funded within one calendar year (January to December). Deadline for applications for projects starting in January or February is November 1st of the previous year. Applications for projects starting between March and December should be submitted two (2) months before the project starts. Funds for projects that have already started or have already been completed will not be granted. The complete application form should not exceed 10 pages in font size 10 pt. In order to identify and assess the effects of project activities, applicants need to consider while planning how these effects are to be measured later on. Please take note of our Manual – Monitoring of effects (movie) http://www.ifa.de/fileadmin/pdf/zivik/movie_introduction.pdf (movie introduction) By signing I/we declare my/our agreement, that ifa – Institut für Auslandsbeziehungen may save my data and may forward information to the responsible audit bodies. Annual Report and Charter of applicant organisation must be handed in. Annual Report and Charter of applicant organisation are attached? Annual Report and Charter of partner organisation are attached? [Yes] [No] [Yes] [No] Authorised signatory for legally binding documents ____________________________________________________ __________________________ (Ms / Mr, Academic title, First Name(s), Surname(s), (Signature and STAMP) Capacity; Please underline main name) Date of signature __________________________ Please hand in your application only by e-mail to zivik@ifa.de at first and later – upon request – mail the hard copy together with all enclosures, signed, stamped and dated to: Institut für Auslandsbeziehungen (ifa) e. V. zivik Funding Programme Linienstr. 139/140 10115 Berlin Germany Page 1 of 4 Project title Country / Region / Town of project implementation Project duration (from - until) Funding requested (cf. attached financing plan in EUR) 00.000,00 EUR Applicant Organisation Complete name of NGO (as registered) Street (no Post Office Box) Zip Code / Town Country Telephone with Area Code Telefax e-mail Homepage Legal form / Register of associations Authorised signatory for legally binding documents Contact Person for the project (responsible project coordinator for all queries) Ms / Mr Surname / First Name Capacity Telephone with Area Code Mobile e-mail Name e-mail Contact Person for finances Name e-mail Partner Organisation Complete name of NGO (as registered) Street Zip Code / Town Country Telephone with area code Telefax e-mail Homepage Legal form / Register of associations Contact Person for finances Contact Person for the project: (responsible project coordinator for all queries) Ms / Mr Surname / First Name Capacity Telephone with area code Mobile e-mail Name e-mail Please add additional partners on a separate page. Page 2 of 4 1. Project Summary Please outline your project here on one page maximum. 2. Description of the Applicant Organisation Fields of activity and locations, target groups, structure, financing How long has your organisation been active in the project country? What qualifications does your project staff have? If you are working with a partner organisation Fields of activity and locations, target groups, structure, financing When did your organisation start to cooperate with the partner organisation? What role will your partner organisation play in the project? What qualifications does the partner organisation’s staff have? 3. Conflict Analysis and Initial Point of the Project a) Conflict analysis: Chronological and geographical setting of the conflict? Root causes and topics of the conflict? Central actors and dynamic of the conflict? (Who took part in drafting the conflict analysis? What sources where used?) b) Where do you see starting points to initiate a change process, which could be worked on explicitly by this project? c) What role does your organisation (and your partner organisation) intend to play in this specific conflict context? d) To what extent does your planned project correspond with and/or is coordinated with Other civil society organisations and development agencies? Local governmental institutions? International organisations (UN, OSCE, EU, other)? e) Do you know of any similar or previous measures comparable to your project? Which conclusions can you draw from these measures (lessons learned)? f) Is your project a follow-up measure to a previous project funded by another donor? 4. Project Planning – Basis for Monitoring and Evaluation Please fill in the Project Planning chart (movie_matrix_en.docx) http://www.ifa.de/en/funding/zivik-civil-conflict-resolution/funding-procedure/downloads.html 5. Financing Plan Please cf. http://www.ifa.de/en/funding/zivik-civil-conflict-resolution/funding-procedure/downloads.html Please note, that only project related expenditures (including personnel directly related to the project) may be entered into your financing plan. No funding can be allocated for permanent staff. You may enter overheads in a flat sum. This flat sum must not exceed eight per cent of the requested zivik grant. Please specify which expenditures are included in your overheads (e. g. communication costs, office equipment, others). Please only use gross amounts in the financing plan (inclusive of value-added tax). Page 3 of 4 Please enter expenditures in the currencies in which they will actually incur and in EUR. The conversion rate and source must be specified and provided with date (for example: http://www.oanda.com). Does the grant applied for (if applicable, together with your own resources and/or third party funding) cover the total expenditure of the project? YES ___ NO ___ Are you applicable for VAT deduction? YES ___ NO ___ If yes, will you make use of this opportunity? YES ___ NO ___ Page 4 of 4