Grant-In-Aid Application Form - Knysna (Page 3 of 5) in pdf

A12

Names and Positions of three Members of the Management Committee:

Name:__________________________________ Position:_________________________________

South African ID number:__________________________________________

Name:__________________________________ Position:_________________________________

South African ID number:__________________________________________

Name:__________________________________ Position:_________________________________

South African ID number:__________________________________________

A13

Is the organisation affiliated to another organisation? ____________________

If Yes, name them:________________________________________________________________

A14

Is the organisation an umbrella body?______________

If Yes, what organisations are affiliated to you? (attach a list if necessary)

________________________________________________________________________________

A15

Describe the main purpose of the organisation:

________________________________________________________________________________

A16

Describe the types of services that the organisation provides and the people who will benefit from

the services:______________________________________________________________________

________________________________________________________________________________

A17

Number of staff and voluntary workers presently employed in your organisation:

PAID STAFF

VOLUNTEERS

No of full time staff

No of part-time staff

No. of full-time

No. of part-time

volunteers

SECTION B: DETAILS OF FUNDING APPLIED FOR

What amount of money is the organisation requesting?___________________

Explain how you will utilize this money, if granted. Please attach a detailed budget with a

motivation.

Indicate which groups of people will benefit from the funding, if granted and how many?

Grant-In-Aid Application Form - Knysna Page 3