APPLICATION FORM - A1 Partner Identification Trip Maximum budget DKK 30.000 For KVINFOs internal use, please do not fill KVINFO Journal No. Date received: This form should be used when applying for a partner identification trip in the Pool for Dialogue and Cooperation on Gender and Women's Rights administrated by KVINFO. A partner identification trip offers the potential partners a possibility of assessing the foundation for a partnership, negotiating a partnership agreement and initiating discussion about future project cooperation, including the conclusion of a partnership agreement. Please read the instructions and guiding questions under each sub headline carefully. Include only relevant and necessary information, and make sure that the total application does not exceed 10 pages. If you have any questions in regard to filling the format please send an e-mail to KVINFO: menapool@kvinfo.dk. GENERAL INFORMATION Title (if any): Name of applicant: Contact details Physical address of the organization: [Street/Road] [City/Town] Postal address of the organization: [Postal address] Contact person: [Name and position] [Phone number] [Skype address] [E-mail] Name of potential partner organization(s)* Contact details Physical address of the organization: [Street/Road] [City/Town] Postal address of the organization: [Postal address] Contact person : Pool for Dialogue and Cooperation on Gender and Women's Rights Page 1 of 4 [Name and position] [Phone number] [Skype address] [E-mail] The period of time for the identification Start date: [DD-MM-YY] Completion date: [DD-MM-YY] Total costs [cost in DKK] Amount requested from KVINFO [amount in DKK] *Note: All potential partner organizations must be mentioned. In case of more than one organization, please add more boxes and fill in the additional information. Summary (maximum 10 lines) Kindly provide a summary of the partner identification: what is the overall purpose and the main issues to be clarified as part the identification trip? Place/Date Signature Name and position of applicant (Capital letters) Pool for Dialogue and Cooperation on Gender and Women's Rights Page 2 of 4 THE POTENTIAL PARTNERS THE DANISH ORGANIZATION Please describe briefly the organizations mission and main area(s) of work. Describe briefly the organization’s previous experience with regard to international partnership and/or project management in the area of gender equality and women’s rights (if any). THE MENA ORGANIZATION(s)* Please describe briefly the organization’s mission and main area(s) of work. Describe briefly the organization’s previous experience with regard to international partnership and/or project management in the area of gender equality and women’s rights (if any). THE POTENTIAL PARTNERSHIP Please describe how and when the contact between the Danish organization and the MENA organization(s) was established, and how (and by whom) the idea for a partner identification trip was conceived and developed. Describe briefly how a partnership between the Danish organization and the MENA organization(s) can be of mutual benefit. *Note: If you intend to visit more than one MENA organization please make a short description of the main participating organizations. Pool for Dialogue and Cooperation on Gender and Women's Rights Page 3 of 4 THE PARTNER IDENTIFICATION Context Analysis: Describe briefly the national political and socio-economic context, focusing on the aspects of gender equality, women’s rights and the liberties and freedom of association for civil society organizations to work on these issues. Purpose: Describe the purpose and the expected outcome of the partner identification. Program and activities: Describe the main activities during the identification trip and attach a detailed programme for the entire trip (Annex 1). Participants: Please describe who (names and positions) will take part in the identification trip from the Danish organization, including their role and responsibility. Please attach a CV of each participant (Annex 2). Follow-up activities: Describe the activities (including signing of partnership agreement, project planning etc.) that are to take place after the identification trip and indicate who will be responsible and what the timeframe will be. Challenges and potential risks: Please describe any foreseen challenges or potential risks that may jeopardize or delay the identification trip and the subsequent process. Remember to attach the following annexes Annex 1: Annex 2: Annex 3: Detailed programme CV of participants Budget for the partner identification trip + any other relevant documents or permits The application should be sent to: KVINFO Pool for Cooperation on Women’s Rights Christians brygge 3 1219 København K AND E-mail: menapool@kvinfo.dk The application must be submitted in hard copy as well as in soft copy. Pool for Dialogue and Cooperation on Gender and Women's Rights Page 4 of 4