PROJECT FUNDING APPLICATION

PROJECT FUNDING APPLICATION

The Andries Steenkamp Benefit Sharing Trust supports initiatives that promote the wellbeing, cultural preservation, and sustainable development of the San communities (!Xun, Khwe, Khomani and /Xam) of South Africa. This application form is for organisations seeking financial support for eligible community-based projects.Please complete all sections accurately and upload all required documents in the correct format. Incomplete applications will not be considered.
APPLICANT INFORMATION
Name of Applicant*

First NameLast Name
Email*
example@example.com
Community*
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
Alternative Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
YesNo

PROJECT DETAILS
Name of Project*
Project Field*
Project Description (500 words or less, include background and purpose)*
Upload Complete Project Proposal: PDF or Word format only - no photographed images of documents allowed. *

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Upload Detailed Project Budget*

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Project Objectives (List specific, measurable goals).*
Project Outcomes (Describe the expected results and impact).*
Number of jobs to be created*
Sustainable Jobs: Provide a description on how this funding will contribute to sustainable jobs within your community. *
Project Timeline: Provide a breakdown of the key milestones and activities planned accross a 12 month period. *

Declaration and Digital Signature
By signing below, I declare the following:

I understand that this is only an application for funding and does not automatically make me eligible for funding from the Andries Steenkamp Benefit Sharing Trust.
I acknowledge that all the information provided is accurate and truthful to the best of my knowledge.
I understand that incomplete or false information may disqualify my application.
Signature of Applicant*

Clear
Should be Empty:

APPLICANT INFORMATION