Please enable JavaScript in your browser to complete this form.
Grant Application Form -FP
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 5
Section 1: Organisation Information
Name of Organisation
*
Registered Office Address
*
Name of Contact Person for this Application
*
First
Last
Phone
*
Email
*
Email
Confirm Email
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Legal status of organisation
*
Year of registration
*
Number of trustees (or similar)
*
Please explain the organisation’s governance arrangements (attach supporting documentation such as Articles of Association, By-Laws or Operating Manuals)
*
Click or drag a file to this area to upload.
Number of staff
*
Number of regular volunteers
*
Please describe the organisation’s background, purpose and objectives (attach supporting documentation to support this)
*
Click or drag a file to this area to upload.
Please describe the organisation’s recent and current programs that support children and/or young people
*
Please describe the geographic location of the organisation’s activities and programs. Does the organisation limit it activities to a particular area of the Philippines?
*
Please describe your organisation’s approval or accreditation status with relevant government departments in relation to your charitable programs (attach supporting documentation to support this)
*
Click or drag a file to this area to upload.
Please provide a copy of the organisation’s child protection/safeguarding policies and/or procedures. If unavailable, please provide an explanation.
*
Click or drag a file to this area to upload.
Next
Section 2: Organisation’s Financial Details
Name of Organisation’s Treasurer or Financial Manager
*
First
Last
Phone
*
Email
*
Please describe the organisation’s main sources of income
*
Please provide copies of financial accounts for at least the previous two years, detailing the percentage of income allocated to general overheads, administration and fundraising. If unavailable, please provide an explanation.
*
Click or drag a file to this area to upload.
Next
Section 3: Details of Support Requested
Description of the activity or program that the organisation is seeking support for including staff/volunteer resources required and availability, physical resources required, key milestones and expected target dates for each milestone
*
Please explain how the activity or program is expected to provide help to beneficiaries? What is the need for the activity or program? Please explain why this situation is happening.
*
Please identify anticipated outcomes and benefits in measurable terms. How is the situation expected to change as a result of the activity/program? Please explain how impacts will be measured and reported.
*
Please provide details of the person who will be responsible for managing and delivering the activity or program including their experience and qualifications
*
Details of the person(s) responsible for control of expenditure and disbursement of funds for this activity or program including their qualifications and experience
*
Please provide details of other key staff or volunteers involved in the activity or program
*
Amount of grant requested (also attach a breakdown showing how the requested grant will be spent)
*
Click or drag a file to this area to upload.
Describe how costs not supported by the grant will be covered?
*
Explain how the activity or program will be continued after the grant ends?
*
Next
Section 4: Other Information:
Please provide any other information that you believe will further support your organisation’s grant application.
Section 5: Commitment Statements:
We confirm that that none of our trustees of key staff are currently involved in politics, nor do they have any intention to do so
Yes
No
We confirm that our trustees do not derive any benefit or income from the organisation or its activities/programs
Yes
No
We confirm that the organisation will only apply the grant to its intended use
Yes
No
We confirm that we will provide Balay with regular reports on progress and achievements in relation to the activity/program
Yes
No
We confirm that Balay will be granted access to our records and be able to interview trustees, staff and beneficiaries as part of monitoring and evaluation activities.
Yes
No
Next
Updating preview…
This is a preview of your submission. It has not been submitted yet!
Please take a moment to verify your information. You can also go back to make changes.
Previous
Submit