Grant Application

GRANT APPLICATION

Please submit all requested information here below either in French or in English
Submission Date

DayMonthYear
Organization Information
Full Legal Organization Name*
Website
Purpose*

Non-ProfitFor-Profit
Legal Status*

FoundationAssociationOther:
Fiscal Status*

Tax exemptNot tax exempt
Non-profit and tax exemption documentation*

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Year of Establishment*

DayMonthYear
Organizational Mission Statements*
Organisation Logo*

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Project Information
Project Name*
Geographic Area Served*
Impact Sectors*

BiodiversityCircular EconomyRenewable Energies
Project Description*
Impact KPIs*
Provide Impact KPIs on which you will base your impact report (tCO2 avoided, samples taken, number of attendees,...)
Project Documentation*

Share PDF with all project details
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Project Logo

Project Specific logo if different from the organisation
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Proposal Request
Total Project Budget (CHF)*
Total Requested Amount (CHF)*
Enter the full amount, if multi-year, enter the sum
Grant Period From*

DayMonthYear
Expected fund deployment date
Grant Period To*

DayMonthYear
Support period termination and impact report generation
Multi-Year?*

YesNo
Amount Year 1 (CHF)*
Amount Year 2 (CHF)*
Amount Year 3 (CHF)*
Financial Documentation*

Share PDF or Excel
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Use of Funds*
Specify what expenses will be covered

Grant Agreement Admin
Number of signatories*
The signatories are the individuals authorized to sign the grant agreement. The email provided will be used to initiate the digital signing process.
Signatory 1

First authorized signatory
Full Name*

First NameLast Name
Title*
Signatory 1 Email*
example@example.com
Signatory 2

Second authorized signatory
Full Name*

First NameLast Name
Title*
Signatory 2 Email*
example@example.com
Signatory 3

Third authorized signatory
Full Name*

First NameLast Name
Title*
Signatory 3 Email*
example@example.com

Final Note
Add any additional comments if needed
Privacy Notice
The data you provide in this form will be used solely for the evaluation, follow-up, and potential funding of your project. It will be accessed only by authorized personnel of the Foundation and, where necessary, trusted third-party service providers (e.g., hosting platforms).

Your data will be stored securely and retained only as long as necessary for the purpose stated above. You have the right to request access to, correction of, or deletion of your data at any time by contacting us at contact@fondation-valery.ch.
Consent Agreement*

I consent to the collection and processing of the data provided in accordance with the privacy notice.
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GRANT APPLICATION