Introduction

*This is the English version of this form*.
 : لتقديم طلبكم باللغة العربية، الرجاء الضغط هنا
https://www.surveymonkey.co.uk/r/8GVW2BK
 
 
Hello and welcome! Thank you for your interest in the Community of Practice’s open call for applications. This call is expected to strengthen the role of refugee-led and local initiatives in Lebanon and to support communities to better address their needs, speak in their own voice, and organize for broader change. For more information on the background to this call, participating donor institutions, and eligibility criteria, please visit the Terms of Reference.

The application form has 3 sections and asks for information about you, your organization, and the proposal you are seeking funding for. Please note you will be requested to submit a budget accompanying your proposal as part of this application.
 
All questions marked with an asterisk (*) require an answer. Please note that our application portal does not allow you to save your work as you go, so we recommend you write responses in a separate document and upload them here when you are ready to submit. 

We know that filling out lengthy forms to receive funding can be overwhelming. Please do not feel under any pressure. Simply fill out the form to the best of your ability and if you do not have an answer, input "No info" or a short explanation as to why you cannot respond as desired. The Community of Practice welcome any questions or feedback you may have on our work and our application process - please just get in touch with communityofpractice@choose.love. 
 
The deadline for applications is 12:00am Beirut Time on Friday 11th June, 2021. Applicants will be notified of results by the end of July. We apologize in advance for not being able to offer individual feedback to unsuccessful applicants. 


Organizational Information

This first section asks for information about your organization and its members of staff.

Question Title

* 1. Name of organization:
(Please specify the name of the organization you are applying on behalf of)

Question Title

* 2. Contact person information:
(Please specify the title, name and contact details of someone at your organization that we can contact with regards to your application)

Question Title

* 3. Type of organization: 
(Select the option that best fits the type of organization you are applying on behalf of)

Question Title

* 4. Registered address (if applicable):
(Please specify the registered address of your organization)

Question Title

* 5. Website and/or social media handle(s) (if applicable):
(Please share any relevant publicly available links to websites and/or social media handles so we can learn more about your organization)

Question Title

* 6. Name(s) of members of your Board of Directors and Senior Management Team (if applicable):
(Please specify first and last names of all members)

Question Title

* 7. Please state the number of paid full-time staff, paid part-time staff, and volunteers currently working for your organization.
(Please specify; note that none of the information you provide will be shared beyond Choose Love Inc. and fellow donors participating in the Community of Practice)

Question Title

* 8. Please briefly describe the composition of your staff (in terms of gender, race, ethnicity, and nationality). 
(Please specify or skip this question if you prefer; please note we are asking this because the Community of Practice is committed to the values of diversity, equity, and inclusion in our grant-making; please also note that none of the information you provide will be shared beyond Choose Love Inc. and fellow donors participating in the Community of Practice)

Question Title

* Proposal Information

The next section asks for information about your organizational activities, and the proposal you are seeking funding for. Several questions in this section have a limit to the number of characters you can submit, so please keep your answers concise.


* 9. Briefly describe your organization’s mission, purpose and objectives, and the geographical areas in which you operate. 
(1,500 characters including spaces or less)

Question Title

* 10. Why is your organization well positioned to carry out this work? Briefly describe your organization’s background and the need or problem that your organization works to address.
(2,500 characters including spaces or less)

Question Title

* 11. Please describe the project for which you are seeking support. 
(4,000 characters including spaces or less)

Guidance. As far as possible, please include:
- A statement of the project's primary purpose and the need or problem that you are seeking to address.
- The population that you plan to serve and how this population will benefit from the project.
- Strategies that you will employ to implement your project.
- The anticipated length of the project.

*If you are seeking support for your organization's ‘core’ or operational costs, please describe your priorities and organizational plans for the next 12 months.*

Question Title

* 12. How do most of your community members and/or service users know about the support your organization offers?
(Please select all that apply)

Question Title

* Budget Information

This final section asks about your organization's finances, as well as budget information for your proposal.


* 13. Has your organization received formal funding before?
(Select one)

Question Title

* 14. Please list any foundations and agencies from which you have received financial support, with amounts (in US Dollars), for your current and most recently completed fiscal year.
(Please provide information for all foundations/agencies; leave blank if your answer to Q13 was 'No' or 'Not sure')

Question Title

* 15. Organizational finances for 2020:
(Please specify your organization's annual income and expenditure in US Dollars for the 2020 calendar year (January-December); give estimations if your financial reports are not yet finalised)

  USD $ 0 - 5,000 USD $ 5,001 - 50,000 USD $ 50,001 - 100,000 USD $ 100,001 - 1,000,000 USD $ 1,000,000 +
Annual income in 2020:
Annual expenditure in 2020:

Question Title

* 16. Budget amount requested (in US Dollars) for your proposal:
(Please specify the total funding amount in US Dollars you are requesting from the Community of Practice for your proposal)

Question Title

* 17. Please provide a budget either for your proposal, covering a specific project or your core costs.

*Please note, we will not be able to fund general operations, but we can contribute to core costs. If you are applying for core costs, please clearly show the budget lines that this funding would fulfil.*

(Please upload file in either PDF, DOC or DOCX format; if you're having any troubles converting your file to one of these formats, please get in touch with communityofpractice@choose.love)

PDF, DOC, DOCX file types only.
Choose File

Question Title

* 18. Please list three reference details. Referees will not be contacted unless your application moves forward.

Referees can be donors, organizations you've collaborated with, or service users.
(Please provide a name and email address or phone number for each referee)

Question Title

* Consent

Thank you for completing all of the relevant information in this application form. Please now read the information below, and indicate your agreement/disagreement with the following statement:

I declare that I am authorized to sign this application on behalf of the aforementioned organization; that I have examined this application, including the attachments; and that to the best of my knowledge, after having made due inquiry, all statements and information contained in this application (including in attachments) are true, correct, and complete. I understand that my data will be stored for the purposes of this open call and for the next five years with access by Choose Love, Inc. and fellow donors involved in this funding opportunity.
 
To find out more about Choose Love's privacy and data management work and policies, please get in touch with communityofpractice@choose.love.

*By agreeing to proceed and submit this application, I consent for the data I have shared to be used by Choose Love, Inc. and fellow donors in the ways explained.

Do you agree to proceed?
(Select one)

 
100% of survey complete.

T