The National Heritage Council (NHC) is a statutory body established in terms of Section 3 of the National Heritage Council Act 11 of 1999. It has, as one of its key mandates, a responsibility of disbursing funds for approved heritage projects. In allocating these funds, the National Heritage Council aspires to expand the base of participation of heritage organizations in the country. Applications are invited from individuals, organizations and institutions.
FUNDING APPLICATION FORM 2011 – 2012 Closing date: 30 April 2011, 16h00 Please tick to confirm
REQUIREMENTS Your application must: a) Demonstrate and substantiate the potential and significant contribution to heritage b) Specify the management and accountability structures c) Demonstrate an element of skills transfer and capacity building d) Include a Project Business Plan with an itemized budget and timelines e) Project Summary, management structure and contact person/s f ) Projects involving women, youth and differentially abled persons in their programmes through skills development, training and empowerment will be given preference. g) Observe and satisfy all the terms and conditions as stipulated in the application form.
a b c d e f g
I confirm that I have read the requirements above and ticked only the relevant corresponding boxes where my/our project applies. NB: Please use additional paper for information exceeding the provided space on the form and refer to the annexures accordingly. CATEGORIES CONSIDERED FOR FUNDING The National Heritage Council funding for this term will only consider proposals in the following areas: a) Heritage Research (research & training and/or capacity building projects) This includes the broad category of unsung heroes and heroines, whose historical achievements have not been adequately captured. This programme calls on proposals of projects which seek to explore and trace the historical contribution and achievement of heritage communities in the promotion, conservation and management of our heritage. b) Liberation Heritage (research and publications) Liberation heritage needs to be profiled by practitioners involved in its research, publication/documenting as well as capacity building.. We call on proposals for projects whose objective is to enhance the liberation heritage in the country. c) Youth Education and Heritage (skills programmes and heritage training and research) This programme seeks to explore ways in which heritage can be used effectively to maximise the role of the youth in the promotion and conservation of heritage resources. While at the same time it explores what contribution heritage can have in addressing youth issues to prepare them for the main stream economy in their career paths. Projects must assist to integrate heritage conservation and management into the education system including public education programmes and forums/fora. This programme also seeks opportunities for research, knowledge production, capacity building and skills development in conservation and management of heritage resources. How to submit your application? Applications can be submitted through: Post: The National Heritage Council (Funding), P O Box 74097, Lynnwood Ridge, 0040 Hand delivery: Office no 016, Domus Building, No 57 Cnr Kasteel and Ingersol Roads, Lynnwood Glen, Pretoria. e-mail:
[email protected] or fax 086 601 6581. Enquiries: 012 348 3944 (weekdays from 10h00 to 15h00 only) How will you know if your proposal was successful? Should applicants not hear from the National Heritage Council in four weeks after the closing date, they should consider their application as unsuccessful and will be informed in writing. CHOOSE THE RELEVANT CATEGORY FOR YOUR APPLICATION CATEGORY
FOR OFFICE USE Date received Complete
Heritage Research
Documents outstanding
Liberation Heritage
Date evaluated
Youth, education and Heritage
By YES
NO
Status of evaluation Closure report & date
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SECTION 1:
ORGANISATION/INSTITUTION/COMPANY DETAILS
Please complete the sections required below and where applicable tick the relevant option to your organization: TYPE OF BUSINESS
Non Governmental Organisation (NGO)
Registration number:
Section 21 (Non Profit Making) Public Benefit Organisation (PBO) Non Profit Organisation (NPO) Individual Other (specify)
Registration date: Income Tax number: VAT registration number:
(attach tax clearance /exemption certificate)
Rural (village)
Small (1-50) SIZE OF ORGANISATION (in terms of employment) SINGLE ENTITY/AFFILIATE BODY(IES)
Peri-urban (township)
Medium (51-100) Location of project
Large (101+)
Urban (town/city) Name of Province
No. of affiliates
Name of Municipal area
Name of organisation Contact person Position in organisation I.D. No. Physical address Postal address
Contact Details: Tel
(
)
Cell
Fax
(
)
E-mail
SECTION 2:
PROJECT SPECIFICATION
NAME OF PROJECT
DESCRIPTION OF PROJECT
OBJECTIVE/S OF PROJECT
PROJECT KEY DELIVERABLES
TOTAL COST OF PROJECT (including VAT) (Budget to be itemised)
ARE YOU RECEIVING ANY OTHER FUNDS? If yes, provide name of funder, amount received and period of funding.
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R........................................................................................................................................................................... In words:............................................................................................................................................................ Name of funder............................................................................................................................................... Amount: R.......................................................................Period.....................................................................
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HAVE YOU APPLIED FOR FUNDS FROM OTHER FUNDERS FOR THE SAME PROJECT? If yes, provide name of funder, amount received and period of funding
Name of funder.......................................................................................................................................................................... Amount: R.......................................................................Period................................................................................................
FINANCIAL MANAGEMENT SYSTEM
TICK
Please provide names if your answer is a YES. Do you have a qualified finance person?
YES
NO
Do you have a financial control system?
YES
NO
Do you have financial auditors?
YES
NO
DURATION OF PROJECT (For this application)
Start date:
Please provide letter of confirmation by auditors
End date: NAME & SURNAME
POSITION
GENDER
ID
IMPLEMENTING STRUCTURE Give names and positions of people involved in the implementation of the project (indicate if the person is disabled).
SUBCONTRACTORS
NAME OF CONTRACTOR
DESCRIPTION OF WORK
Give names of organisations or individuals contracted by your project to provide services during the project implementation. Also provide service level agreements as separate attachments for each.
SECTION 3: BENEFICIARIES
BENEFICIARIES DETAILS Internal How many employees will be empowered from being involved in the project? External How many people not employed by you project will benefit? (e.g. access to educational information, increased awareness, acquisition of new skills, etc)
IMPACT OF PROJECT
Job creation: How many jobs will be created?
Skill transfer and Capacity building: How many people will receive skills?
SECTION 4 :
BUSINESS PLAN
This application form must be accompanied by a comprehensive Business Plan of the project. The Business Plan must be typed and be not less than four (4) pages. The structure of the business plan must be as follows:
• • • • • • •
Executive summary Objectives Implementation structure and capacity Benefits of the project Project work-plan Activities and costs ( itemised Budget) Impact & sustainability of the project
Ensure that the information in your business plan meets the evaluation criteria listed below. RELEVANCE
INNOVATION
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• •
Project must adequately address the scope of work. The work plans and deliverables must be aligned to the stated objectives.
•
Project to reflect potentiality that would lead to new approaches in existing practice and technology or creation of new ones. Project must reflect new ideas, scientific and technical approaches. Project unique and not duplication of work already undertaken. Project reflects a component of viability, innovation and originality.
• • •
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KNOWLEDGE APPLICATION
• •
Sufficient information must be provided regarding the protection of intellectual property. Project demonstrates clear, careful and detailed planning.
CAPACITY BUILDING & SUSTAINABILITY
• •
Project must reflect ability to effectively manage and succeed. Project must reflect skills development component
VALUE FOR MONEY
• •
Benefits stated in the project must be measurable. Project must benefit heritage sector.
REPRESENTATIVITY
• •
Project must reflect representativity e.g 100% of women, disabled, youth and % African. Project must recognise political, geographical and cultural diversity of the country.
SECTION 5:
PARTNERSHIP AND ADMINISTRATION
Individuals applying for heritage funding must enter into a partnership in order to have their funding administered by a registered entity and for reporting to the NHC. Organisations that do not have Audited Financial Statements must partner with an organisation that has Audited Financial Statements in order to report jointly to the NHC. Guidelines for Partnerships 1. 2. 3. 4.
Organisations that do not meet the advertised requirements are required to make applications in partnership with established organisations that meet advertised requirements. These partnerships must exclude the following: a) Closed Corporations, (Pty) Ltd and profit making organisations. The two parties should jointly fill in the Memorandum of Understanding outlining the following: a) Roles of each party b) Reporting processes Roles must provide clarity for each party on the partnership and be documented Main party on the partnership will: a) Submit all reports on the project; b) Account for project activities and expenditures; c) Monitor and support the assisted party; d) Provide skills transfer so that the developmental party becomes independent and capacitated in the future; e) Provide audited financial statements
SECTION 6:
DECLARATION
I, ................................................................................. (name and surname) of RSA identity number ................................................................, in my capacity as ......................................................... acknowledge that I have read the contents of the application form and confirm that I have provided correct and accurate information. Signed at ...................................................... (place) on the ..................... day of ....................................... (month) of 2010
Signature: ............................................................................. Witness 1: Name and surname:......................................................................................................................... ID number:................................................................................................ Contact number:.............................................................................................................................. Signature:......................................................................................................................................... Date:......................................................................................................... Witness 2: Name and surname:......................................................................................................................... ID number:................................................................................................ Contact number:.............................................................................................................................. Signature:......................................................................................................................................... Date:.........................................................................................................
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