The 2009 ONE Africa Award Application

CLICK HERE TO READ THE SUBMISSION GUIDELINES BEFORE YOU PROCEED.

Please complete each section of the application and attach the required supplemental documents by Friday, August 21, 2009 according to the Submission Guidelines. Please use Arial 11 as the font type and size in each section of the application.

Section I. Individual/Organizational Information

Please include the contact information requested below.

Name of Individual or Organization applying for the 2009 ONE Africa Award:

Name of Affiliations and/or Memberships:

Identify your organization type by checking one of the boxes below:

	Direct Service non-governmental organization
	Advocacy based non-governmental organization
	Other (Please explain)

Address:
City:
State:
Postal Code:
Country:
Main Phone:
Web site:
Annual Budget:	USD

Composition of Employees (% African and % non-African):

Primary Operating Location:

Previously applied for a ONE Award Yes | No

List Current Donors:

List Former Donors:

List Previous Awards Received:

If you are nominating an individual or a civil society organization for the 2009 ONE Africa Award, please state your name and the organization that you represent.

Section II: Primary Contact Person

ONE staff may contact your organization with questions about your application. If you are an organization applying for the ONE Africa Award, please provide the following contact details for your organization’s primary point of contact.

Name:
Title:
Phone:
Email:

Section III. Questions

Please answer the following questions according to the specifications stated in each.

Using the check boxes below, please select the primary sector-specific issues that your organization seeks to address. Please select all that apply.
Check boxes to include:

Primary Health Care
Primary Education
Clean Water and Sanitation
Agriculture
Education
Economic Growth and/or Employment Generation for Poorer Communities Governance
Other (please specify)

Using the check boxes below, please select any secondary issues that your organization seeks to address. Please select all that apply.
Check boxes to include:

Primary Health Care
Primary Education
Clean Water and Sanitation
Agriculture
Education
Economic Growth and/or Employment Generation for Poorer Communities Governance
Other (please specify)

Helpful hint: One paragraph typically includes 100 words.

In 300 words or less, state your organization’s general mission and purpose.
In 300 words or less, describe the target constituency and/or community that your organization serves. Please include the demographics for this group (i.e. women, out of school youth, etc).
In 300 words or less, state the problem and/or issue that your organization seeks to address.
In 300 words or less, describe how your organization raises public awareness about this issue and/or problem.
In 300 words or less, please include a description of an innovative and unique approach that your organization has taken to deliver a service or program to your targeted community or to promote advocacy around an issue.
In 500 words or less, provide three concrete examples (results) that demonstrate how your organization has had an impact on the targeted community that you serve within the past year.

In 300 words or less, describe any accountability mechanisms used in the delivery of your organization’s project activities or services (i.e. community leadership consultations and assessments and transparency of operations).
In 500 words or less, provide several examples of how your organization has partnered with other civil society organizations, the private sector, educational, institutions, and/or government agencies. Please include examples of the type of program activities requiring partner coordination and support.
Can the work of your organization be easily replicated by other civil society organizations facing similar issues/problems in their locale? If so, how? Please describe in up to 300 words or less.
In 500 words or less, describe how the 2009 ONE Africa Award will help advance the mission of your organization, support existing project activities and services, and/or support new projects.

Section IV. Supplemental Information

Please attach the following documents to your application.

All files must be PDFs or Word docs under 20MB in size.

Your organization’s certificate of registration (note: does not apply to individuals applying for the 2009 ONE Africa Award)

Certificate of registration:
Required for organizations.
Two Letters of Recommendation. Applicants must submit two signed letters of recommendation from reputable national/international organizations, community leaders, activists, or other persons qualified to recommend the applicant. Letters should be submitted on letterhead where applicable.

Recommendation file 1:
Required.
Recommendation file 2:
Required.
Your 2008 annual budget with a reasonable breakdown of expenses and revenue

Budget:
Required.
Your most recent Annual Report, if available

Annual Report:
Copies of media reports or articles highlighting the work of your organization, if available

Media clippings:

Please sign your name below.

The information outlined in this application has been requested in order to make recommendations to the 2009 ONE Africa Award Selection Committee. Application information and attachments that you have submitted will be distributed to third parties for assessment purposes and post-award reporting.

Signatories to this application, therefore, authorize the use by ONE of the information contained for publicity and information sharing purposes and for any other reasons related to ONE’s exempt purposes. The 2009 ONE Africa Award recipient will be selected by ONE in its sole discretion. All decisions are final.

Check that you provided the attachments marked "Required" above. It may take several minutes to upload your attachments.