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We support traumatised
women and girls
in war and crisis zones

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Project funds

Application form

Please return to:

medica mondiale e.V.
E-Mail grant program
Hülchratherstraße 4
D- 50676 Köln
Fax +49 221 9318981

medica mondiale grant program “Support for Traumatized Women and Girls and Survivors of Sexualized Gender-based Violence in Armed Conflicts and Crisis Zones”

If you wish to apply for a grant at medica mondiale, please answer all the questions of our grant request sheet. Applications are accepted throughout the year and should be written in English. Only fully completed grant request sheets are accepted. The grants range in size between 250 € - 5000€.

CONTACT INFORMATION

  1. Name of your organisation.
  2. Current contact information (Postal Address, Street Address, Telephone, FAX, E-mail and Website).
  3. Contact person's name and title.
  4. What is your preferred method of communication with us? (Mail, FAX, or E-mail)
  5. Bank Details (Name and address of bank, account holder, account number, IBAN, swift code or BIC).
  6. How did you learn of medica mondiale and the grant program?

DESCRIPTION OF THE ORGANISATION

  1. Why and when was your organisation founded?
  2. What are your organisation's main goals? What is the mission of your organisation?
  3. Is your organisation a women’s organisation?
  4. Describe the structure of your group (staff, board, members, volunteers)
  5. Are you a registered and recognized organisation? Please send us a copy of your registration and the statutes of your association.
  6. Who benefits primarily from your organisation's activities?
  7. Describe your organisation's specific activities and/or programs.
  8. Are you working with any other national and international (women's) organisations? If so, please describe the shared activities.
  9. Is your organisation politically engaged (lobbying, women’s human rights work etc.)? If so, how?
  10. May your organisation be publicly mentioned, e.g. presented on our website?

BACKGROUND INFORMATIONS

  1. What is the impact of war or conflict in your region on women? Are there any documentations or reports about women’s right violations or sexualised violence against women and girls in the context of the war or conflict?
  2. Please give a short description of the social/political/cultural context of your country or region.

PROJECT DESCRIPTION (min. 3 pages)

  1. How much money are you requesting?
  2. Please give a detailed description of the planned project and the activities. (1 page)
  3. Will the grant fund a single project or a partial contribution to a project?
  4. What is the time schedule of the project? When will the project start, how long will it last?
  5. Describe the exact target group of the project. What is the impact of the project on traumatized women/ survivors of gender based violence? How will the women benefit from the project?
  6. How will you recognize whether the project was successful or not?
  7. Prepare a budget list of the project including the main cost items (in euros).

FINANCIAL INFORMATION

  1. What was the total annual budget of your organisation in the last calendar year or financial year? Please denote in the respective currency. Prepare a list of the main sources of income with names, sums and currency.
  2. If you have received funding before from any international donors, please provide us with contact information of one or two representatives who can serve as a reference for your organisation.
  3. Will you be able to send us a financial report about the grant including original receipts and bank statements?
  4. Will your organisation be able to provide us with project reports and other publications such as photos or similar PR material?

We would also like to find other ways to support you and cooperate with you. How can medica mondiale support you other than by financial help?

 

Please return your completed application information to medica mondiale. If you have any questions please don’t hesitate to contact us.

Contact

E-Mail Kirsten Wienberg
medica mondiale e.V.
Hülchrather Straße 4
50670 Köln
Phone: +49.(0)221.9318980
Fax: +49.(0)221.9318981