Greater Good SA

Cause Name:

Name of Project*:

Contact Person*:

Designation*:

Tel*:

Fax*:

Email*:

Development Sector:
Amount Requested:
How long will your project run for? (in months)

Location of Project

Communities/Villages:
OR Town/Township/City:
Province*:

Financial Information

Name of Bank:
Branch (& Code):
Type of Account:
Account Name:
Account Number:
Signatories:
Auditor's Name:
Auditor's Tel Number:

Your References

Please identify and provide the details of 3 people in the following capacities who are able to give current references for your organisation:

A representative from your current beneficiary community:
Name:
Relationship to your organisation:
Telephone number:
Alternative contact number or email:
A community partner or stakeholder:
Name:
Organisation:
Relationship to your organisation:
Telephone number:
Alternative contact number or email:
A current or recent donor or funder:
Name:
Organisation:
Relationship to your organisation:
Telephone number:
Alternative contact number or email:

Step 2 >

What is the problem which your project aims to address?

What are the facts that back up this description of the problem?

What are the effects of the problem on your beneficiaries?

Who are the beneficiaries of your project? How many people will directly and indirectly benefit from your project?

Have the project beneficiaries been involved in the design of the project? If so, describe how:

Describe the activities if your project according to the following three stages:

PREPARATION - What steps will you take before the project can start? (Provide time-frames.)

IMPLEMENTATION - What steps will you take to implement the project? (Provide time-frames.)

MONITORING - What steps will you take to monitor and evaluate the project? (Provide time-frames.)

< Step 1

Step 3 >

What are the expected life changes that will result from your project? Describe the impact on the lives of your beneficiaries according to the criteria listed below that are relevant to the outcomes of your project:

Physical - Security/Shelter Impact:

Health - Physical/Mental/Emotional/Psychological Impact:

Educational Impact:

Vocational/Job Skills Impact:

Economic Impact:

Social Impact:

< Step 2

Step 4 >

Who is in charge of running the project on a day-to-day basis? (Provide any qualifications that demonstrate his/her/their experience and expertise.)

Describe key service providers and/or partners who you will be using in the implementation of the project. (State whether they are accredited, proven or generally regarded as employing best practices):

Describe any methodologies, models, tools and processes that you will be using to implement the project. (State whether they are new or proven; accredited or generally regarded as best practices):

What is the organisation's track record in terms of implementing similar projects? (Provide information on how many similar projects, involving how many people and describe how their lives have changed.)

Will this project be independent of the need for funding in the future? If so, please describe when and how:

< Step 3

Finish