Contact person Email (if different from head Telephone Board Chair Surname, Name Email Telephone Section 2: Organization’s profile Mandate, vision State your organization’s mission and priorities and vision Does your organization have a Yes No strategic plan? If yes which period Please state Strategic Plan period: 20_ _ to 20 _ _ does it cover? What are your organization’s core priorities for the next 3-5 years? Section 3: Management and Financial ability Annual budget Please state your organization’s average annual budget from 2016 – 2018 What is the source of your core funding? Who are your main funders/donors? Core staff How many staff do you have and what are their functions? Please outline permanent staff and contracted staff. Section 3: Expertise And Experience Sector, area and Briefly state reason(s) why your geographic organization should be considered coverage for this initiative Geographic coverage of Local District Regional National interventions (Please tick what Please specify: applies) Key thematic focus (List a 1…………………….. maximum of 4 in order of priority) 2……………………… 3………………………
Contact person (if different from head Email Telephone Board Chair Surname, Name Email Telephone Section 2: Organization’s profile Mandate, vision and priorities State your organization’s mission and vision Does your organization have a strategic plan? If yes which period does it cover? Yes No Please state Strategic Plan period: 20_ _ to 20 _ _ What are your organization’s core priorities for the next 3-5 years? Section 3: Management and Financial ability Annual budget Please state your organization’s average annual budget from 2016 – 2018 What is the source of your core funding? Who are your main funders/donors? Core staff How many staff do you have and what are their functions? Please outline permanent staff and contracted staff. Section 3: Expertise And Experience Sector, area and geographic coverage Briefly state reason(s) why your organization should be considered for this initiative Geographic coverage of interventions (Please tick what applies) Local District Regional National Please specify: Key thematic focus (List a maximum of 4 in order of priority) 1…………………….. 2……………………… 3………………………